AI Engineer Data Scientist

Momento USA is a global technology consulting talent acquisition and creative development firm that addresses clients most pressing needs and challenges. We currently looking for AI Engineer for a client based out in Coppell TX NY CA . Please see the job description below for your reference.

AI Engineer

Location : Coppell TX NY CA

Key search: Python Oracle Kafka and Windsurf along with Payment Integrity platforms.

Experience Level: 8 Years

Role Overview

We are seeking a highly skilled Lead Engineer to lead the architecture design and development of the PISCES HUB platform a configuration-driven event-based data and rule-processing ecosystem supporting healthcare payer workflows.

This role requires strong expertise in building metadata-driven systems rule engines and configurable integration frameworks within a cloud-native architecture. The ideal candidate will also possess solid knowledge of healthcare systems particularly Payment Integrity and claims processing workflows and be capable of designing systems that support fraud detection pre-pay/post-pay validation and rule-based adjudication enhancements.

Key Responsibilities

Technical Leadership

• Lead end-to-end engineering for the PISCES HUB initiative.
• Provide architectural direction and hands-on leadership.
• Mentor development teams and enforce engineering best practices.
• Ensure scalability configurability and maintainability of rule-driven systems.
• Collaborate with Product Payment Integrity SMEs and Enterprise Architecture teams.

• Autonomous agents
• Tool-calling workflows
• Multi-agent architectures and patterns
• Local or private AI deployments
• Advanced reasoning and orchestration beyond prompt engineering
• solid understanding of selecting and applying different AI models based on specific use cases including (but not limited to):
  Qwen 3.6 GLI Gemma 4 Qwen Next Coder GPT-OSS Llama 4 Claude Code Gemini CLI ClawBot Sonnet 4.6/4.7 Codex 5.4 Gemini Pro etc.
• Payment Integrity Kafka is still mandatory.
• Autonomous agents
• Tool-calling workflows
• Multi-agent architectures and patterns
• Local or private AI deployments
• Advanced reasoning and orchestration beyond prompt engineering
• solid understanding of selecting and applying different AI models based on specific use cases including (but not limited to):
  Qwen 3.6 GLI Gemma 4 Qwen Next Coder GPT-OSS Llama 4 Claude Code Gemini CLI ClawBot Sonnet 4.6/4.7 Codex 5.4 Gemini Pro etc.
• Payment Integrity Kafka is still mandatory.

Configuration-Driven System Design

• Design and build:
  • Metadata-driven pipelines and workflow orchestration engines.
  • Dynamic business rule engines for payment integrity use cases.
  • Configurable API/data integration frameworks.
  • Template-based or parameterized services.
• Develop JSON/YAML/XML-based configuration interpreters.
• Enable runtime rule updates without redeployment.
• Design version-controlled rule lifecycle frameworks with auditability.

Data & Rule Configuration Modeling

• Design data models for:
  • Rule storage and versioning
  • Claims validation configurations
  • Payment integrity audit trails
• Optimize SQL/NoSQL databases for high-volume rule evaluation.
• Ensure rule governance auditability and compliance tracking.

Healthcare & Payment Integrity Domain Expertise

• Strong understanding of:
  • Healthcare payer systems
  • Claims adjudication workflows
  • Pre-pay and post-pay validation logic
  • Payment Integrity rule frameworks
  • Fraud Waste & Abuse detection concepts
• Experience integrating with core healthcare systems (e.g. Facets QNXT Amisys or similar).
• Ability to translate payment integrity business requirements into scalable technical design.

Cloud & Event-Driven Architecture

• Design and implement event-driven systems using Kafka.
• Build microservices deployed in AWS environments:
  • EKS ECS Lambda
  • S3 RDS DynamoDB
• Ensure high scalability and resilience for healthcare transaction workloads.

DevOps & Platform Engineering

• Implement CI/CD pipelines with automated testing.
• Containerize services using Docker and Kubernetes.
• Apply GitOps workflows for deployment automation.
• Ensure observability monitoring and production readiness.

Required Skills & Experience

• 8 years of software engineering experience.
• 3 years leading engineering teams or owning platform architecture.
• Strong proficiency in:
  • Python or Java (both preferred)
• Proven experience building configuration-driven systems.
• Strong database modeling expertise (SQL & NoSQL).
• Experience designing JSON/YAML/XML configuration interpreters.
• Hands-on experience with Kafka and event-driven architecture.
• Experience with AWS cloud services (EKS ECS Lambda S3 RDS DynamoDB).
• Strong grasp of CI/CD Docker Kubernetes and GitOps.
• Strong knowledge of healthcare systems with focus on Payment Integrity.

Good to Have

• Exposure to Machinify platform or similar AI-driven payment integrity systems.
• Experience integrating rule engines with AI/ML-based fraud detection systems.
• Experience building healthcare data hubs or enterprise integration platforms.
• Familiarity with HIPAA-compliant system design.

Leadership Competencies

• Strong system design and architectural thinking.
• Ability to translate healthcare business rules into scalable technical solutions.
• Ownership mindset with strong accountability.
• Strong cross-functional collaboration and communication skills.
• Ability to balance long-term platform vision with delivery timelines.

Thanks & Regards

Ahmed Ali

IT Recruiter

Momento USA Exceeding Customer Expectations

440 Benigno Blvd Unit#A-5 2nd Floor Interstate Business Park Bellmawr NJ 08031

Phone No: Ext: 1026 Fax: Email: Ahmed@ Web:

Linkedin :

Note: Momento USA is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex pregnancy sexual orientation gender identity national origin age protected veteran status or disability status.