AI Engineer

HealthPlanOne • Shelton, CT

36d • Hybrid

About The Position

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

Requirements

• 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.

Nice To Haves

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

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees