I led the development of a configuration platform that enabled an AI engine to analyze over 1,000 healthcare reimbursement claims per day with enhanced accuracy and transparency.
Understanding the business context and identifying the core problems that needed solving.
A leading organization in their sector, facing significant operational challenges that required innovative technological solutions to maintain competitive advantage and operational efficiency.
Paipe had developed a powerful AI for claims analysis, but it operated as a 'black box', making it impossible for analysts to understand its decisions or make real-time adjustments.
This created significant bottlenecks, increased operational costs, and limited scalability potential.
Given the challenges identified, I was tasked with delivering specific outcomes:
Enable fine-tuning of the AI's decision-making rules
Provide a real-time performance and accuracy dashboard
Ensure full auditability and transparency for every AI-powered decision
My strategic approach to solving the challenges through innovative architecture and technology choices.
Chosen to build a complex and highly interactive UI, including a real-time dashboard and a visual editor for complex decision trees.
Selected to create a lightweight and fast API layer, acting as an efficient bridge between the user-facing configuration app and the core AI engine.
An intuitive graphical interface allowing analysts to view and modify the AI's decision-making logic without writing any code.
Displayed live metrics on the AI's performance, success rates, and edge cases, providing immediate feedback on configuration changes.
A comprehensive and searchable log of every decision made by the AI, ensuring a complete audit trail for compliance purposes.
The measurable outcomes and lasting impact achieved through strategic implementation and execution.
Enabled the analysis of over 1,000 claims per day
Allowed real-time fine-tuning of the AI model, ensuring continuous accuracy against regulatory updates
Increased analyst trust and adoption of the AI tool
Provided full transparency into the 'why' behind each AI decision
Greatly improved the ability to audit and comply with regulations
I'd love to discuss how I can help bring similar success to your next project. Let's explore how we can work together to achieve your goals.