Nov 2025 – Mar 2026 · 4 mos · United States

• Provided AI training services tailored for the healthcare, life sciences, biopharma, and business consulting sectors, leveraging human expert judgment to create top-quality, production-grade prompts that challenge the LLM’s analytical abilities to the fullest for preference ranking.

Mar 2025 – Present · 1 yr 2 mos · United States · Remote

• Manage cross-functional team & oversee change management strategy of full-stack Gen AI, Agentic AI and ML analytics that aligns with business goals.
• Implement Agentic AI workflow claims scrubbing tools, cutting average claims processing time by 30% and RCM automation improving efficiency by 98%.
• Spearheading deployment of AI/ML analytics strategy in cutting claim denial rates by 25%, uncovering over $50 million in missed charges across multi-specialties.
• Provide guidance on implementation of AI-powered digital front door & patient management system that simplifies prior authorization (ePA) FHIR-API automation & eligibility verification
• Coordinate AI/ML strategy & agentic AI design, ensuring rapid PoC prototypes are swiftly deployed to production incorporating HITL oversight.
• Developed & fine-tuned Medical LLM using PEFT, LoRa, & QLoRA, designed to autonomously summarize clinical notes and parse medical vocabulary into standardized formats. Achieved 98% accuracy in extracting insights for pharmacovigilance & adverse effects.
• Apply knowledge of data standards (ICD-10, CPT, NDC, X12 EDI, & HL7/FHIR) to enhance metadata entity mapping & EHR automations using tools; OMOP-CDM, REST-API, MCP, N8N
• Leverage fluency in Bedrock/SageMaker, Microsoft Fabric & Azure AI Foundry, NVIDIA, OpenAI, Vertex AI, Langchain, Databricks, Snowflake, Apache, Salesforce, Python, SQL, Jira & Vector DB in leading product development.
• Partner with labs on AI/ML implementation using computer vision-OCR, intelligence documents processing-key phrase extraction, Conversational AI, model/Agent's evals & observability to support product strategy.
• Design a solution that annotates, trains, fine-tunes & ensure healthcare IDP forms, such as CMS-1500 and UB-04 aligns with EDI 837 standards for automated claims adjudication compliance, and auditability workflow.
• Lead data governance, data pipeline ETL orchestration & AI/ML cross-functional team that built scalable solutions, using Agentic-RAG.

Jun 2023 – Mar 2025 · 1 yr 9 mos · United States · Remote

• Recovered $500M+ in overpayments through AI/ML-powered payment integrity and FWA analytics
• Boosted operational efficiency by 98% by automating Epic claim adjudication workflows
• Reduced project turnaround time by 35% using lean-agile practices and Salesforce/Jira orchestration
• Led migration from legacy systems to Snowflake, Databricks, AWS Redshift, and GCP BigQuery
• Delivered data storytelling and executive-level insights on FWA, coding compliance, and RCM strategy

Jan 2025 – Feb 2025 · 1 mo · United States · Remote

• Set strategic direction for the analytic infrastructure development and implementation of analytic projects to identify FWA for Healthcare Fraud Prevention Partners (HFPP)/Trusted Third Parties (TTP)and CMS-CPI/DFPP.
• Leveraged tools like Snowflakes, AWS-Sagemaker, Tableau, Jira, bitbucket, SQL, Python in orchestration of data pipeline ETL workload and managing dependencies between tasks 1, 2 and 3 teams.
• Facilitated data retrieval from HFFP partners and TPAs, performed data preprocessing to identify final paid logic and loading of clean data for machine learning model building.

Oct 2022 – May 2023 · 7 mos · United States · Remote

• Led analytics team and operations from research to deployment across all business areas, ensuring top-tier automated healthcare claim payment integrity solutions.
• Provided strategic direction and conducted competitive market research on payer reimbursement policies.
• Guided analysts in 835/837 EDI, HL7 data interpretation using Postgres SQL, incorporating updates from CMS (Medicare & Medicaid) and AMA/CPT code guidelines to create edits.
• Performed data ETL QA, resolved data integrity issues and ensure adherence to best practices in data governance through clean data preprocessing, feature building and model building.

Jun 2019 – Oct 2022 · 3 yrs 4 mos · United States · Remote

• Served as a Subject Matter Expert (SME) liaison between cross-functional teams which include account managers, developers, and clients while providing value engineering and presales consultations focused on healthcare payment integrity and FWA data analytics, edit optimization and ideations. Utilized SQL for data manipulation and tableau data visualization to enhance insights and storytelling. Supported pre-sales teams, clinicians, and solution design in capturing business and technical requirements. Guided product development analytics, roadmap planning, pricing strategy, and Go-To-Market initiatives, driving innovative payment integrity solutions strategy to supporting B2B SaaS for claimxten, coding advisor and all change healthcare payment integrity products.

