Operations AI Analyst

🔥 37 minutes ago

🎸 Tennessee – Remote

🎸 Tennessee – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🤖 Artificial Intelligence

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BlueCross BlueShield of Tennessee

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1952

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

BlueCross BlueShield of Tennessee is a leading health plan provider in Tennessee, serving 3. 4 million members. The company is committed to creating a workforce where everyone is valued, respected, and part of the team, emphasizing diversity and inclusion. They offer a range of career opportunities, including internships through their BlueBridge program, enabling new professionals to transition from college to work. BlueCross BlueShield of Tennessee also focuses on providing exceptional customer service and community care, striving to make a difference in the healthcare industry. It is an independent licensee of the Blue Cross Blue Shield Association and a qualified health plan issuer in the Health Insurance Marketplace.

📋 Description

• Execute daily operations of AI-enabled member service processes across multiple channels • Monitor performance and review interaction outcomes for accuracy, quality, and compliance • Analyze escalations and exceptions to surface trends, risks, and improvement opportunities • Document business and functional requirements, including workflows, procedures, user stories, acceptance criteria, and test scenarios • Lead user acceptance and regression testing to validate operational readiness • Maintain issue and defect logs and coordinate resolution with cross-functional partners • Produce operational documentation, standard work, and runbooks • Partner with Operations, Quality, IT, Analytics, and vendor teams on continuous improvement

🎯 Requirements

• Bachelor’s degree or equivalent work experience required • Equivalent experience is defined as four years of professional work experience in a corporate environment • 3 to 4 years in service operations, operations analysis, quality, reporting, business analysis, or contact center environments • Healthcare experience, including knowledge of Medicare and Medicaid • Experience supporting or optimizing AI-enabled user experiences • Experience with Star Ratings programs and initiatives preferred • Ability to translate operational processes and workflows into clear, structured documentation • Experience supporting testing activities and validating operational readiness • Comfortable working in cross-functional, fast-moving, operations-focused teams • Strong analytical and problem-solving skills • Proficiency with Microsoft Office tools, including Copilot • Ability to manage multiple priorities with minimal supervision in a collaborative environment • Sponsorship is not available for this role

🏖️ Benefits

• Remote work arrangement • Occasional travel to BCBST headquarters • Relocation assistance may be available if residence in Chattanooga, TN is required