AI Enabled Decision Automation Transforming Risk Privacy and Predictive Intelligence in Healthcare and Finance Applications

Authors

  • M. Vijay Anand Department of CSE, SEC, Chennai, India Author

DOI:

https://doi.org/10.21590/

Keywords:

Artificial Intelligence, Decision Automation, Predictive Analytics, Risk Management, Data Privacy, Healthcare Analytics, Financial Technology (FinTech), Machine Learning, Federated Learning, Explainable AI (XAI), Fraud Detection, Secure Data Processing

Abstract

The integration of Artificial Intelligence (AI) into decision-making systems is transforming critical domains such as healthcare and finance by enabling automated, data-driven, and predictive intelligence frameworks. This paper explores AI-enabled decision automation architectures designed to enhance risk management, ensure data privacy, and deliver accurate predictive insights across these sectors. The proposed framework leverages advanced machine learning models, deep learning algorithms, and real-time analytics to process large-scale structured and unstructured data. In healthcare, the system supports early disease prediction, patient risk stratification, and personalized treatment recommendations, while maintaining strict compliance with data privacy regulations. In finance, it enables fraud detection, credit risk assessment, and algorithmic decision-making with improved accuracy and reduced human bias. The architecture incorporates privacy-preserving techniques such as differential privacy, federated learning, and secure multi-party computation to safeguard sensitive information. Additionally, explainable AI (XAI) mechanisms are integrated to enhance transparency and trust in automated decisions. Experimental analysis indicates that AI-driven automation significantly improves decision speed, reduces operational risks, and enhances predictive performance compared to traditional systems. This research contributes to the development of intelligent, secure, and scalable decision automation frameworks that redefine operational efficiency and trust in modern healthcare and financial ecosystems.

References

1. Kale, A. (2025). CAC Payback Period Optimization Through Automated Cohort Analysis. International Journal of Management and Business Development, 2(10), 15-20.

2. Gopinathan, V. R. (2023). Cloud-First AI Security Architecture for Protecting Enterprise Digital Ecosystems and Financial Networks. International Journal of Research and Applied Innovations, 6(6), 10031-10039.

3. Jagadeesh, S., & Sugumar, R. (2017). Optimal knowledge extraction system based on GSA and AANN. International Journal of Control Theory and Applications, 10(12), 153–162.

4. Padala, S. (2025). AI-Powered Healthcare Contact Centers: Real-Time Patient Journey Mapping and Dynamic Call Prioritization. Journal of Computer Science and Technology Studies, 7(7), 469-478.

5. Yamsani, N. (2024). Large Language Models for Intelligent Data Stewardship in Enterprises: Architectures, Provenance, and Evidence-Mapped Governance. International Journal of Computer Technology and Electronics Communication, 7(1), 8210-8219.

6. Subramani, V. (2025). Data-driven automation for operational efficiency in enterprise payments. Retrieved from https://www.researchgate.net/publication/399681329

7. Aashiq Banu, S., Sucharita, M. S., Soundarya, Y. L., Nithya, L., Dhivya, R., & Rengarajan, A. (2020). Robust Image Encryption in Transform Domain Using Duo Chaotic Maps—A Secure Communication. In Evolutionary Computing and Mobile Sustainable Networks: Proceedings of ICECMSN 2020 (pp. 271-281). Singapore: Springer Singapore.

8. Vankayala, S. C. (2025). Autonomous Quality Agents: Policy-Driven Test Generation and Intelligent Orchestration for Continuous Software Assurance. European Journal of Advances in Engineering and Technology, 12(1), 35-42.

9. Kumar, S. A., & Anand, L. (2025). A Novel EEG-Based Deep Learning Framework for Enhancing Communication in Locked-In Syndrome Using P300 Speller and Attention Mechanisms. KSII Transactions on Internet and Information Systems, 19(11), 3841-3855.

10. Parepalli, S. (2020). Data-Centric Prediction of ETL Throughput and Resource Utilization Using Classical Machine Learning Models. Journal of Artificial Intelligence, Machine Learning and Data Science, 1, 3164-3174.

