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18 hours ago
A seasoned expert in AI-driven automation is sought to support the implementation of intelligent ServiceNow Agents at healthcare payer clients.
This role requires a deep understanding of the ServiceNow platform, AI Agent Studio, and integration of AI/ML models with enterprise workflows. You will work with cross-functional teams to design, configure, and deploy ServiceNow AI Agents that enhance automation, service delivery, and analytics capabilities.
- Member Services and Experience - AI agents to handle member enrollment inquiries, benefit explanations, and 24/7 support for common questions about coverage and claims status.
- Claims Processing Automation - AI agents to automate claims processing, claims routing, exception handling, and prior authorization workflows.
- Provider Network Management - AI agents to streamline provider onboarding, credentialing workflows, and contract management.
- Regulatory Compliance and Reporting - AI agents to provide real-time visibility into core system issues, security, and compliance risks.
- Case Management and Escalation - AI agents that can triage complex member issues, automatically escalate cases based on severity, and coordinate cross-functional responses for appeals, grievances, and medical management cases.
- IT Service Management - AI agents to manage internal IT requests from employees, manage system integrations, and provide automated incident response for critical payer systems and applications.
- Configure and customize ServiceNow AI Agents using AI Agent Studio (no-code/low-code environment).
- Develop workflows, subflows, and process automation within ITSM, CSM, HRSD, and SecOps modules.
- Integrate ServiceNow AI Agents with external systems using Integration Hub, APIs, and Workflow Data Fabric.
- Enable AI Agents to call external tools and interact with LLMs, databases, or third-party AI models.
- Write and optimize JavaScript and ServiceNow scripts to extend AI Agent functionality.
- Leverage RaptorDB Pro for high-performance data processing.
- Utilize AI Control Tower and AI Agent Orchestrator for multi-agent coordination, guardrails, and governance.
- Monitor performance using ServiceNow analytics and ensure compliance with organizational and regulatory policies.
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