高级助理副总裁 - 医疗保险AI - 技术产品经理
Senior Assistant Vice President - Healthcare Claims AI - Technical Product Leade
医疗理赔AI/技术产品负责人,负责医疗理赔生命周期中AI驱动的产品和解决方案的愿景、策略及交付。该职位位于产品战略、AI工程领导力和医疗理赔领域专业知识的交汇点,涵盖理赔审核、理赔调整、支付准确性(PI)、利益协调(COB)、追偿、供应商争议解决以及欺诈/浪费/滥用(FWA)检测。
您将领导跨职能团队,设计、构建并实现代理AI和生成式AI解决方案,创造可衡量的价值——降低理赔处理成本,加快审核周转速度,提高支付准确性,强化审计结果,并现代化供应商运营流程。这是一个高可见度的领导职位,适合热衷于结合技术、医疗理赔专业性和设计思维,为全国性保险公司创造持久业务影响的人选。
最初发布于Himalayas
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Healthcare Claims AI / Technical Product Leader to own the vision, strategy, and delivery of AI-powered products and solutions across the healthcare claims lifecycle. This role sits at the intersection of product strategy, AI engineering leadership, and healthcare claims domain expertise—spanning claims adjudication, claims adjustment, payment integrity (PI), coordination of benefits (COB), subrogation, provider dispute resolution, and fraud/waste/abuse (FWA) detection.
You will lead cross-functional teams to architect, build, and operationalize Agentic AI and Generative AI solutions that create measurable value—reducing claims processing costs, accelerating adjudication turnaround, improving payment accuracy, strengthening audit outcomes, and modernizing provider operations workflows. This is a high-visibility leadership role ideal for someone passionate about combining technology, healthcare claims depth, and design thinking to create lasting business impact for national payers.
Originally posted on Himalayas