11. Nair, S. G. (2025). Designing Secure and Scalable Microservices for Threat Detection: Engineering Patterns from Endpoint Security Platforms. International Journal of Engineering & Extended Technologies Research (IJEETR), 7(6), 11200-11209.

12. Ireddy, R. K. (2024). Event-native financial onboarding platforms: A Kafka-centric reference architecture for sub-minute identity and compliance processing. World Journal of Advanced Research and Reviews, 21(2), 2182–2192. https://doi.org/10.30574/wjarr.2024.21.2.0448

13. Grandhe, K. (2025). Impact of Real-Time Analytics on Strategic Decision-Making in Large Organizations. IJSAT-International Journal on Science and Technology, 16(4).

14. Sammy, F., Chettier, T., Boyina, V., Shingne, H., Saluja, K., Mali, M., ... & Shobana, A. (2025). Deep Learning-Driven Visual Analytics Framework for Next-Generation Environmental Monitoring. Journal of Applied Science and Technology Trends, 114-122.

15. Kothokatta, L. (2025). Cross-Platform Automation Strategy for Hybrid OTT and SaaS Applications. International Journal of Computer Technology and Electronics Communication, 8(4), 11106-11116.

16. Varma, K. K., & Anand, L. (2025, March). Deep Learning Driven Proactive Auto Scaler for High-Quality Cloud Services. In International Conference on Computing and Communication Systems for Industrial Applications (pp. 329-338). Singapore: Springer Nature Singapore.

17. Gentyala, R. (2022). Beyond the Algorithm: A Longitudinal Analysis of Data Heterogeneity and Clinician Trust as Determinants of Predictive Tool Adoption and Patient Outcomes in Personalized Medicine. International Journal of AI, BigData, Computational and Management Studies, 3(2), 137-168.

18. Potel, R. (2024). Enhancing Web Application and API Security Through Intelligent WAFs and Proactive Threat Management. International Journal of Research Publications in Engineering, Technology and Management (IJRPETM), 7(6), 11641-11651.

19. Akula, A., Budha, G., Bingi, G., Chanda, U., Borra, A. R., Yadav, D. B., & Saravanan, M. (2026). Emotion recognition from facial expressions using CNNs. International Journal of Engineering & Extended Technologies Research (IJEETR), 8(1), 120-125.

20. Soundappan, S. J. (2024). AI-Driven Customer Intelligence in Enterprise Lakehouse Systems Sentiment Mining Governance-Aware Analytics and Real-Time Data Synchronization. International Journal of Advanced Engineering Science and Information Technology (IJAESIT), 7(5), 14905.

21. Bheemisetty, N. (2024). AI-powered recommendation systems: Best practices and real-world applications. International Journal of Future Innovative Science and Technology (IJFIST), 7(6), 13928–13926. https://doi.org/10.15662/IJFIST.2024.0706011

22. Kunadi, S. K. (2025). The Societal Impact of Data Democratization in Enterprise Revenue Systems. Journal of Computer Science and Technology Studies, 7(12), 214-222.

23. Appani, C., & Guda, D. P. (2023). Self-supervised representation learning for zero-day attack detection in encrypted network traffic. Computer Fraud & Security, 2023(7), 20–31. Retrieved from: https://computerfraudsecurity.com/index.php/journal/article/view/661

24. Thota, M. R. (2025). Toward self-healing data infrastructure: Predictive monitoring and root cause intelligence for modern databases. International Journal of Scientific Research in Science and Technology, 12(14), 540–548. https://www.researchgate.net/profile/Madhava-Rao-Thota/publication/401782915_Toward_Self-Healing_Data_Infrastructure_Predictive_Monitoring_and_Root_Cause_Intelligence_for_Modern_Databases/links/69b7f62f0df0500feff5e445/Toward-Self-Healing-Data-Infrastructure-Predictive-Monitoring-and-Root-Cause-Intelligence-for-Modern-Databases.pdf

25. Chinthala, S., Erla, P. K., Dongari, A., Bantu, A., Chityala, S. G., & Saravanan, M. (2026). Food recognition and calorie estimation using machine learning. International Journal of Engineering & Extended Technologies Research (IJEETR), 8(2), 480-488.

26. Jaikrishna, G., & Rajendran, S. (2020). Cost-effective privacy preserving of intermediate data using group search optimisation algorithm. International Journal of Business Information Systems, 35(2), 132-151.

