At BlueCross BlueShield of Tennessee, we’re building the foundation for an AI‑enabled future—one where our teams work smarter, our operations move faster, and our 3.4 million members experience a more responsive, reliable, and affordable healthcare journey. To help lead that transformation, we’re hiring a Principal AI Workflow Engineer to serve as a senior technical and strategic leader driving enterprise‑wide AI workflow modernization.
Empowered to lead this work across clinical operations, you’ll report directly to our SVP & Chief Medical Officer and partner closely with care management, pharmacy and utilization management teams, as well as accreditation and medical policy teams to influence automation strategy, elevate operational efficiency, improve member clinical support, and imagine what’s possible beyond today’s tooling. You won’t just be designing AI pipelines—you’ll shape how AI comes to life across the organization.
To do that, you’ll need:
Experience with Generative AI, LLM integration, or agent frameworks
Understanding of APIs, orchestration, and integration patterns
- Proficiency in Python and associated AI / ML libraries and frameworks
Willingness to understand care management and utilization management platforms and supports
To abide by HIPAA guidelines
Our ideal candidates will also bring experience in healthcare (other payers, hospital systems, health tech companies) and/or supporting clinical teams.
If you’re inspired by our mission – peace of mind through better health – and ready for a role where your technical leadership directly influences AI strategy and innovation, we’d love to hear from you.
Job Responsibilities
Enterprise Process Discovery & Opportunity Assessment
- Lead discovery sessions with business leaders and SMEs to map current processes, uncover inefficiencies, and identify high impact automation opportunities.
- Use structured interviews, system data, and workflow analysis to size opportunities and align on measurable outcomes.
- Translate business needs into clear, actionable automation requirements.
Automation Workflow Design & Enablement
- Architect and develop end to end automated workflows that streamline operations across multiple business domains.
- Integrate with internal systems and external platforms while following governance, privacy protections, and healthcare compliance requirements.
- Build solutions that balance reliability, scalability, and usability—favoring practical automation patterns over highly complex AI architectures.
- Maintain documentation, operational guidance, and change control processes for all deployed workflows.
Business Partnership, Communication & Stakeholder Education
- Serve as a trusted advisor to functional and executive or division leaders, guiding them through automation strategy, prioritization, and value definition.
- Communicate solutions in accessible language that supports informed decision making across technical and nontechnical audiences.
- Lead training, demos, and hands on sessions to enable adoption, build confidence, and ensure long term ownership by business teams.
Change Leadership & Adoption Management
- Champion a culture of responsible automation by addressing concerns, building trust, and shaping readiness across teams.
- Create and promote internal playbooks, best practices, and frameworks that support consistent automation development across the enterprise.
- Partner with operational, compliance, and security teams to ensure solutions meet payer industry requirements and align to enterprise guardrails.
Governance, Standards & Influence
- Establish enterprise automation standards, design patterns, and guidance to ensure consistent quality and responsible use.
- Influence enterprise strategy by evaluating tools, platforms, and capabilities needed to sustain long term automation growth.
- Provide strategic insight to leadership based on cross functional trends, recurring challenges, and emerging opportunities.
Job Qualifications
Education
- Bachelor’s degree in Computer Science, Engineering, Information Systems, or a related field; Master’s preferred.
Experience
- 5+ years of experience in workflow automation, process redesign, business systems integration, software engineering, or equivalent skills and experience.
- 4+ years hands-on experience with AI, LLM-based agents, workflow orchestration, or intelligent automation. Experience with healthcare payers is a plus.
- Demonstrated ability to lead automation or digital transformation initiatives in a complex or regulated environment.
- Proven track record partnering with business executives and driving enterprise level change.
- Understanding of APIs, orchestration, and integration patterns.
- Experience with Generative AI, LLM integration, or agent frameworks
Skills/Certifications
- Broad automation and workflow engineering experience (e.g., APIs, lowcode tools, orchestration, integration patterns).
- Strong process thinking mindset with the ability to redesign workflows end-to-end.
- Exceptional communication, facilitation, and storytelling skills — able to bridge business and technical perspectives.
- Strength in stakeholder management, negotiation, and driving alignment across teams.
- Comfort with AI enabled tools and LLM powered assistants.
- Experience crafting training, enablement, and operational readiness programs for large, distributed user bases.
- Strong to advanced proficiency in Python and associated AI / ML libraries and frameworks.
Number of Openings Available
1
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
