United States onlyAt Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This role is responsible for reviewing A-I generated transcripts, summaries, and behavioral insights from member/provider service calls to identify and escalate instances of incorrect or misleading information shared with the caller.Required Experience
Bachelor’s Degreeand 2 years of experience in health insurance operations, with strong knowledge of medical benefits, claims processing, and member communications.
Experience with AI/ML systems, transcription tools, or customer service analytics platforms.
Experience in call quality monitoring or auditing strongly preferred.
Strong analytical and critical thinking skills with a high attention to detail.
Comfort interpreting and validating AI-generated content (transcripts, summaries, and sentiment/behavioral scoring).
Familiarity with HIPAA and related compliance standards.
Excellent written and verbal communication skills.
Preferred Experience
Background in health plan regulatory compliance, training, or quality improvement.
Certification in healthcare claims or auditing (e.g., CPC, CPMA) is a plus.
Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!
EEO Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
Pay Transparency Statement:
At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
Min to Max Range:
$48,500.00 - $91,000.00Exact compensation may vary based on skills, experience, and location.
