Compliance Director, AI RCM
Core
Senior individual contributor embedding regulatory logic into the RCM AI Platform lifecycle, converting abstract billing regulations into programmatic architectural requirements.
Role type
Senior IC Compliance Director (AI/Healthcare)
Builds
AI-enabled, specialty-specific cloud platform for medical practice management
Domain
Healthcare Revenue Cycle Management (RCM) and Artificial Intelligence
Deliverable
production ML models | product features
Required skills
RCM workflows, healthcare coding, compliance risk management, payer rules, technical policy implementation, AI model governance, audit control maintenance, cross-functional alignment with legal/engineering
Preferred skills
Master's degree, experience in high-tech/SaaS/AI environments, translating complex regulations into technical guidelines
Technologies
AI platforms, RCM software, billing systems
Responsibilities
Review technical requirements for AI platform compliance with coding/billing regulations; determine compliant data usage for modeling; review and approve AI-generated outputs; assess regulatory risks in automated workflows; align Legal, Compliance, and Operations on AI risk tolerance; maintain documented compliance controls for AI workflows.
Seniority
Senior, hands-on IC