Cai Jobs in US

This position will perform quality assurance(qa) and business interface testing(UA) requirements as well as support User Acceptance (UA) testing of software coding changes to Medicaid Systems Related data. Work collaboratively with Project Team to test coding changes.

Apply via Dice today!This job description is for aSenior Google CCAI Conversational AI Developer, focused on designing and implementing advanced contact center automation solutions with Integration knowledge on other CCaaS platforms like Genesys, AWS Connect, and Cisco UCCE.Job Title: Senior Google CCAI Conversational AI DeveloperJob Description:We are seeking a talented and experienced Senior Developer to design, develop, and implement cutting-edge conversational AI solutions using the Google Cloud Contact Center AI (CCAI) platform. The ideal candidate will have hands-on experience building and integrating intelligent virtual agents (chatbots/voicebots) within contact center environments and possess competitive knowledge of other leading platforms to help drive strategic decisions and superior customer experiences.Key ResponsibilitiesDesign, develop, and deploy virtual agents using Google Dialogflow ES and CX for both voice and chat channels.Integrate Dialogflow agents and Google CCAI with core contact center platforms such as Genesys, AWS Connect, and Cisco (UCCE/PCC/etc.) using APIs and webhooks.Develop robust middleware and backend services using Python or Node.js to facilitate integration with enterprise systems (CRM, databases, etc.).Implement and optimize Google Cloud Platform (Google Cloud Platform) services (e.g., Cloud Functions, Pub/Sub, Cloud Run, BigQuery) to build scalable and reliable AI solutions.Collaborate with UX designers and business stakeholders to define conversation design, user journeys, and ensure seamless customer interactions.Perform Natural Language Processing (NLP) and Natural Language Understanding (NLU) tuning to improve intent recognition accuracy and overall bot performance.Implement logging, monitoring, and analytics (using Google Insights or similar tools) to track bot performance, troubleshoot issues, and drive continuous improvement.Provide technical leadership, mentor junior developers, and conduct code reviews.Required Qualifications & Skills8+ years of hands-on experience in software development, with a minimum of 2 years specifically in conversational AI development using Google CCAI and Dialogflow ES/CX.Strong proficiency in programming la...

[Industry: Insurance | Type: Full-time | Level: Executive] CompanyHighmark Inc.Job DescriptionJOB SUMMARYThe Senior Vice President (SVP) of Medicaid is responsible for the overall strategic direction, financial performance, and operational execution of Highmark's Medicaid & D-SNP business. Develop and maintain s...

These individuals analyse client needs, develop operational strategies, and offer guidance and support to help clients streamline processes, improve productivity, and drive business performance. As an operations consulting generalist at PwC, you will possess a broad understanding of various aspects of operations consulting.

[Applicants: Be among the first 25 applicants | Industry: Hospitals and Health Care | Type: Full-time | Level: Mid-Senior level] Provider Network ManagerLocation:9133 W. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.TheProvider Network Managerdevelops the provider network through contract negotiations (language and rates), relationship development, and servicing.How You Will Make An ImpactPrimary focus of this role is contracting and negotiating contract terms.Typically works with less-complex to complex providers.Providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, physician groups, small hospitals that are not part of a health system, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required.Contracts may involve non-standard arrangements that require a moderate level of negotiation skills.Value-based concepts understanding.Fee schedules can be customized.Works with increased independence and requires increased use of judgment and discretion.May work on cross-functional projects requiring collaboration with other key areas.Serves as a communication link between professional providers and the company.Conducts more complex negotiations and drafts documents.Assists in preparing financial projections and conducting analysis as required.Minimum RequirementsRequires a BA/BS degree and a minimum of 3 years’ experience in contracting, provider relations, provider servicing; or any combination of educati...

[Applicants: Be among the first 25 applicants | Industry: Information Technology & Services | Type: Contract | Level: Associate] Title: Medicaid Business AnalystLocation: Jackson MSDuration: 3 yearsPositon type: Contract.The Business Analyst plays a critical role in evaluating business processes, supporting application implementations,optimizing system functionality, and providing ongoing ownership for assigned applications. This role partners closelywith business stakeholders, IT teams, and external vendors to ensure applications meet operational needs throughouttheir lifecycle.The Business Analyst will support multiple initiatives, including new system implementations, in-flight projects, andexisting applications that require enhanced oversight, optimization, and long-term ownership.

This role partners closely with business stakeholders, IT teams, and external vendors to ensure applications meet operational needs throughout their lifecycle.The Business Analyst will support multiple initiatives, including new system implementations, in-flight projects, and existing applications that require enhanced oversight, optimization, and long-term ownership. This position is both project- and operations-focused, requiring strong analytical skills, technical understanding, and the ability to work effectively in a regulated environment.Objectives of This RoleEvaluate current business processes and application functionality to identify opportunities for improvementServe as the functional business owner for assigned applications, including systems without existing IT ownershipTranslate business needs into clear, actionable requirements that support successful implementations and ongoing operationsSupport the full application lifecycle, including planning, implementation, optimization, maintenance, and continuous improvementEnsure solutions meet business needs, user expectations, and organizational standardsKey ResponsibilitiesBusiness Analysis & RequirementsGather, analyze, and document business requirements to identify opportunities for process and system improvementTranslate business requirements into well-defined user stories and functional specificationsCommunicate, review, and validate requirements with business and technical stakeholdersMaintain requirements traceability and documentation using tools such as Azure DevOps (ADO), ServiceNow, Accompa, and other platformsApplication Ownership & OperationsServe as the primary IT business owner for assigned applicationsSupport ongoing application maintenance, enhancements, and defect resolutionAct as a liaison between business users, IT teams, and third-party vendorsAssist with production support, issue triage, root cause analysis, and continuous improvement effortsMaintain functional documentation, workflows, and system knowledge for supported applicationsImplementation & Project SupportSupport functional aspects of appli...