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Patented AI Algorithms for Provider Search

AnthemGreater Chicago Area2019 - 2021Staff VP | Digital & Analytics Solutions

Overview

Led development and launch of patented AI algorithms for Provider search optimization, improving member experience and provider network utilization through intelligent recommendations.

Key Outcomes

Patent

AI algorithms granted

Experience

Member satisfaction improved

Network

Utilization optimized

Scale

Enterprise deployment

The Challenge

Members struggled to find the right providers within the network, leading to poor experiences and out-of-network utilization. Traditional search approaches based on location and specialty failed to capture the complexity of member needs and provider capabilities.

My Approach

  • Identified opportunity for AI-driven provider search improvement
  • Led cross-functional team including data scientists and engineers
  • Developed machine learning models incorporating multiple data sources
  • Designed and executed A/B testing to validate improvement
  • Managed patent application process
  • Scaled solution across member-facing applications

Technologies & Tools

Machine LearningNLPSearch AlgorithmsPythonCloud AI

Key Learnings

Healthcare AI requires careful attention to clinical accuracy and member trust. Patent-worthy innovations often come from combining existing techniques in novel ways. A/B testing is essential for validating AI improvements in healthcare contexts.

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