AI Business Automation Project Manager
About this role
WelbeHealth is a value-based healthcare organization focused on transforming senior care by offering all-inclusive care options that keep participants within their communities. The AI Business Automation Project Manager, Health Plan Services is integral to this mission by focusing on enhancing operational efficiency within the Eligibility and Reconciliation team. This role centers on combining healthcare project management and operational improvement with the design and implementation of AI and automation solutions. The individual will identify inefficiencies, develop practical solutions, and build AI-enabled workflows that directly improve Health Plan Services operations.
This position is crucial for modernizing eligibility and reconciliation processes. The manager will partner with business and technical teams to convert complex healthcare processes into scalable technology solutions. A key function involves designing and deploying AI agents and automation workflows to significantly reduce manual effort and increase accuracy in these critical areas. The role exists to bridge the gap between complex healthcare operational needs and practical, deployable AI technology.
Candidates who excel in translating business requirements into technology, possess experience in healthcare systems, and are comfortable prototyping solutions using AI tools would be a strong fit. This role is ideal for someone who enjoys solving complex operational challenges by leveraging AI to deliver tangible improvements in a regulated environment.
What you will do
- Drive projects through successful implementation within Health Plan Services, ensuring cross-functional collaboration across various operations teams.
- Lead initiatives to improve or implement systems and technology supporting eligibility determination, enrollment, and reconciliation processes.
- Design, build, and deploy AI agents and automation workflows to reduce manual tasks in eligibility, reconciliation, and general health plan operations.
- Partner with business owners and leadership to gather and translate operational requirements into high-value opportunities for process automation and agentic AI.
- Document project and automation logic clearly to ensure solutions are maintainable for future refinement or governance.
- Track and report on project status, manage resources, and motivate the team to achieve key deliverables.
- Develop relationships with key stakeholders to ensure delivered projects meet business needs and satisfy customer requirements.
What you need
- A Bachelor’s degree in a relevant field is required; a master's degree is preferred.
- A minimum of five years of experience in a project management role is necessary, ideally including healthcare systems.
- Previous experience in a regulated healthcare environment is beneficial.
- Experience with health plan operations, eligibility, enrollment, or reconciliation systems (such as Medicaid, Medicare, or commercial) is strongly preferred.
- Comfort is required in exploring, designing, and building AI agents or automation workflows focused on practical business use cases.
- Experience working directly with business owners to translate operational needs into AI agent and automation solutions is essential.
- The candidate must be able to use AI-assisted development tools to prototype and improve AI agents, even without deep coding experience.
Nice to have
- PMP or Six Sigma Certification
Benefits
- Medical insurance coverage (Medical, Dental, Vision)
- 17 days of personal time off (PTO)
- 12 holidays observed annually
- 6 sick days
- 401K savings + match
- Comprehensive compensation package including base pay and bonus
Skills and tech stack
Questions candidates ask
What is the remote policy for this role?
The location for this position is listed as Remote, CA, USA.
What is the compensation structure?
Compensation consists of a base salary plus a bonus.
What AI tools are used for development?
The role involves using AI-assisted development tools such as Claude or ChatGPT to prototype, test, and improve AI agents or workflow solutions.
What is the team structure like?
The role reports directly into the Health Plan Services team.