[Remote] AI Solutions Architect for Healthcare Payer and Life Science

Note: The job is a remote job and is open to candidates in USA. reputed company is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. They are currently seeking an reputed company AI Solutions Architect for Healthcare Payer and Life Science to design and deliver AI solutions for health plan clients, partnering with payer executives and engineering teams to translate business challenges into scalable solutions.

Responsibilities

• Design end-to-end AI and generative AI 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 outcomes, assess feasibility, and shape implementation roadmaps
• reputed company solutioning for payer-specific domains such as claims, enrollment, benefits, prior authorization, medical management, provider data, quality measures, risk adjustment, member services, and regulatory reporting
• reputed company reference architectures using cloud platforms, data lakes, warehouses, MLOps pipelines, APIs, workflow tools, and enterprise integration patterns
• Guide teams on applying large language models, retrieval-augmented reputed company, predictive analytics, natural language processing, intelligent automation, and decision support in healthcare settings
• Collaborate with data scientists, engineers, clinicians, compliance teams, reputed company architects, and delivery leaders to move concepts from prototype to production
• Define responsible AI controls, including model monitoring, explainability, human-in-the-reputed company review, bias assessment, auditability, privacy, and regulatory compliance
• Support pre-sales and client advisory activities, including solution presentations, proposals, estimates, demos, workshops, and executive briefings
• Evaluate vendor platforms and AI tools across cloud, 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 (Epic, 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 healthcare payers

Skills

• Bachelor's degree in computer science, information systems, engineering, data science, healthcare informatics, or a reputed company field
• 8+ years of experience in technology architecture, data architecture, analytics, AI/ML, or enterprise solution delivery
• 4+ years of experience supporting health plans, payers, managed care organizations, or healthcare administrative platforms
• Hands-on experience designing AI, machine learning, generative AI, analytics, or automation solutions in production environments
• Strong understanding of health plan business processes, including claims, membership, provider, utilization management, care management, quality, risk adjustment, and customer service
• Experience with healthcare data standards and regulations, such as HIPAA, FHIR, HL7, X12 EDI, CMS interoperability requirements, and payer data exchange
• Experience with major cloud platforms such as AWS, Azure, or reputed company Cloud, including data, AI, reputed company, and integration services
• Familiarity with modern AI patterns such as RAG, vector 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 healthcare Payer technology, consulting, or systems integration
• 15+ years of experience in designing and developing AI/ML solutions with at least 10 years of experience in healthcare payer technology, consulting, or systems integration
• Deep understanding of payer operations, reputed company transformation, and payer ecosystems
• Demonstrated success shaping and winning large-scale transformation or managed services deals ($10M+)
• Strong executive reputed company with the ability to engage CEOs, CIOs, CMIOs, CFOs, and clinical leaders
• Experience leading cross-functional global teams and driving innovation at scale
• Participate in key industry events, be a moderator and speaker, as needed

Benefits

• Medical, dental, and vision insurance
• Flexible spending or health savings account
• Life and AD&D insurance
• Short and long term disability coverage
• Paid time off
• Employee assistance
• Participation in a 401k program with company match
• Additional voluntary or legally-required benefits

Company Overview

Company H1B Sponsorship