Jan 2017 – May 2019 · 2 yrs 4 mos · United States

• Advised Optum clients on payment integrity strategies, focusing on fraud, waste, abuse solutions, and cost containment. Led strategic initiatives for medical cost savings, concept research, and integrating payer reimbursement policies with automated claim systems. Directed end-to-end payment integrity project implementation, using PL/SQL and Tableau, and managed product enhancements and data pipelines. Engaged with clients to gather feedback, refining backlog stories in JIRA for continuous improvement.

Feb 2015 – Dec 2016 · 1 yr 10 mos · Miami-Fort Lauderdale Area

• Spearheaded Magellan Complete Care's fraud investigation unit, aligning payment integrity efforts with strategic business goals. Facilitated stakeholder collaboration for auditing, cost containment, and recovery of overpayments. Implemented fraud risk mitigation analytics strategies and drove program integrity analytics to reduce costs and optimize recovery efforts. Managed, hired, and mentored talent in special investigation operations.

Nov 2013 – Dec 2014 · 1 yr 1 mo · Miami-Fort Lauderdale Area

• Directed the Special Investigations Unit (SIU) in detecting, investigating, and remediating fraud cases, while managing case development and overpayment recoveries. Enhanced fraud detection strategies using predictive analytics, including regression and clustering analysis with SAS and SQL. Provided expertise on fraud, waste, and abuse (FWA) for Medicaid and Medicare, leading multiple projects on fraud prevention and recovery. Managed software requirement gathering, vendor selection, and PBM engagement, while recruiting and mentoring new SIU team members.

Aug 2013 – Nov 2013 · 3 mos · Miami-Fort Lauderdale Area

• Served as FWA lead investigator in Medicaid & Medicare Advantage Programs, which included, but not limited to investigation of medical professionals, non -medical professionals portraying false credentials or engaged in identity theft, brokers/sales agents, employees, contracted entity or business partners. Review contracts for reimbursement methodologies that are off the course with Medicaid and Medicare fee schedule . Develop ad-hoc logic and algorithms to detect pharmacy prescription fraud and rule based clinical code edits using PL/SQL. Employed predictive analytics to detecting outliers and fraudulent claims.

Feb 2012 – Sep 2013 · 1 yr 7 mos

• Investigated medical malpractice, healthcare fraud, waste, abuse, and compliance with pharmacy regulations, serving as a quality assurance officer for healthcare practitioners in Florida. Issued subpoenas, conducted chart reviews, and collaborated with law enforcement on FWA cases. Led investigations on compounding pharmacy regulations and healthcare licensing protocols. Provided litigation support and testified in malpractice hearings for state Department of Health prosecution

Jan 2008 – Apr 2012 · 4 yrs 3 mos

• Worked over 200 cases on environmental public health safety ,food borne illness investigations and served as regulatory compliance officer on food safety using FDA CODE.Participate in arbovirus West Nile virus survailance project and genarating epidemiological data for statewide epidemiological program. Oversaw regulatory compliance violations in groupcare facilities and investigated public health compliants related to greening or abandoned swimming pools, school food program, Assisted Living Facilities(ALF).Camps, Mobile home and Trailer park,Sanitation code compliance and mosquitos control programes. Rodent and rats abatement programe. Selected participant to attend federal training organised by FEMA, Homeland security Department on emergency management and Bioterrorism, Center for Domestic Preparedness,Alabama(COBRA) 2011).

Jul 2008 – Dec 2018 · 10 yrs 5 mos · Florida

• Adjunct Faculty

Apr 2002 – Nov 2007 · 5 yrs 7 mos · Ibadan,Nigeria

• Taught regional analysis, spatial stastitics and quantitative techniques at undergraduate level, researching as doctoral candidate and participated in special project on socio-spatial data collection in African. A UN Megacity project and data analysis reporting on economic indicators with senior professors and faculty members.Publishing and writing peer reviewed journal articles and presentation of papers at both local and international conferences. Performed statistical data analysis using predictive model tools such SPSS, ARCVIEW-GIS,SAS, EXCEL and MS- SQL,Participated in field data collection and projects on couples of Environmental Impact Assessment(EIA) in oil rich Niger Delta Area. Successfully won five research grants , three travel grants and two Ph.D. thesis grants.