27. ALAM, M. A., Alam, M. K., & Mahmud, M. A. (2025). Deep Learning for Early Detection of Systemic Risk in Interconnected Financial Markets: A US Regulatory Perspective. Journal of Computer Science and Technology Studies, 7(9), 353-375.

28. Vimal Raja, G. (2024). Intelligent Data Transition in Automotive Manufacturing Systems Using Machine Learning. International Journal of Multidisciplinary and Scientific Emerging Research, 12(2), 515-518.

29. Parepalli, S. (2021). Mapping Critical Data Relationships to Enable Automated Evaluation of Operational Impact. J Artif Intell Mach Learn & Data Sci, 1(1), 3175-3184.

30. Ambalakannu, M. (2024). The emergence of AI-powered data analytics revolutionizing business intelligence. International Journal of Future Innovative Science and Technology (IJFIST), 7(6), 13947–13955. https://doi.org/10.15662/IJFIST.2024.0706014

31. Indurthy, V. S. K. (2024). The surge in AI-powered data analytics revolutionizing business intelligence. International Journal of Future Innovative Science and Technology (IJFIST), 7(6), 13956–13964. https://doi.org/10.15662/IJFIST.2024.0706015

32. Niture, N., & Abdellatif, I. (2025). A systematic review of factors, data sources, and prediction techniques for earlier prediction of traffic collision using AI and machine learning. Multimedia Tools and Applications, 84(18), 19009-19037.

33. Gentyala, R. (2025). Mapping imperfections to instruments: A unified taxonomy for data engineering in behavioral economics. International Journal of Data Engineering Research and Development (IJDERD), 2(1), 10–30. https://doi.org/10.34218/IJDERD_02_01_002

34. Rahman, M. B., Ahmad, S., Kanojiya, S., Yasin, M., & Hasan, M. (2025). Cost-Effective Healthcare Operations: Financial Modeling and Optimization Using Business Intelligence Tools. Nvpubhouse Library for International Journal of Medical Science and Public Health Research, 6(10), 80-106.

35. Giri, A., Das, S. R., Joy, A. Z. M. J. U., Akib, A. S. M., Misat, M. M. H., Khadgi, M., ... & Shahi, B. (2025). Smart IoT Egg Incubator System with Machine Learning for Damaged Egg Detection. In International conference on WorldS4 (pp. 236-245). Springer, Cham.

36. babu Mogili, V., & Nair, P. S. (2025, December). Sparsity-Driven Generalization Enhancements in Compressed Pretrained Language Models. In 2025 IEEE 5th International Conference on ICT in Business Industry & Government (ICTBIG) (pp. 1-6). IEEE.

37. Ghanta, S. (2021). A system-level approach to intelligent root cause discovery in distributed Java microservices. International Journal of Science, Engineering and Technology. https://doi.org/10.5281/zenodo.17760543

38. Yamsani, N. (2022). Predictive data stewardship as an enterprise control function: Machine learning approaches for quality anticipation and governance. European Journal of Advances in Engineering and Technology, 9(3), 213–223. https://doi.org/10.5281/zenodo.18629342

39. Barigidad, S., Hameed, S., Karri, N., Jangam, S. K., Pedda, P. S. R., & Gupta, D. (2025, December). Computational Modeling of AI-Enhanced Learning Pathways: A Mathematical Framework for Optimizing Knowledge Acquisition, Cognitive Load Management, and Student Performance in STEM Education. In 2025 International Conference on AI-Driven STEM Education and Learning Technologies (AISTEMEDU) (pp. 1-7). IEEE.

40. Kiran, A., Rubini, P., & Kumar, S. S. (2025). Comprehensive review of privacy, utility and fairness offered by synthetic data. IEEE Access.

41. Md, S., Md Saiful, I., Mohammad, Y., Mahzabin Binte, R., & Jannatul, F. (2024). AI-Driven Business Analytics for Early Prediction and Prevention of High-Cost Healthcare Utilization. AI-Driven Business Analytics for Early Prediction and Prevention of High-Cost Healthcare Utilization, 7(12), 1830-1856.

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Published

2026-01-30

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