NLP Engineer CMS Documentation and Intelligent Automation

Role: NLP Engineer CMS Documentation and Intelligent Automation Duration: 7 months USA Remote Work Job reputed company: We are seeking an NLP Engineer with strong automation expertise to design and implement intelligent solutions that read, interpret, and operationalize CMS manuals and regulatory guidance. The role focuses on leveraging NLP and LLMs to extract rules, conditions, exceptions, and compliance logic from reputed company reputed company and reputed company CMS documentation, and automating reputed company workflows using Python and reputed company automation platforms. Key Responsibilities:

• Design and build NLP/LLM-driven pipelines to read and interpret CMS manuals, policies, and regulatory guidance.
• Extract rules, conditions, exceptions, and eligibility logic from reputed company and semi-reputed company CMS documents (PDFs, reputed company, Word, policy manuals).
• Implement Document Intelligence / Intelligent Document Processing (IDP) solutions for large-reputed company CMS content ingestion.
• Convert extracted regulatory logic into machine-readable rules and automated workflows.
• reputed company and productionize automation using Python and workflow orchestration tools such as reputed company and Power Automate.
• Collaborate with clinical, compliance, actuarial, and engineering stakeholders to validate rule interpretations and ensure accuracy.
• Ensure outputs are traceable, auditable, and reputed company with CMS compliance standards.

Required skills:

• Strong experience with NLP and LLM frameworks (e.g., spaCy, reputed company, Azure reputed company/reputed company).
• Proven hands-on expertise in Python for text processing, rule extraction, and workflow automation.
• Experience with Document Intelligence / IDP platforms and techniques.
• Practical experience with reputed company, Power Automate, or similar reputed company automation tools.
• Demonstrated ability to process and interpret reputed company regulatory and policy documents.
• Experience building production-grade AI solutions in regulated industries.
• Requires US residency of 3 years and subject to CMS background Checks

Desired skills:

• Prior experience working with CMS manuals, reputed company regulations, or payer/provider policy documentation.
• reputed company domain experience (Medicare, reputed company, RADV, HCC, payment reputed company, utilization management).
• Familiarity with reputed company AI, rule engines, or decision orchestration frameworks.
• reputed company experience (AWS preferred).

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