Principal AI Engineer
Cotiviti$208K – $260K per yearUnited States only
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Overview
We are seeking a highly experienced Principal AI Engineer to lead the architecture, design, and development of a cutting-edge agentic framework and centralized AI platform that serves as the foundation for the organization's AI initiatives. As the technical lead for the Risk Adjustment (RA) Coding Agent, you will own the end-to-end technical architecture—from clinical NLP integration and production routing to core AI platform components that enable scalable, secure, and compliant AI solutions across clinical use cases. You will design advanced clinical AI capabilities, including evidence classifiers, structured clinical evidence graphs, and deterministic policy engines that produce explainable, auditable decisions in a CMS-regulated environment. Working closely with Data Scientists, MLOps Engineers, Data Engineers, and Product Engineering teams, you will establish foundational architecture, mentor engineering teams, and drive the technical vision, governance, and evaluation frameworks that ensure platform scalability, reliability, and regulatory compliance.