AI Solution Consultant

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $113k - $197.7k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🤖 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

• Lead the common intake process for all AI initiatives using the Traffic Light framework • Conduct Art of the Possible workshops and discovery sessions with Clinical, Claims, and Operations leaders • Identify high-ROI opportunities for agentic and generative AI • Develop business cases and value assessments for presentation to the AI Steering Committee • Advise citizen developers on approved low-code tools such as UiPath and Databricks • Define functional requirements for complex clinical agents and human-in-the-loop needs • Liaise between business product owners and AI Platform Engineering, translating business needs into technical user stories • Evaluate AI usage and migrate unauthorized tools into governance structures • Monitor and report value realization, ROI, and operational throughput improvements • Create domain-specific prompt libraries for Microsoft 365 Copilot adoption • Coordinate user acceptance testing between business stakeholders and IT development teams • Support yellow-layer exceptions through IT review and approval gates • Track the evolving AI landscape and suggest innovation opportunities • Perform other job-related duties as requested

🎯 Requirements

• Bachelor's degree in Computer Science, Business, or a related field required • Equivalent years of relevant work experience may be accepted in lieu of required education • Eight (8) years of experience in IT Consulting, Solution Architecture, or Technical Product Management required • Experience leading digital transformation initiatives, defining ROI models, and shaping business strategy required • Strategic consulting skills, including leading Art of the Possible workshops and influencing senior business leaders • Deep Healthcare Payer industry knowledge, including Utilization Management, Claims, and Prior Auth • Proficiency in Generative AI concepts, including explaining Deterministic (Rules-based) and Probabilistic (AI) systems • Strong business case development skills and ability to model financial impacts • Ability to navigate Traffic Light governance across Green, Yellow, and Red layers • Familiarity with low-code platforms, including UiPath and Power Platform • TOGAF or Zachman Framework certification preferred • SAFe Agilist or similar Agile Architecture certification preferred • Travel is not typically required

🏖️ Benefits

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

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