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Job Description
Role Purpose:
The FWA AI Engineer is responsible for designing, building, testing, and deploying AI solutions that support Fraud, Waste & Abuse (FWA) detection and investigation. The role translates approved business requirements and data science models into scalable production solutions, integrating AI capabilities into operational workflows while ensuring reliability, performance, and business value. Working closely with the FWA Lead, FWA Data Scientist, investigators, and business stakeholders, the role drives the successful implementation and continuous enhancement of FWA AI use cases.
Key Accountabilities:
1- FWA Solution Design & Feasibility Assessment;
- Assess technical feasibility of approved FWA use cases.
- Evaluate data availability, technical requirements, and implementation complexity.
- Define solution approaches for AI-driven FWA detection.
- Develop technical requirements and implementation plans.
- Recommend optimal AI techniques and technologies for delivery.
2- AI Solution Development & Engineering;
- Build and optimize AI solutions supporting FWA detection and investigation activities.
- Translate models and analytical logic into scalable cloud-native solutions on GCP.
- Implement machine learning, anomaly detection, graph analytics, and document intelligence solutions.
- Develop APIs, scoring services, and integration components required for operational deployment.
- Ensure solutions are scalable, maintainable, and aligned with technical standards.
- Collaborate with the FWA Data Scientist to operationalize validated models.
3- Production Deployment & Integration;
- Deploy AI solutions into operational environments.
- Integrate AI outputs with internal systems and workflows.
- Coordinate with Data Engineering and TIDES (IT) teams to enable production deployment.
- Support release planning and deployment activities.
- Ensure successful transition from development to production.
4- Testing & Quality Assurance;
- Conduct technical testing of AI solutions.
- Support user acceptance testing with business stakeholders.
- Validate output accuracy, reliability, and performance.
- Identify and resolve implementation issues.
- Ensure solutions meet defined business and technical requirements.
5- Solution Maintenance & Continuous Improvement;
- Support ongoing enhancement of deployed FWA AI solutions.
- Implement model improvements identified by the Data Science team.
- Address technical issues and optimize solution performance.
- Incorporate new fraud detection capabilities and business requirements.
- Maintain technical documentation and solution knowledge assets.
Skills
- Python
- SQL
- Google Cloud Platform (GCP)
- Vertex AI
- Machine Learning Implementation
- AI Solution Development
- API & System Integration
- NLP & LLM Applications
- Document Intelligence & OCR
- Software Development Best Practices
- Testing & Quality Assurance
- Problem Solving
- Stakeholder Management
- Communication & Presentation Skills
- Cross-Functional Collaboration
- Experience delivering AI/ML solutions into production environments.
- Experience with Google Cloud Platform (GCP) is preferred.
- Experience in health insurance, claims, FWA, risk analytics, or financial crime analytics is preferred.
- Knowledge of healthcare claims, provider, and pre-authorization processes is advantageous.
- Knowledge of SAS is advantageous.
Education
Bachelor's Degree in Computer Science, Software Engineering, Artificial Intelligence, Data Science
Job Details
Preferred Candidate
Bupa Arabia
Bupa Arabia is a healthcare insurance company based in the Kingdom of Saudi Arabia. We are an associate business of Bupa Group, which is a global healthcare company with an international reach that extends across multiple business operations, practices, and resources.
Founded in October 1997, Bupa Arabia was initially established through a partnership between Bupa Global International and Nazer Group, with the key focus to provide health insurance services with high quality and competitive prices, while ensuring a distinctive experience for customers. Bupa Arabia has since evolved into a fully Saudi-owned and operated company. Our transformation from a joint venture into a publicly traded company on the Saudi Stock Exchange occurred in 2008, as we made 40% of our shares available to the public during our Initial Public Offering (IPO).
As a subsidiary of the global Bupa Group, we draw upon international expertise while maintaining a profound understanding of local healthcare requirements and regulations. This allows us to offer comprehensive healthcare insurance solutions tailored to the unique needs of the Saudi Arabian market.
Bupa Arabia prides itself on its commitment to the wellbeing and development of its employees, providing them with the same standard of care, support, and professionalism that it expects to be delivered to its customers.
Our core values shape every aspect of our work and culture:
Commit – Own it with accountability and urgency.
Collaborate – Win together through cross-functional synergy.
Care – Put people first, both employees and customers.
