Remote Risk Control Consultant Jobs in Palmyra, PA

JOB SUMMARY

***CANDIDATE MUST BEUS Citizen (due to contractual/access requirements)***

This is a hybrid position, requiring on-site work from Tuesday to Thursday in either our Pittsburgh or Camp Hill Highmark offices.

This role plays a key role in supportingthe Health Plan Operations team by providing technical expertise and assistance in the implementation of Artificial Intelligence (AI) solutions. This individual works closely with the Director of AI to understand business objectives and challenges, and contributes to the development and execution of AI strategies. This role assists in conducting assessments of systems, data, infrastructure, and business processes to identify opportunities for AI products and services. They collaborate with internal data scientists, data engineers, and business teams to gather requirements for AI proof of concept designs and contribute to the implementation plan. This role supports business partners in facilitating change management initiatives, preparing users for AI adoption, and ensuring optimal value creation from AI projects. They contribute to the tactical implementation of AI solutions, working closely with project teams to ensure smooth integration and successful deployment.

ESSENTIAL RESPONSIBILITIES

• Problem Identification: Collaborate with Sr. Consultant and business partners to identify AI opportunities. Work with technical teams to explore solutions to business problems through research and applying human centered design methods.

• Proof of Concept Design and Testing: Work across teams to facilitate the design of a proof of concept and testing plan. Ensure alignment around the problem statement and the measures that would determine whether the solution is viable. Facilitate business readiness tactics and measure effectiveness.

• Implementation and Value Creation: Support translating proof of concept into scaled use and value creation using change management and project management best practices. Serve as an advisor and partner for change execution. This includes, but is not limited to, working with internal and external learning and communications partners and change strategists to design and deliver interventions that mitigate adoption risk.

• Portfolio Management and Reporting: Work with the Sr. AI Consultant and business partners to create and groom portfolios of AI opportunities. Support reporting, ongoing prioritization, and facilitating value capture tactics.

• Other duties as assigned or requested.

EXPERIENCE

Required

• 3 years of experience in management consulting or strategy required

• 3 years of experience in Orchestrating and leading change management plans and interventions.

Preferred

• 2 years of experience in digital transformation at scale.

SKILLS

• Strong understanding of AI technologies, including generative AI, machine learning, deep learning, natural language processing, and computer vision.

• Ability to understand business challenges and identify opportunities for AI implementation.

• Strong analytical and problem-solving skills to develop AI solutions that align with business objectives.

• Experience working with cross-functional teams, including business stakeholders, IT professionals, and data scientists.

• Ability to effectively communicate complex AI concepts to both technical and non-technical audiences.

• Strong presentation skills to convey insights and recommendations to stakeholders

• Experience in writing technical documentation and reports.

• Ability to manage AI projects from inception to deployment, including planning, budgeting, and risk management (technology and people).

• Commitment to staying up-to-date with the latest advancements in AI and related technologies.

EDUCATION

Required

• Bachelor's degree in business, information technology, data science, or related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

Preferred

• Master's degree in business, information technology, computer science or related field.

LICENSES or CERTIFICATIONS

Required

• None

Preferred

• Certified Change Management Practitioner

Language (Other than English):

None

Travel Requirement:

0% - 25%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Office- or Remote-based

Teaches / trains others

Occasionally

Travel from the office to various work sites or from site-to-site

Rarely

Works primarily out-of-the office selling products/services (sales employees)

Never

Physical work site required

No

Lifting: up to 10 pounds

Constantly

Lifting: 10 to 25 pounds

Occasionally

Lifting: 25 to 50 pounds

Rarely

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.

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