Job Vacancy – AI Solutions Architect (Healthcare RCM Automation)

Company: Zyentara Solutions

📍 Location: Sri Lanka / India

🕒 Work Shift: 3:00 PM – 12:00 AM (IST)

📑 Employment Type: Full‑time

Role Overview:

Design and implement HIPAA‑compliant AI and Agentic solutions to transform healthcare Revenue Cycle Management (RCM) operations.

Key Responsibilities:

• Assess end‑to‑end RCM workflows (Patient Access, Coding, Charge Capture, Claims, Denials, Payments, AR, Correspondence)
• Design AI‑enabled and Agentic workflow solutions with HIPAA‑compliant architectures
• Create solution blueprints, process flows, business cases, and roadmaps
• Build and deploy AI agents and multi‑agent workflows
• Integrate AI solutions with EHR, PM, clearinghouse, RPA, document management, and communication platforms
• Define governance frameworks (security, privacy, auditability, human‑in‑the‑loop controls, compliance)
• Collaborate with Operations, Product, Engineering, Compliance, and Client stakeholders
• Measure and optimize automation outcomes using KPIs and ROI metrics

Required Qualifications:

• 6+ years IT experience
• 3+ years in U.S. Healthcare RCM
• 2+ years designing/deploying AI or Agentic AI solutions in production
• Understanding of RCM workflows, payer rules, operational pain points
• Experience with LLMs, orchestration frameworks, prompt engineering, retrieval architectures, agent frameworks
• Practical experience integrating AI solutions via APIs/cloud platforms
• Knowledge of HIPAA requirements, PHI handling, security controls, responsible AI practices

Preferred Qualifications:

• Exposure to AWS, Azure, or Google Cloud healthcare environments
• Familiarity with healthcare interoperability standards and RCM technologies
• Experience automating coding, claims scrubbing, denial management, payment posting, AR follow‑up, or document workflows

Success Measures:

• Reduced manual effort and turnaround times
• Increased productivity and automation adoption
• Improved quality and accuracy outcomes
• Demonstrated ROI from deployed AI solutions
• Delivery of secure, compliant, scalable automation capabilities