Claims Architect

Job Description: Senior Claims Domain Consultant with deep expertise in Healthcare Payer Claims Operations and working knowledge of Generative AI tools such as Claude, Copilot, ChatGPT, or similar LLM-based platforms. The consultant will work closely with business, operations, technology, product, and client stakeholders to assess current claims processes, identify improvement opportunities, and define AI-enabled solutions that enhance claims accuracy, reduce manual effort, improve first-pass ad

SeniorClaimsDomain Consultantwith deep expertise in Healthcare PayerClaimsOperationsand working knowledge of Generative AI tools such as Claude, Copilot, ChatGPT, or similar LLM-based platforms. The consultant will work closely with business, operations, technology, product, and client stakeholders to assess currentclaimsprocesses, identify improvement opportunities, and define AI-enabled solutions that enhanceclaimsaccuracy, reduce manual effort, improve first-pass adjudication, and accelerate

Company Description Lumen SolutionsGroupInc. is a technology consulting Services company based inFlorida. Weprovidea wide array of experienced business and IT professionals supporting clients from solution design to implementation and support.We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and EnterpriseTransformation. Role: Healthcare Solution Architect Location: Baltimore, MD (Remote Required Once

Job Description: Role Summary Seeking a Product Owner to lead the design and implementation of AI-powered voice bots supporting provider and member calls. The role acts as the bridge between Contact Center Operations, Business SMEs, and Bot Development teams, translating healthcare workflows into voice bot requirements and conversational experiences. Key Responsibilities Define and manage the product backlog for voice bot solutions.Gather requirements and write user stories, business rules, dec