AI Consultant, Conversational AI (Healthcare - Managed Care) jobs in United States
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TEKsystems · 1 day ago

AI Consultant, Conversational AI (Healthcare - Managed Care)

TEKsystems is a mission-driven nonprofit healthcare organization focused on enhancing digital capabilities in the healthcare sector. They are seeking an experienced AI Consultant specializing in Conversational AI to design and deploy an advanced AI-powered agent, collaborating with engineering and business teams to improve provider experiences and ensure compliance.

Information Technology
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H1B Sponsor Likelynote

Responsibilities

Architect, develop, and train an LLM-powered chatbot to support provider inquiries (claims status, authorizations, coverage codes, member lookups, etc.)
Integrate the model with enterprise data systems (e.g., Snowflake, Matillion) and core operational platforms
Optimize accuracy, safety, and real-world performance using best‑in‑class AI techniques
Build conversational flows aligned with healthcare operational processes and provider needs
Collaborate with developers, analysts, and SMEs to ensure seamless system integration
Implement bilingual support (English + Spanish) for provider-facing interactions
Ensure HIPAA-compliant design and secure handling of PHI
Document architecture, workflows, and operational guidelines for long-term sustainability
Adhere to NDA requirements, and secure/VPN-accessed environments

Qualification

Conversational AIAI / Machine Learning EngineeringHealthcare IT ExpertisePythonOpenAI APIsRESTful integrationsBilingual (English/Spanish)CommunicationCollaboration skills

Required

Hands-on experience with OpenAI APIs and custom GPT development
Experience fine-tuning LLMs for domain-specific use cases
Knowledge of multilingual NLP/NLU; Spanish comprehension strongly preferred
Familiarity with ASR/TTS technologies
Strong experience in Python (preferred) and/or Node.js/JavaScript
Experience building RESTful integrations and working with cloud platforms (Azure, AWS, or GCP)
Knowledge of FHIR/HL7 or other healthcare interoperability standards
Understanding of Medicaid/Medicare processes, provider workflows, claims, and authorizations
Deep knowledge of HIPAA and secure data handling best practices

Preferred

Previous experience implementing conversational AI in healthcare or provider portals
Experience in managed care or payer-side systems
Experience with MLOps for deploying and monitoring AI models
Excellent communication skills for collaborating across technical and non-technical stakeholders

Benefits

Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)

Company

TEKsystems

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At TEKsystems, they understand people. Every year they deploy over 80,000 IT professionals at 6,000 client sites across North America,

H1B Sponsorship

TEKsystems 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
2025 (46)
2024 (52)
2023 (33)
2022 (22)
2021 (36)
2020 (53)

Funding

Current Stage
Late Stage

Leadership Team

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Ryan Skains
Vice President, TEKsystems Global Services
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Company data provided by crunchbase