Director AI & Innovation - R3202-6334

Blue Cross of Idaho • Meridian, ID • 2h ago

This job was posted by https://idahoworks.gov : For more information, please see: https://idahoworks.gov/jobs/2466154 Our Head of AI and Innovation leads the design and execution of artificial intelligence, automation, and emerging technology strategy within the Healthcare Payer space. This role drives enterprise innovation to enhance member engagement, improve administrative efficiency, optimize clinical and operational outcomes, and support value-based care models. Partnering with IT, Data, Operations, and Business leaders, this leader ensures that AI and automation solutions are responsible, compliant, and aligned with the organization\'s strategic goals.

This role has preference for flexible hybrid location (onsite Meridian Idaho campus, and work-from-home); there may be opportunity for fully remote work within a mutually acceptable location. #LI-Remote;

LI-Hybrid

Key Responsibilities

Strategic Leadership

Develop and execute an enterprise AI and innovation roadmap aligned

with payer strategy, digital transformation, and regulatory frameworks.

Serve as a thought leader on how AI, machine learning (ML), and

automation can improve claims accuracy, utilization management, provider experience, member service, and other areas of the business.

Cultivate a culture of innovation across technology and business

functions, emphasizing measurable business impact and responsible experimentation.

AI & Automation Enablement

Lead the design, development, and deployment of AI/ML and

intelligent automation (e.g., NLP, RPA, GenAI, Agentic) solutions across payer functions such as claims adjudication, call centers, prior authorization, and analytics.

Partner with Enterprise Data and IT to operationalize models on

modern data platforms and ensure scalability and governance.

Build an AI Center of Excellence (CoE) to standardize best

practices, accelerate model deployment, and support business-led innovation.

Innovation Management

Identify high-value opportunities to modernize processes and improve

outcomes for members, providers, and internal teams.

Manage a structured innovation pipeline - from ideation and proof of

concept to pilot and enterprise scaling.

Collaborate with strategic vendors, startups, and academic partners

to explore new technologies (e.g., predictive analytics, GenAI, digital twins, conversational AI).

Governance & Compliance

Define and implement frameworks for ethical, explainable, and

compliant AI use consistent with HIPAA, CMS, and state regulatory requirements.

Partner with Legal, Compliance, and Risk functions to ensure AI

models and innovation initiatives meet privacy, fairness, and transparency standards.

Leadership & Talent Development

Build and lead a cross-functional team of AI engineers, data

scientists, and innovation strategists.

Champion workforce AI literacy and innovation training across

departments.

Promote diversity of thought and inclusive design in innovation

initiatives.

Qualifications

Education & Experience

Bachelor\'s degree in Computer Science, Engineering, Data Science,

or equivalent work experience (Two years\' relevant work experience is equivalent to one-year college).

10+ years\' experience in technology and innovation, to include

leadership preferably within healthcare or regulated industries.

Proven success deploying Digital or AI/automation at scale.

Skills & Competencies

Strong knowledge of Digital/AI/ML platforms, automation technologies

(RPA, NLP, GenAI), and data architectures.

Ability to translate emerging technologies into operational and

clinical value.

Understanding of healthcare data standards (HIPAA, FHIR, HL7) and

regulatory environments.

Excellent leadership, communication, and collaboration skills.

Strategic thinker with a bias for measurable outcomes and innovation

scalability.

Key Success Metrics

Tangible ROI from AI and innovation initiatives (e.g., cost

reduction, accuracy improvement, experience enhancement).

Increased automation and AI adoption in claims, service, and

operations.

Accelerated cycle time from ideation to implementation.

Established AI governance framework ensuring compliant and ethical

use.

Strengthened culture of innovation across business and IT.

As of the date of this posting, a good faith estimate of the current pay range is: \$150,000 - \$225,000. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, internal equit

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