SVP, AI & Data

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead the strategy, architecture, and implementation of AI, machine learning, and data systems that drive risk adjustment and quality programs.

• Direct engineering teams in extracting medical codes and quality data from medical charts utilizing OCR, clinical NLP, large language models, and custom rules engines.

• Own the internal API that provides extraction results to downstream engineering teams, ensuring contracts, accuracy, and reliability.

• Guide data science research to enhance ICD extraction and facilitate retrieval-augmented generation in production.

• Establish the data warehouse architecture on Azure Synapse and Microsoft Fabric, including data ingestion from AWS SQL databases.

• Oversee business intelligence reporting in Looker, ensuring quality assurance in delivery.

• Supervise risk analytics to determine Medicare Advantage value derived from coded medical charts.

• Define comprehensive AI, data, and analytics architecture and make informed build-versus-buy and model-selection decisions.

• Assess innovations in extraction, retrieval, and clinical AI while maintaining team autonomy.

• Hold teams accountable for the accuracy, throughput, uptime, and reliability of data and reporting layers.

• Lead seven team leaders, fostering technical talent development and reallocating team capacity towards higher-value clinical and research initiatives.

• Collaborate with product, engineering, and clinical leadership to ensure alignment of roadmaps with commercial and regulatory priorities.

• Implement data governance, model evaluation, and privacy practices for protected health information and CMS-regulated programs.

⛳️ Requirements

• Proven experience in leading AI and data organizations, with the technical expertise to assess architecture, model selection, and build-versus-buy decisions.

• Extensive experience with applied machine learning and large language models in a production environment.

• Familiarity with retrieval-augmented generation, OCR and document understanding, along with clinical natural language processing.

• Background in leading data warehouse and business intelligence functions.

• Practical knowledge of Azure Synapse, Microsoft Fabric, or similar cloud data platforms.

• Proficient in BI tools, such as Looker.

• Proven leadership of multiple technical teams and their leaders.

• Working fluency in healthcare risk adjustment, medical coding (ICD), and quality measurement (HEDIS®), or the ability to acquire it swiftly.

• Preferred: direct experience with Medicare Advantage risk adjustment, IVA, or RADV audit workflows.

• Preferred: familiarity with Google Gemini, AWS Textract, and AWS Comprehend Medical.

• Preferred: advanced degree in computer science, data science, biostatistics, or a clinical field, or equivalent practical experience.

• New hires must be E-Verified.

🏝️ Benefits

• Competitive salary

• Medical, Dental, and Vision benefits

• 401k with Employer Match

• Generous PTO plan