Our Head of AI and Innovation leads the design and execution of artificial intelligence, automation, and emerging technology strategy within the Healthcare Payer space.
Requirements
- Develop and execute an enterprise AI and innovation roadmap aligned with payer strategy, digital transformation, and regulatory frameworks.
- Serve as a thought leader on how AI, machine learning (ML), and automation can improve claims accuracy, utilization management, provider experience, member service, and other areas of the business.
- Cultivate a culture of innovation across technology and business functions, emphasizing measurable business impact and responsible experimentation.
- Lead the design, development, and deployment of AI/ML and intelligent automation (e.g., NLP, RPA, GenAI, Agentic) solutions across payer functions such as claims adjudication, call centers, prior authorization, and analytics.
- Partner with Enterprise Data and IT to operationalize models on modern data platforms and ensure scalability and governance.
- Build an AI Center of Excellence (CoE) to standardize best practices, accelerate model deployment, and support business-led innovation.
- Identify high-value opportunities to modernize processes and improve outcomes for members, providers, and internal teams.
- Manage a structured innovation pipeline — from ideation and proof of concept to pilot and enterprise scaling.
- Collaborate with strategic vendors, startups, and academic partners to explore new technologies (e.g., predictive analytics, GenAI, digital twins, conversational AI).
- Define and implement frameworks for ethical, explainable, and compliant AI use consistent with HIPAA, CMS, and state regulatory requirements.
- Partner with Legal, Compliance, and Risk functions to ensure AI models and innovation initiatives meet privacy, fairness, and transparency standards.
- Build and lead a cross-functional team of AI engineers, data scientists, and innovation strategists.
- Champion workforce AI literacy and innovation training across departments.
- Promote diversity of thought and inclusive design in innovation initiatives.
Benefits
- Paid time off
- Paid holidays
- Community service and self-care days
- Medical/dental/vision/pharmacy insurance
- 401(k) matching and non-contributory plan
- Life insurance
- Short and long term disability
- Education reimbursement
- Employee assistance plan (EAP)
- Adoption assistance program
- Paid family leave program
