AI Analyst IV

Job Summary:

The AI Analyst IV is responsible for leading the design, implementation, and optimization of complex AI solutions and AI initiatives. This role serves as a subject matter expert, driving strategic business outcomes through solution design, analytics, governance alignment, and stakeholder consultation while mentoring less experienced team members.

Essential Functions:

• Serves as the AI subject matter expert for an assigned business area and provides strategic guidance on AI capabilities and opportunities.
• Leads the design, implementation, and optimization of highly complex AI solutions, agents, and automations.
• Partners with business leaders to identify, prioritize, and deliver AI-enabled solutions that improve business outcomes.
• Evaluates solution performance, adoption, and business value and drives continuous improvement efforts.
• Establishes best practices for AI solution configuration, testing, documentation, and oversight.
• Provides guidance on responsible AI use, governance requirements, and risk mitigation activities.
• Leads complex cross-functional initiatives involving multiple stakeholders, processes, and technologies.
• Research emerging AI capabilities and recommends innovative solutions to address business challenges.
• Mentors AI Analysts and provides technical leadership to support capability development and knowledge sharing.
• Perform any other job related duties as requested.

Education and Experience:

• Bachelor's degree in a related field required
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Seven (7) years of experience in healthcare operations, business analysis, automation, digital transformation, technology solutions, or a related field required
• Experience to include a 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 required
• Experience in healthcare, health insurance, or another regulated industry is required

Competencies, Knowledge and Skills:

• Understanding of generative AI tools, AI agents, large language model behavior, prompt patterns, agent instructions, model limitations, knowledge retrieval, and evaluation methods
• Expert in designing AI-enabled healthcare service experiences, customer or employee journeys, conversational flows, and operational workflows
• Ability to translate complex healthcare operation’s needs into clear 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 to ensure accuracy, usability, and alignment with expected business outcomes
• Strong analytical, critical thinking, problem-solving, facilitation, communication, and documentation skills
• Knowledge of responsible AI principles, privacy considerations, 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

Licensure and Certification:

• None

Working Conditions:

• General office environment; may be required to sit or stand for extended periods of time
• Travel is not typically required

Compensation Range:

$94,100.00 - $164,800.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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About Us

The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers.

We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day.

The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.