The AI Solution Consultant serves as the primary "Face of AI" for CareSource business units, acting as a strategic bridge between clinical/operational domains and the technical AI Platform team. This role is responsible for driving the enterprise-wide intake and triage process, stratifying opportunities into Green (Self-Service), Yellow (Citizen Dev), and Red (Pro-Code) tiers. The Consultant partners directly with business executives to define high-value use cases, modeling ROI and ensuring alignment with the organization's mission to improve member experience and health outcomes.
Essential Functions:
- Lead the common intake process for all AI initiatives, utilizing the "Traffic Light" framework to stratify requests into green, yellow, or red risk tiers.
- Conduct Art of the Possible workshops and discovery sessions with business leaders (Clinical, Claims, Ops) to identify high-ROI opportunities for agentic and generative AI.
- Develop robust business cases and value assessments, including projected efficiency gains, cost reductions, and quality improvements, for presentation to the AI Steering Committee (AISC).
- Act as a trusted advisor to citizen developers in the yellow layer, guiding them toward approved low-code tools (UiPath, Databricks) and ensuring architectural alignment.
- Partner with the AIEC to define functional requirements for complex red layer clinical agents, ensuring clarity on human-in-the-loop needs.
- Serve as the primary liaison between business product owners and the AI Platform Engineering team, translating business needs into technical user stories.
- Evaluate AI usage within business units and migrate unauthorized tools into the managed green or yellow layer governance structures.
- Monitor and report on the value realization of deployed solutions, tracking actual vs. projected ROI and operational throughput uplift.
- Assist in the creation of domain-specific prompt libraries to accelerate adoption of Microsoft 365 Copilot within specific departments (e.g., HR, Finance).
- Facilitate user acceptance testing (UAT) coordination between the business stakeholders and the IT development teams for red layer builds.
- Provide consultative support for yellow layer exceptions, helping power users navigate the IT review and approval gates.
- Maintain a deep understanding of the evolving AI landscape (Agentic workflows, RAG) to proactively suggest innovation opportunities to business partners.
- Perform any other job related duties as requested.
Education and Experience:
- Bachelor's degree in Computer Science, Business, or a related field required
- Master's degree in Computer Science, Business, or a related field preferred
- Equivalent years of relevant work experience may be accepted in lieu of required education
- Eight (8) years of experience in IT Consulting, Solution Architecture, or Technical Product Management required
- Experience leading digital transformation initiatives, defining ROI models, and shaping business strategy required
- Strategic consulting skills, with the ability to lead Art of the Possible workshops and influence senior business leaders
- Deep Healthcare Payer industry knowledge (Utilization Management, Claims, Prior Auth)
- Proficiency in Generative AI concepts, capable of explaining the difference between Deterministic (Rules-based) and Probabilistic (AI) systems to non-tech audiences
- Strong business case development skills, able to model financial impacts (OpEx savings, productivity gains)
- Ability to navigate "Traffic Light" governance, guiding business teams on whether a request is Green (Self-service), Yellow (Low-code), or Red (Pro-code)
- Familiar with Low-Code platforms (UiPath, Power Platform) to advise on "Yellow Layer" citizen development opportunities
- TOGAF or Zachman Framework certification preferred
- SAFe Agilist or similar Agile Architecture certification preferred
- General office environment; may be required to sit or stand for extended periods of time
- Travel is not typically required
Compensation Range:
$113,000.00 - $197,700.00CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
SalaryOrganization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
