AI Business Automation Project Manager

WelbeHealth; California; On-site; USD 120,000 - 180,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

PTO

Holidays

Bonus

401(k) Match

Healthcare Coverage

Job summary

WelbeHealth is seeking an AI Business Automation Project Manager, Health Plan Services to drive operational and technology-enabled improvements within the Eligibility and Reconciliation team. You will lead healthcare systems projects and design AI-enabled workflows that reduce manual work and improve accuracy.

In this role you’ll partner with business owners and technical teams, use low-code/no-code tools and AI platforms, manage cross-functional deliverables, ensure maintainability, and deliver

Qualifications

• Bachelor’s degree in a relevant field.
• Minimum of five years of project management experience, ideally including healthcare systems.
• Experience with health plan operations, eligibility, enrollment, or reconciliation systems preferred.
• Comfortable exploring, designing, and building AI agents or automation workflows using AI platforms and tools.
• Ability to translate operational requirements into AI agent and automation solutions.

Responsibilities

• Lead AI and automation projects within Health Plan Services.
• Partner with business owners and technical teams to translate requirements into AI solutions.
• Design, build, and deploy AI agents and automation workflows to reduce manual work.
• Track project status, manage resources, and ensure timely delivery.

Skills

Project management

Healthcare industry knowledge

AI and automation

Low-code/no-code tools

Stakeholder management

Education

Bachelor’s degree

Job description

WelbeHealth is a value-based healthcare organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population. We step in as the care provider and care planner that work to keep our participants within their communities, out of institutions, and cared for like family, all while receiving the healthcare and social services needed to thrive.

The AI Business Automation Project Manager, Health Plan Services is accountable for delivering projects and driving operational and technology-enabled improvement within the Eligibility and Reconciliation team, reporting directly into Health Plan Services. This role leads healthcare systems and process improvement projects while also designing and building AI agents and automation workflows that streamline eligibility and reconciliation operations.

This role is different because the AI Business Automation Project Manager, Health Plan Services at WelbeHealth:

• Combines healthcare project management and operational improvement with hands-on AI and automation, providing the opportunity to identify inefficiencies, design practical solutions, and build AI-enabled workflows that directly improve Health Plan Services operations
• Plays a critical role in modernizing eligibility and reconciliation by partnering with business and technical teams to translate complex healthcare processes into scalable technology solutions that reduce manual work, improve accuracy, and strengthen the overall team member and operational experience
• Medical insurance coverage (Medical, Dental, Vision)
• ~ 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
• ~Comprehensive compensation package including base pay and bonus
• ~ Drive projects to successful implementation within Health Plan Services, including cross-functional collaboration across Eligibility, Reconciliation, Claims, Network, and other health plan operations teams
• Lead projects that improve or implement systems, tools, and technology used to support eligibility determination, enrollment, and reconciliation processes, partnering with technical teams and vendors to translate business needs into functional solutions
• Design, build, and deploy AI agents and automation workflows that reduce manual work in eligibility, reconciliation, and health plan operations processes, using AI assisted ("vibe coding") development practices to rapidly prototype and deliver working tools
• Partner with Health Plan Services business owners and leadership to gather and translate requirements into high-value opportunities for process automation and agentic AI, and set realistic expectations about capability, accuracy, and risk
• Document project and automation logic clearly so that solutions are maintainable and can be handed off, refined, or governed over time
• Track and report project status, escalating issues when appropriate, as well as organize project resources while tracking and managing any over-allocated resources and motivating the team to complete key deliverables
• Develop a relationship with key stakeholders to ensure delivered projects meet business needs and delight our customers
• Bachelor’s degree in relevant field required; PMP or Six Sigma Certification preferred
• Minimum of five (5) years of experience in a project management role, ideally including healthcare systems
• experience with health plan operations, eligibility, enrollment, or reconciliation systems (Medicaid, Medicare, or commercial) strongly preferred
• Comfortable exploring, designing, and building AI agents or automation workflows using AI platforms and tools, with a focus on practical business use cases rather than deep technical development
• Experience working directly with business owners to gather, document, and translate operational requirements into AI agent and automation solutions
• Ability and willingness to use AI-assisted development tools (e.g., Claude, ChatGPT, or similar) to prototype, test, and improve AI agents or workflow solutions; prior coding experience is helpful but not required
• Comfortable partnering with technical teams using low-code/no-code tools to connect Ai enabled workflows with existing processes and systems, where appropriate

We’re seeking an AI Business Automation Project Manager, Health Plan Services who is energized by solving complex operational challenges, experimenting with AI and automation, and turning business needs into practical technology solutions.

Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits.

COVID-19 Vaccination Policy

In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.

Our Commitment to Diversity, Equity and Inclusion

At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.