End-to-end maternity episode cost analysis and risk prediction model simulating real-world payer strategy — $15.7M spend, 2K episodes, $2.3M savings opportunity identified.
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Updated
Mar 28, 2026 - Jupyter Notebook
End-to-end maternity episode cost analysis and risk prediction model simulating real-world payer strategy — $15.7M spend, 2K episodes, $2.3M savings opportunity identified.
ClaimScope is a vehicle insurance claims portfolio intelligence platform that identifies warranty concentration, geographic imbalance, and anomalous claims using explainable analytics. Built on DuckDB and IsolationForest, it turns raw claims data into actionable triage signals — no actuarial black boxes, no LLM fabrication.
Managed Care Contracting Analytics report analyzing payer reimbursement performance using DAX time intelligence, Reimbursement Index, and Variance from Benchmark to support managed care contract negotiation strategy
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