BlueCross BlueShield of Tennessee logo
BlueCross BlueShield of Tennessee

Bringing peace of mind through better health to our customers and communities

AI Member Experience Quality Analyst

Artificial IntelligenceArtificial IntelligenceFull TimeRemoteSeniorTeam 5,001-10,000Since 1952H1B SponsorCompany SiteLinkedIn

Location

Tennessee

Posted

4 days ago

Salary

Not specified

Seniority

Senior

Associate Degree3 yrs expEnglish

Job Description

• Conduct rigorous quality evaluations of AI conversations. • Evaluate AI interactions against quality and experience standards. • Capture quality findings, categorize issues by impact, and track trends. • Identify training gaps and provide actionable recommendations. • Collaborate with Business Requirements Analysts to enhance AI. • Prepare compelling reports highlighting trends and opportunities. • Participate in calibration sessions for consistent evaluation. • Review AI responses for regulatory adherence.

Job Requirements

  • Associate degree or equivalent work experience required.
  • 3+ years of experience in quality assurance, quality monitoring, or auditing.
  • 2+ years of experience in health insurance or healthcare operations.
  • Expertise in quality evaluation methodologies, scoring rubrics, and calibration processes.
  • Deep knowledge of health insurance products, terminology, and member service standards.
  • Strong written communication skills.

Benefits

  • Health insurance
  • Flexible work arrangements

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