At Claritev, we pride ourselves on being a dynamic team of innovative professionals. Our purpose is simple - we strive to bend the cost curve in healthcare for all. Our dedication to service excellence extends to all of our stakeholders - internal and external - driving us to consistently exceed expectations. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

Be part of our amazing transformational journey as we optimize the opportunity towards becoming a leading technology, data, and innovation voice in healthcare. Onward and upward!!!

JOB SUMMARY:

The incumbent is an empowered team member, knowledgeable in AI and generative AI technologies, who deploys best practices to facilitate the elicitation, organization, and documentation of business and AI solution requirements, working closely with Product Owners, stakeholders, and Scrum teams. The incumbent must ensure that the Agile team develops AI-driven solutions that meet the customer's real needs, minimizes requirement defects up front, and establishes and maintains agreement between the customer and Agile team on requirements for deliverables that are complex and not always clearly defined.

JOB ROLES AND RESPONSIBILITIES:

1. Meet and work with Product Owners, Scrum teams, subject matter experts, business sponsors, end-users, and others as necessary to perform assignments related to AI and generative AI projects.

2. Assist Product Owner with Backlog maintenance, User Story refinement, and prioritization for AI-driven features.

3. Lead requirements discussions to document, analyze, and translate functional and non-functional requirements into AI user stories, diagrams, and other deliverables as needed.

4. Assist the team as needed to complete AI-related stories and with troubleshooting problems and developing AI-driven recommendations/solutions.

5. Maintain AI Product Documentation as needed.

6. Participate in Scrum Agile events and other agile activities, focusing on AI project integration.

7. Participate in the Business Analysis Community of Practice, with a focus on AI and generative AI methodologies.

8. Manage multiple priorities, customer expectations, and relationships with all stakeholders, particularly in the context of AI projects.

9. Support training development for end users and staff members on AI tools and technologies.

10. Collaborate, coordinate, and communicate across disciplines and departments, leveraging AI insights.

11. Ensure compliance with HIPAA regulations and requirements.

12. Demonstrate commitment to the Company's core values.

13. The position responsibilities outlined above are in no way to be construed as all-encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary.

JOB SCOPE: Incumbent works under the direction of the Product Owner to identify issues, trends, and problems, recommending AI-driven action plans and evaluating results on initiatives that may not be clearly defined and are large in scope. Work is varied and complex, requiring the individual to use a broad range of knowledge gained through AI project management experience. The position works with internal and external sources to complete objectives, keeping the needs of external and internal customers as a priority when making decisions and taking action.

JOB REQUIREMENTS (Education, Experience, and Training):

Minimum 2 years experience in analysis and design on AI software development initiatives in an analyst role (preferably within a Scrum Agile team). Experience in Agile methodologies and requirements gathering and management practices such as BDD.
Knowledge of Agile knowledge management tools such as JIRA and Confluence preferred.
Must have basic understanding of AI/ML-driven analytics, predictive modeling, or AI-assisted decision-making in healthcare. Understanding of regulatory compliance (HIPAA, GDPR, AI ethics in healthcare) and how it impacts AI-driven solutions is highly preferred.
Ability to translate AI-ML concepts into business-friendly language.
Must have knowledge of business process modeling tools such as Visio, Lucidcharts, Draw.io preferred.
Strong understanding of the Healthcare industry and understanding all major workflows associated with healthcare claim processing.
Excellent verbal and written communication skills.
Analytic, organization, interpersonal, prioritization, multi-tasking, initiating, communication, planning, and technical skills.
Ability to facilitate teams and client relationships to satisfy needs and identify improvements.
Ability to develop strong relationships with all levels of management.
Ability to demonstrate commitment to excellent customer service and follow-through.
Ability to manage multiple simultaneous AI initiatives, including continuous evaluation and re-ordering of priorities for self and staff as business needs dictate.
Ability to effectively present information and respond to questions from internal and external customers.
Ability to be flexible and creative in problem-solving and identifying AI-driven process improvements.
Ability to anticipate business needs and think with a business owner mindset.
Ability to recognize and apply business analysis and system analysis best practices to fit a variety of situations.
Minimum Bachelor's Degree in AI, Computer Science, or a related field, or 4 equivalent years of related experience. Business Analyst related certificates highly preferred!

COMPENSATION

The salary range for this position is $100K to $105K. Specific offers take into account a candidate's education, experience and skills, as well as the candidate's work location and internal equity. This position is also eligible for health insurance, 401k and bonus opportunity.

BENEFITS

We realize that our employees are instrumental to our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

Your benefits will include:

Medical, dental and vision coverage with low deductible & copay
Life insurance
Short and long-term disability
Paid Parental Leave
401(k) + match
Employee Stock Purchase Plan
Generous Paid Time Off - accrued based on years of service
- WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
10 paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Summer Hours
Sick time benefits - for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.

EEO STATEMENT

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please [Link available when viewing the job].

APPLICATION DEADLINE

We will generally accept applications for at least 15 calendar days from the posting date or as long as the job remains posted.

Claritev

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