Design, train, validate, and deploy complex AI and ML models to address enterprise use cases across departments such as Health Services, Payment Integrity, Quality Improvement, Finance, and Provider Network Management.
Lead all phases of the AI solution lifecycle - from problem framing and data engineering through model design, validation, and operational integration.
Implement production-grade ML pipelines using modern MLOps practices, ensuring scalability, reproducibility, and continuous model performance monitoring.
Serve as a subject matter expert in responsible and explainable AI, ensuring model fairness, transparency, and compliance with regulatory and ethical standards.
Partner with business and technology leaders to identify and prioritize new AI use cases that align with the organization's transformation strategy.
Translate business challenges into well-structured analytical problems and lead cross-functional teams through data discovery, feature engineering, and algorithm development.
Work directly with cloud-based data and AI platforms (e.g., Snowflake, Azure ML, Databricks) to operationalize model delivery and integration with enterprise data assets.
Mentor and coach staff, providing technical guidance, code reviews, and knowledge sharing.
Document all model design assumptions, data sources, evaluation metrics, and deployment protocols for transparency and reproducibility.
Communicate complex technical results in accessible, actionable ways for both executive and operational stakeholders.
Contribute to the development of reusable AI assets, libraries, and standardized templates to accelerate future model development.
Remain current on emerging AI/ML technologies, frameworks, and healthcare analytics applications, and advise leadership on adoption opportunities. Apply subject matter expertise in evaluating business operations and processes. Identify areas where technical solutions would improve business performance. Consult across business operations, provide mentorship, and contribute specialized knowledge. Ensure that the facts and details are correct so that the program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provide training, recommend process improvements, and mentor staff, department interns, etc. as needed. Perform other duties as assigned.