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AI Data Specialist

Canada, Toronto · Job Posted May 06, 2026
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Job Description

We are seeking an AI Data Specialist with healthcare domain expertise to support data-driven healthcare solutions for the Centene client. The role focuses on healthcare data acquisition, quality, transformation, and governance to enable analytics and AI/ML use cases across payer platforms.

Job Responsibility

  • Acquire, validate, and manage healthcare data from EHR/EMR systems, claims platforms, laboratory systems, medical devices, and third-party vendors
  • Ensure data completeness, accuracy, consistency, timeliness, and integrity across the healthcare data lifecycle
  • Perform data profiling, cleansing, normalization, and enrichment activities
  • Transform raw healthcare data into analytics- and AI-ready datasets
  • Collaborate closely with data engineering, AI/ML, analytics, clinical, and business teams to support solution delivery
  • Support operational reporting, dashboards, analytics products, and AI model consumption
  • Work with healthcare data standards and messaging formats, including HL7 (v2/v3) and FHIR
  • Apply and validate industry-standard coding systems: ICD-10, CPT, HCPCS, LOINC, SNOMED CT, RxNorm, NDC codes
  • Handle structured, semi-structured, and unstructured healthcare datasets (e.g., flat files, JSON, XML)
  • Prepare curated datasets for descriptive, predictive, and prescriptive analytics
  • Support feature engineering, label creation, and data validation for AI/ML models
  • Partner with data scientists and AI engineers to define and refine data requirements
  • Assist in model readiness checks, bias detection, and dataset versioning where required
  • Ensure compliance with HIPAA, HITECH, and applicable state and federal healthcare regulations (GDPR where applicable)
  • Support data lineage, auditability, access controls, and metadata management
  • Define, monitor, and report data quality metrics and SLAs
  • Participate in data governance councils, reviews, and remediation initiatives

Requirements

  • Bachelor's degree in Computer Science/IT/Data Science, Health Informatics, or related field
  • 8+ years of experience working as data specialist
  • Strong understanding of US healthcare payer data (claims, eligibility, clinical, pharmacy)
  • Proficiency in Python and SQL and experience with data quality and validation practices
  • Experience working in cross‑functional teams

Nice to have

  • Experience supporting AI/ML initiatives in healthcare
  • Knowledge of cloud platforms (AWS, Azure, GCP) and big data technologies
  • Experience with FHIR APIs, data governance tools, and ETL pipelines
  • Centene or managed care / Medicaid / Medicare domain experience

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