Lead Director, Automation Transformation — Payment & Revenue Integrity & Grievances and Appeals
Core
Leads automation and AI transformation strategy across Payment Integrity, Revenue Integrity, and Grievances and Appeals COEs to improve claims accuracy, recovery, and appeals outcomes.
Role type
Senior Director, Automation & AI Transformation
Builds
Automation and agentic AI initiatives for healthcare claims processing
Domain
Healthcare operations (Payment/Revenue Integrity, Grievances & Appeals)
Deliverable
production ML models | product features
Required skills
Automation strategy, AI transformation, program leadership, team management, stakeholder alignment, roadmap planning, budget oversight, risk mitigation, process improvement, coaching senior managers
Preferred skills
Healthcare claims domain expertise, agentic AI implementation
Technologies
Agentic AI, automation platforms
Responsibilities
Lead and develop a team to drive automation transformation; Set strategic direction for automation opportunities; Ideate and prioritize automation initiatives; Oversee end-to-end delivery of automation programs; Establish relationships with COE and business stakeholders; Monitor program budgets, resourcing, and timelines; Report progress and business impact to senior leadership; Build team capability by coaching Senior Managers.
Seniority
Senior Director, hands-on leadership