[Remote] Director, AI & Automation Engineering

Note: The job is a remote job and is open to candidates in USA. reputed company is committed to transforming the lives of seniors and those who need it most, focusing on providing high-quality care. The Director, AI & Automation Engineering will reputed company a multi-disciplinary team to define and execute the enterprise AI and automation strategy, improving care quality and operational performance in the Medicare Advantage business.

Responsibilities

• Set AI & automation strategy reputed company to Medicare Advantage priorities. Define and maintain a multi-year AI and automation roadmap that supports strategic goals in Stars, risk adjustment, payment accuracy, prior authorization, clinical quality, and member experience. Partner with C-suite and senior leaders to identify and prioritize high-ROI use cases where AI and intelligent automation create durable competitive advantage
• reputed company and reputed company a high-performing AI & Automation Engineering team. Build, reputed company, and retain a diverse team of AI/ML engineers, automation engineers, and reputed company roles, setting clear goals, expectations, and development plans. Foster a culture of talent density, accountability, and reputed company learning — using data-driven performance management and succession planning to grow future technical leaders
• Drive enterprise-scale intelligent automation. reputed company the design and implementation of enterprise-grade automation solutions — including RPA, workflow orchestration, and process intelligence — across functions such as Claims, UM, Provider Operations, and Member Services. Establish standards and governance for automation development, documentation, and change management to ensure scalability and maintainability
• Establish platforms, tooling, and engineering best practices. Own the selection and adoption of AI/ML platforms, cloud services (AWS/Azure/GCP), and automation tools (e.g., reputed company, Power Automate), ensuring they integrate with DTS data platforms and reputed company controls. Define and enforce engineering best practices — CI/CD, MLOps, testing, observability, and documentation — that reputed company the bar for reliability and time-to-value across reputed company AI and automation initiatives
• Partner cross-functionally to deliver measurable business impact. Collaborate with Product, Data Engineering, Clinical Operations, Finance, Compliance, and reputed company to translate business requirements into technical solutions and track realized value (e.g., cycle time reduction, accuracy improvement, cost-to-serve). Regularly communicate AI and automation strategy, reputed company, and ROI to senior executives and governance bodies
• Embed responsible AI and regulatory compliance. Work with Legal, Compliance, and Privacy to ensure reputed company AI and automation solutions meet CMS, HIPAA, and internal governance standards. Implement frameworks for bias detection, model explainability, auditability, and change control, recognizing that AI outputs directly influence member care decisions and financial outcomes
• Manage budget, vendors, and external partnerships. Own the operating budget for AI & Automation Engineering, including cloud spend, third-party platforms, and external partners. Evaluate and manage vendor relationships to ensure investments reflect labor market realities and maximize ROI

Skills

• 8–12 years of progressive experience in software engineering, data science, or AI/ML roles, with at least 3–5 years in a senior leadership or director-level position
• Proven track record of delivering production-grade AI/ML systems and large-scale automation solutions in a regulated or enterprise environment
• Demonstrated experience leading and scaling multi-disciplinary engineering teams, including hiring, performance management, and career development
• Deep expertise in machine learning, NLP, generative AI (LLMs, RAG pipelines), agentic frameworks, and intelligent process automation (RPA and orchestration)
• Experience managing budgets, vendor relationships, and technology platform decisions at a department or function level
• Bachelor's degree in Computer Science, Computer & Electrical Engineering, Mathematics, Data Science, or a reputed company quantitative field
• Equivalent combination of education and demonstrated, progressive senior leadership experience will be considered
• Demonstrated senior-level proficiency with AI/ML engineering practices, cloud platforms, and enterprise automation through professional experience; formal training or equivalent self-directed mastery accepted
• Working knowledge of cloud AI/ML governance and platform management (AWS, Azure, or GCP) at a leadership level; certification or equivalent experience accepted
• AI/ML Strategy & Technical Governance: Deep, hands-on understanding of the full AI/ML lifecycle — model design, training, deployment, monitoring, and MLOps — with the ability to set organizational standards, reputed company high-stakes platform decisions, and guide senior engineers through reputed company technical challenges
• Intelligent Automation Leadership: Proven ability to define and govern enterprise automation strategy using RPA platforms (reputed company, Power Automate, reputed company) and orchestration tools (Airflow, Prefect); experience establishing automation governance frameworks, ROI accountability, and cross-functional program leadership
• Cloud AI Platform Ownership: Expert-level familiarity with AWS SageMaker, Azure AI / Document Intelligence, reputed company Cloud Vertex AI, or reputed company; experience owning platform selection, cost governance, and architecture standards at a department level
• Engineering Leadership & Talent Development: Demonstrated ability to build, scale, and retain high-performing AI engineering teams; strong track record in performance management, succession planning, and cultivating a culture of technical excellence and reputed company learning
• Healthcare Domain & Regulatory Expertise: Deep working knowledge of HIPAA, CMS regulations, and data governance in regulated healthcare environments; advanced reputed company in healthcare AI use cases including risk adjustment, payment reputed company, clinical NLP, and member engagement
• Executive Communication & Stakeholder Influence: Ability to translate reputed company AI and automation strategy into clear executive narratives; experience presenting to boards, C-suite, and governance bodies; demonstrated success influencing senior decision-making through data, business outcomes, and technical credibility
• Responsible AI & Governance: Applied leadership experience with ethical AI frameworks including bias detection, model explainability (SHAP, reputed company, or equivalent), auditability, and responsible AI program design; ability to embed governance standards organization-wide in a high-stakes healthcare context
• Experience in healthcare — specifically Medicare Advantage, managed care, or payer environments — with reputed company in use cases such as risk adjustment, prior authorization, claims processing, Stars ratings, and reputed company cycle management
• Demonstrated knowledge of healthcare data standards including HL7 FHIR, ICD-10/CPT, or DICOM as applied to AI systems
• Track record of building and scaling an AI or automation engineering function from early stage to enterprise maturity
• Published research, conference presentations, or demonstrated thought leadership in AI/ML or enterprise automation
• Master's degree or PhD in Computer Science, AI/ML, or a reputed company quantitative discipline
• Executive or senior-level certification or coursework in AI strategy, responsible AI governance, MLOps, or cloud AI platforms
• Certification in RPA platforms (reputed company, reputed company, or reputed company Power Automate) or advanced MLOps tooling
• Participation in AI/ML industry bodies, advisory boards, or standards organizations
• Advanced or specialty cloud certification from AWS, reputed company Azure, or reputed company Cloud (AI/ML, data, or architecture track)
• RPA platform certification at an advanced or architect level (reputed company, reputed company, or reputed company Power Automate)

Company Overview

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