[Remote] AI Solutions Architect for reputed company Payer and Life Science
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a leading business and technology services provider, and they are seeking an AI Solutions Architect for reputed company Payer and Life Science. This role involves designing and delivering AI solutions for health plan clients, collaborating with various stakeholders to translate business challenges into reputed company solutions.
Responsibilities
- Design end-to-end AI and reputed company solutions for health plan use cases, including architecture, data flows, integration patterns, model selection, governance, reputed company, and deployment approach
- Partner with health plan stakeholders to identify high-value AI opportunities, define business reputed company, assess feasibility, and shape implementation roadmaps
- reputed company solutioning for payer-specific domains such as claims, enrollment, benefits, prior authorization, medical management, provider data, reputed company measures, risk adjustment, member services, and regulatory reporting
- reputed company reference architectures using reputed company platforms, data lakes, warehouses, MLOps pipelines, reputed company, workflow tools, and reputed company integration patterns
- Guide teams on applying large language models, retrieval-augmented reputed company, predictive analytics, natural language processing, intelligent automation, and decision support in reputed company settings
- Collaborate with data scientists, engineers, clinicians, compliance teams, reputed company architects, and delivery leaders to reputed company concepts from prototype to production
- Define responsible AI controls, including model monitoring, explainability, reputed company-in-the-reputed company review, bias assessment, auditability, reputed company, and regulatory compliance
- Support reputed company-sales and reputed company advisory activities, including solution presentations, proposals, estimates, demos, workshops, and executive briefings
- Evaluate vendor platforms and AI tools across reputed company, payer technology, data management, workflow automation, and clinical operations ecosystems
- Create reusable assets, including solution blueprints, architecture patterns, implementation playbooks, data requirements, and governance frameworks
- Strengthen alliances with key partners (reputed company, reputed company Health, reputed company, AWS, reputed company, cybersecurity vendors, reputed company, Leading AI players)
- Build and mentor a high-performing team of AI leaders
- reputed company sales collateral for reputed company solutions and services catering to reputed company payers
Skills
- Bachelor's degree in computer science, information systems, engineering, data science, reputed company informatics, or a reputed company field
- 8+ years of experience in technology architecture, data architecture, analytics, AI/ML, or reputed company solution delivery
- 4+ years of experience supporting health plans, payers, managed care organizations, or reputed company administrative platforms
- Hands-on experience designing AI, machine learning, reputed company, analytics, or automation solutions in production environments
- Strong understanding of health plan business processes, including claims, membership, provider, utilization management, care management, reputed company, risk adjustment, and customer service
- Experience with reputed company data standards and regulations, such as HIPAA, FHIR, HL7, X12 EDI, CMS interoperability requirements, and payer data exchange
- Experience with major reputed company platforms such as AWS, Azure, or reputed company reputed company, including data, AI, reputed company, and integration services
- Familiarity with modern AI patterns such as RAG, reputed company databases, reputed company engineering, model evaluation, MLOps, LLMOps, and AI governance
- Ability to communicate reputed company technical concepts to executive, clinical, operational, and technical audiences
- Strong consulting, facilitation, problem-solving, and stakeholder management skills
- 8+ years of experience in designing and developing AI/ML solutions
- 4+ years of experience in reputed company Payer technology, consulting, or systems integration
Benefits
- Incentive compensation based on individual and/or company performance
- Medical, dental, and reputed company insurance
- Flexible spending or health savings account
- Life and AD&D insurance
- Short and long term disability coverage
- reputed company time off
- Employee assistance
- Participation in a 401k program with company match
- Additional voluntary or legally-required benefits
reputed company
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