AI Compliance Analyst II – Healthcare Preferred

🔥 29 minutes ago

🇺🇸 United States – Remote

💵 $72.2k - $115.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🤖 Artificial Intelligence

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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CareSource

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Develop, configure, optimize, and administer moderately complex AI solutions and agents using Copilot, Copilot Studio, Power Automate, Nintex, and other approved tools • Provide ongoing business-level oversight of AI solutions • Evaluate and optimize AI solution behavior and identify configuration improvements • Monitor metrics and business outcomes • Perform testing, validation, and quality review of AI solution outputs for accuracy, usability, and alignment with expected outcomes • Maintain documentation covering AI solution configuration, workflows, prompts, user guidance, and performance observations • Collaborate with technical, governance, compliance, and business partners to support responsible use, adoption, and enhancement of AI solutions • Perform other job-related duties as requested

🎯 Requirements

• Bachelor's degree in a related field required, or equivalent years of relevant work experience may be accepted in lieu of required education • Three (3) years of experience in healthcare operations, business analysis, automation, digital transformation, technology solutions, or a related field required • Background in AI-enabled tools, digital engagement, automation, or conversational technologies required • Experience setting up or improving service journeys, knowledge resources, workflows, or AI-enabled experiences in a cross-functional environment preferred • Experience in healthcare, health insurance, or another regulated industry preferred • Understanding of generative AI tools, AI agents, large language model behavior, prompt patterns, agent instructions, model limitations, knowledge retrieval, and evaluation methods • Aptitude for designing AI-enabled healthcare service experiences, customer or employee journeys, conversational flows, and operational workflows • Ability to translate complex healthcare operations needs into AI experience designs, prompts, agent instructions, business requirements, acceptance criteria, and quality standards • Ability to support testing, validation, and quality review of AI solution outputs • Analytical, critical thinking, problem-solving, facilitation, communication, and documentation skills • Knowledge of responsible AI principles, privacy, accessibility, security, risk controls, and human-in-the-loop review practices • Ability to establish and maintain effective working relationships with cross-functional stakeholders • Ability to manage multiple assignments, prioritize work, meet deadlines, and adapt in a fast-paced environment • Proficiency with Microsoft Office tools, including Word, Excel, PowerPoint, Outlook, Teams, and related collaboration tools • Working knowledge of Nintex Workflows • No licensure or certification required

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Substantial and comprehensive total rewards package • Employee total well-being support

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