RCM AI Compliance Director
Core
Senior individual contributor embedding regulatory logic directly into the RCM AI Platform lifecycle, converting abstract billing regulations into programmatic architectural requirements.
Role type
Senior IC RCM AI Compliance Director
Builds
AI-enabled, specialty-specific cloud platform for healthcare billing and revenue cycle management
Domain
Healthcare / Revenue Cycle Management / AI Compliance
Deliverable
production ML models | product features
Required skills
RCM workflows, healthcare coding, compliance risk management, payer rules, AI platform lifecycle, technical policy translation, audit control maintenance
Preferred skills
Master's degree, experience in high-tech SaaS or AI-driven environments
Technologies
RCM AI Platform
Responsibilities
Review technical requirements to ensure AI Platform compliance with coding and billing regulations; Determine compliant data usage for modeling to maintain patient privacy; Review and approve AI assistant recommendations and define guardrails; Continuously assess RCM regulatory landscape and payer requirements; Align Legal, Compliance, and RCM Operations on AI risk tolerance; Maintain documented compliance controls for AI workflows and partner with internal audit