Requirements

• Bachelor’s degree in a relevant discipline or equivalent practical experience, with 8+ years of experience in technology consulting, digital transformation, solution delivery, or a related field.
• Significant recent experience applying AI in production environments, with a proven track record of moving beyond prototypes and proofs of concept into deployed solutions.
• Direct experience working with health plans, payers, managed-care organizations, or related healthcare operations.
• Strong understanding of payer workflows such as utilization management, claims processing, care management, member engagement, member services, or administrative operations.
• Practical expertise with large language models, retrieval-augmented generation, workflow automation, copilots, and agentic AI patterns.
• Experience designing and implementing AI solutions in regulated environments, with a strong understanding of privacy, security, HIPAA compliance, reliability, governance, and responsible AI.
• Proven ability to connect complex business challenges with practical AI opportunities and translate strategy into executable solutions.
• Strong solution architecture and delivery skills, including the ability to integrate AI technologies with enterprise systems and operational environments.
• Experience advising executive stakeholders and communicating complex technical concepts clearly to both technical and non-technical audiences.
• Experience supporting consulting business development, pre-sales activities, client presentations, solution development, or RFP responses.
• Demonstrated ability to coordinate cross-functional teams, technology partners, and external vendors throughout complex initiatives.
• Strong strategic thinking, problem-solving, stakeholder management, and communication skills.
• Comfortable operating independently in a client-facing environment while maintaining a strong focus on delivery quality, business value, and measurable outcomes.

Benefits

• Opportunity to work on high-impact AI initiatives within the healthcare and payer ecosystem.
• Client-facing consulting environment with significant exposure to executive, operational, and technology stakeholders.
• Opportunity to lead initiatives across the full AI lifecycle, from strategy and discovery through production deployment and optimization.
• Fully remote work arrangement within the United States.
• Contractor or FTE engagement structure, depending on the position and arrangement.
• Opportunity to contribute to responsible AI practices involving privacy, security, HIPAA compliance, governance, and human oversight.
• Exposure to emerging technologies including generative AI, retrieval-augmented generation, workflow automation, copilots, and agentic AI.
• Professional growth through complex digital transformation engagements and opportunities to develop reusable AI frameworks and capabilities.
• Collaborative environment spanning strategy, engineering, technology, delivery, compliance, and commercial functions.

How Jobgether works:

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

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