Cyrus Hoseini
Ph.D., MBA
- Role
- Vice President Operations at Centene Corporation
- Location
- El Dorado Hills, CA, US
- LinkedIn followers
- 500 followers
About Cyrus Hoseini
Analytical leader with a proven track record of driving business improvements and developing data-driven solutions in Fortune 25 healthcare organizations. Expertise in advanced analytics, machine learning, and process optimization to exceed business objectives and deliver significant cost savings. Experienced in leading high-performing teams on large-scale IT projects in health and human services. Proven ability to influence C-level decision-making and collaborate with cross-functional stakeholders.Key Highlights- Developed innovative data analytics solutions leveraging machine learning and cloud technologies.Reduced operational costs and improved efficiency through process optimization and automation- Led successful claim audit transformation resulting in significant cost savings and increased audit volume- Designed and implemented AI models for claim auditing with high accuracy rates- Skilled in various analytical tools and technologies including Python, Teradata, PowerBI, and DataBricks.
Experience
Vice President Operations
Nov 2025 — Present · US
In my new role as Vice President of Operations, I lead a 200+ person organization focused on AI-Enabled Claims Quality, Audit & Lifecycle Controls including claims auditing, configuration quality, PDE accuracy, analytics, and enterprise training. I’m fortunate to work with exceptional senior managers, analysts, auditors, data scientists, and partners who are all committed to building a world-class claim oversight ecosystem.We are advancing a portfolio of AI-enabled initiatives—from machine-learning-based error-propensity models to anomaly detection, deterministic/LLM-powered audit tools, and intelligent sampling. Our goal is simple: build the most reliable, automated, end-to-end control framework in the industry and fundamentally elevate payment accuracy and member/provider experience.
Education
Sharif University of Technology
Bachelor of Science - BS, Applied Mathematics (Operations Research)
1990 — 1996
Indiana State University
Doctor of Philosophy (PhD), Technology Management, Quality Systems
2013 — 2020
Sharif University of Technology
Master, Business Administration
2000 — 2003
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