Ai Member Experience Quality Analyst

BCBST BlueCross BlueShield of Tennessee, Inc.

Chattanooga, Tennessee, US
Not specified
Ai conversation review
Quality evaluation standards
Document quality findings
BCBST BlueCross BlueShield of Tennessee is seeking an AI Member Experience Quality Analyst to enhance AI-powered member experiences through quality evaluations and actionable insights. The ideal candidate will have expertise in quality assurance and healthcare operations, focusing on improving AI performance and compliance in member interactions

Job Summary

  • Conduct rigorous quality evaluations grounded in real operational workflows, identify high-risk issues, and translate findings into clear, actionable recommendations that strengthen AI responses at scale.
  • Partner closely with training, operations, product, and business stakeholders to ensure quality learnings directly influence how our AI learns, evolves, and performs in live member environments.
  • By connecting quality data, trends, and operational realities, you’ll tell a compelling quality story that reduces risk, elevates the member experience, and helps set the standard for AI quality excellence.

Matching Summary

Match Score: 85

BCBST BlueCross BlueShield of Tennessee is seeking an AI Member Experience Quality Analyst to enhance AI-powered member experiences through quality evaluations and actionable insights. The ideal candidate will have expertise in quality assurance and healthcare operations, focusing on improving AI performance and compliance in member interactions.

Skills & Requirements

Must-have

  • AI conversation review
  • quality evaluation standards
  • document quality findings
  • drive AI improvement
  • regulatory adherence review
  • root cause investigation

Nice-to-have

  • quality champion
  • quality story telling
  • collaboration with stakeholders
  • precision and judgment
  • influencing AI evolution

Key Requirements

  • Associate degree or equivalent work experience
  • 3+ years quality assurance experience
  • 2+ years health insurance operations experience
  • Expertise in quality evaluation methodologies
  • Strong written communication skills

Work Rights

Not specified

Tailored Resume

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