AI Engineer

LE1 HEALTHPLANONE, LLC - Orlando, FL

Full-time

Orlando, FL

About the position

The AI Engineer at HealthPlanOne plays a crucial role in developing and optimizing AI and machine learning solutions to enhance health insurance services. This position involves collaboration with various departments to ensure compliance with CMS regulations while delivering scalable and accurate AI solutions. The engineer will work on call transcription scoring and large language model (LLM) scripts, ensuring that all technical specifications and performance metrics align with project goals.

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.
• 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.
• Perform other related duties as assigned.

Requirements

• 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.

Nice-to-haves

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