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CareSource

Member-first health plan: Marketplace, Medicare, Medicaid

AI Analyst 2

AI Application EngineeringPosted on Nov 13
Full-timeRemote in USA

About the Job

Requirements

  • A bachelor's degree in a related field is required, though equivalent years of relevant work experience may be accepted in lieu of the required education.
  • Three years of experience in healthcare operations, business analysis, automation, digital transformation, technology solutions, or a related field is required.
  • Experience must include a background in AI-enabled tools, digital engagement, automation, or conversational technologies.
  • The candidate must understand generative AI tools, AI agents, large language model behavior, prompt patterns, agent instructions, model limitations, knowledge retrieval, and evaluation methods.
  • The candidate must be able to design AI-enabled healthcare service experiences, customer or employee journeys, conversational flows, and operational workflows.
  • The candidate must be able to translate healthcare operations needs into AI experience designs, prompts, agent instructions, business requirements, acceptance criteria, and quality standards.
  • The candidate must be able to support testing, validation, and quality review of AI solution outputs for accuracy, usability, and alignment with expected business outcomes.
  • The candidate must have analytical, critical thinking, problem-solving, facilitation, communication, and documentation skills.
  • The candidate must know responsible AI principles, privacy considerations, accessibility, security, risk controls, and human-in-the-loop review practices.
  • The candidate must be able to establish and maintain effective working relationships with cross-functional stakeholders.
  • The candidate must be able to manage multiple assignments, prioritize work, meet deadlines, and adapt in a fast-paced environment.
  • The candidate must be proficient with Microsoft Office tools, including Word, Excel, PowerPoint, Outlook, Teams, and related collaboration tools.

Responsibilities

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

Desired Qualifications

  • Experience setting up or improving service journeys, knowledge resources, workflows, or AI-enabled experiences in a cross-functional environment.
  • Experience in healthcare, health insurance, or another regulated industry.

About the Company

CareSource

Member-first health plan: Marketplace, Medicare, Medicaid

CareSource provides health coverage to more than 2 million members, offering Marketplace plans as well as Medicare and Medicaid products. Its core service is delivering health insurance and related care to individuals and communities through a member-first approach, aiming to improve health and well-being over time. The company operates with a focus on affordable, accessible coverage and care coordination across states, guided by its mission to place people over profits rather than simply selling plans. Key differentiators include a long history (30+ years), a national footprint with 4,500+ employees, and an emphasis on serving members’ needs and languages while promoting equal opportunity employment. The overarching goal is to help members live healthier lives by providing comprehensive coverage and support.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Dayton, OH
Founded
1989

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