Senior AI-Driven Healthcare Solutions Architect

Key Responsibilities: Lead process reimagination initiatives across healthcare domains. Identify inefficiencies and design future-state AI-enabled workflows. Architect end-to-end AI-driven healthcare solutions. Ensure regulatory compliance and ethical AI usage. Collaborate with clinicians, business leaders, and technology teams. Produce enterprise-level business designs and system requirements aligned with product vision. Lead teams of Business Analysts and QA professionals for customer engagements.

Required Qualifications: Bachelor's or Master's degree in a relevant field.10+ years of overall IT experience in Business Analysis within the healthcare domain.5+ years of experience architecting business solutions.8–10+ years of healthcare or digital transformation experience.3+ years of experience with AI-enabled healthcare solutions. Deep understanding of health plan domains, including claims, membership, provider networks, utilization management/case management, and payment models. Strong understanding of the end-to-end claims cycle across commercial, Medicare, Medicaid, and marketplace lines of business. Understanding of how AI can be leveraged to improve healthcare processes and solutions. Proven ability to produce enterprise-level business designs and system requirements. Strong stakeholder management and communication skills.

Preferred Qualifications: Experience with EHR systems. Knowledge of HL7 and FHIR standards. Experience with cloud-based healthcare AI solutions. Architecture or healthcare-related certifications.