HealthPlanOne · 4 days ago
AI Engineer
United States
Full-time
Remote
Entry Level
1+ years expHealthPlanOne is dedicated to simplifying the health insurance shopping process. The AI Engineer will work within a cross-functional team to develop scalable AI solutions, ensuring compliance and performance through collaboration with various stakeholders.
FinanceHealth CareHealth InsuranceInsuranceMarketing
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
Qualification
Required
Bachelor's degree in computer engineering, computer science, or a related technical discipline
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
Familiarity with CMS regulations and healthcare compliance standards is a plus
Company
HealthPlanOne
HPOne is a singular vision create custom sales,marketing and contact center solutions exclusively for the health insurance industry.
501-1000 employees
H1B Sponsorship
HealthPlanOne has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (3)
2021 (2)
Funding
Current Stage
Late StageTotal Funding
$6.5MKey Investors
Pequot Capital
2020-06-22Acquired
2008-04-21Series A· $6.5M
Leadership Team
Tom Wicker
Chief Operating Officer
Mike Stapleton
CIO
Company data provided by crunchbase