AI Engineer

HealthPlanOne's mission is to help people find the right health insurance at the right price, so they live healthier lives. We are committed to making the shopping process simpler. Our mission has never been more important than it is today.

The AI Engineer for HealthPlanOne works as part of a cross-functional team that leverages cutting-edge technology to deliver accurate, scalable, and compliant AI-related solutions. This role is responsible for working with multiple departments and end-users, defining technical specifications, implementing algorithms, and ensuring system integration and performance meet project objectives.

Supervisory Responsibilities:

• None

Duties/Responsibilities:

• Optimize AI and machine learning (ML) solutions for call transcription scoring, considering scalability and regulatory compliance.
• Collaborate with stakeholders, including compliance officers and operational management, to understand CMS requirements and define project goals and metrics.
• Work closely with software developers to ensure integration with transcription services, databases, and reporting tools.
• Lead efforts in building and fine-tuning large language model (LLM) scripts to leverage call transcriptions for analytics purposes, against CMS compliance criteria (e.g. accuracy, relevance).
• Define and document scoring metrics, thresholds, and model evaluation techniques to ensure accurate and reliable compliance scores.
• Identify and resolve issues through iterative testing, user feedback, and continuous improvement.
• Maintain detailed documentation of the technical processes, accuracy, compliance adherence, specification updates, and key decisions.
• Performs other related duties as assigned.

Required Skills/Abilities:

• Bachelor’s degree in computer engineering, computer science, or a related technical discipline or equivalent professional experience.
• Basic understanding of natural language processing (NLP), AI, and machine learning concepts and tools.
• 1 year of experience with scripting languages like python and relevant data processing/visualization tools.
• Familiarity with regular expression matching.
• Familiarity with LLMs like ChatGPT - Corporate experience with tools like this is a plus.
• Familiarity with corporate reporting tools like DOMO.
• Excellent communication, organizational, and problem-solving skills.

Preferred Skills/Abilities:

• Familiarity with CMS regulations and healthcare compliance standards is a plus.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer, typically in a cubicle environment (constant noise, fluorescent overhead lighting)

Our centers are consistent with CDC guidelines and align with local government orders pertaining to all Company physical locations in relation to COVID-19.

Equal Employment Opportunity (EEO) is a fundamental principle at HealthPlanOne, where employment is based upon personal capabilities and qualifications. HealthPlanOne does not discriminate because of actual or perceived sex, sexual orientation or preference, gender identity, gender, transgender, race, color, religion, national origin, creed, citizenship status, ancestry, age, marital status, pregnancy, childbirth or related medical conditions, medical conditions including genetic characteristics, mental or physical disability, military and veteran status, or any other protected characteristic as established by law. HealthPlanOne requires the necessary drug testing and background checks as part of our pre-employment practices. If you need assistance or an accommodation due to a disability, please contact us to request accommodation at [email protected]