Director of AI, Provider Network

Claritev; United States; On-site; USD 210,000 - 230,000; Full time

Benefits offered by this job

Health insurance

401(k) with match

Employee stock purchase plan

Flexible spending accounts

Job summary

Claritev, a healthcare analytics company, seeks a Director of AI for Provider Network to lead AI strategy and execution across Claritev’s provider ecosystem. You will architect AI-powered products, drive R&D, and mentor a high-performing team in a fast-moving healthcare context.

You will shape long-term AI capabilities, ensure compliant and transparent AI, and partner with business and network stakeholders to unlock value at scale.

Qualifications

• 10+ years in Data Science / AI.
• 5+ years in R&D or advanced analytics innovation.
• Experience building 0→1 AI products or platforms, ideally in ambiguous or greenfield environments.
• 3+ years mentoring or managing technical talent.
• Preferred experience: healthcare, provider networks, or large-scale operational systems.

Responsibilities

• Build AI for Claritev's Provider Network: lead design and deployment of AI solutions across provider network.
• Enhance AI Operations: leverage generative AI to streamline development workflows and scalable deployment.
• Lead R&D efforts: drive applied research for reusable components and frameworks.
• AI Product Innovation: partner with stakeholders to identify and launch AI-driven products.
• Program Leadership: own end-to-end delivery of AI initiatives from concept to production.
• Stakeholder Collaboration: translate provider network dynamics into actionable AI opportunities.
• Ethical AI/ML Practices: ensure transparency, compliance and responsible AI in healthcare.

Skills

Python

GenAI ecosystems

Modeling & algorithms

AI deployment

Education

Bachelor’s in quantitative field

Master’s or PhD preferred

Job description

Job Description

At Claritev, we are revolutionizing healthcare through innovative solutions and data-driven insights. As the Director of AI for Provider Network, you will lead the initiative to embed AI across the Claritev's provider network, unlocking new value across one of the largest healthcare ecosystems in the country.

This role is not about incremental optimization—it is about building from first principles: defining how AI transforms provider engagement, network intelligence, and payment workflows at scale. You will spearhead the evolution of our AI capabilities, leveraging generative AI and advanced analytics to move from experimentation to production-grade solutions.

You will drive R&D, architect AI-powered products, and shape the long-term AI strategy for a space with significant untapped potential, while mentoring talent and establishing best-in-class practices.

Job Responsibilities

• Build AI for Claritev's Provider Network: Lead the design and deployment of AI solutions across Claritev's provider network, identifying high-impact use cases in a largely untapped space.
• Enhance AI Operations: Leverage generative AI to streamline development workflows, accelerate experimentation, and enable scalable deployment.
• Lead R&D Efforts: Drive applied research to develop reusable components, frameworks, and best practices tailored to provider network intelligence and healthcare payments.
• AI Product Innovation: Partner with business and network stakeholders to identify and launch net-new AI-driven products and capabilities.
• Program Leadership: Own end-to-end delivery of AI initiatives: from concept through production - within a fast-moving, ambiguous environment.
• Stakeholder Collaboration: Translate complex provider network dynamics into actionable AI opportunities through close cross-functional engagement.
• Ethical AI/ML Practices: Ensure solutions are transparent, compliant, and aligned with responsible AI standards, particularly within healthcare contexts.

Job Requirements

• Education: Bachelor’s in a quantitative field; Master’s or PhD preferred.
• Experience:
  • 10+ years in Data Science / AI
  • 5+ years in R&D or advanced analytics innovation
  • Experience building 0→1 AI products or platforms, ideally in ambiguous or greenfield environments
  • 3+ years mentoring or managing technical talent
• Technical Skills:
  • Deep expertise in modeling, algorithms, and statistical methods
  • Strong proficiency in Python and modern AI/GenAI ecosystems
  • Experience operationalizing AI systems at scale
• Domain & Strategic Skills:
  • Ability to identify high-value opportunities in complex systems (e.g., provider networks, payments, or marketplaces)
  • Strong product and systems thinking mindset
• Other Skills: Problem-solving, critical thinking, creativity, and strong communication
• Preferred Experience: Healthcare, provider networks, or large-scale operational systems
• Team Leadership: Build and mentor a high-performing AI team; foster a culture of experimentation and innovation
• Compliance: Ensure adherence to HIPAA and data privacy standards

Compensation

The salary range for this position is $210K to $230K. Specific compensation offers are determined based on a variety of factors including the candidate’s education, experience, skills, work location, and internal equity considerations. In addition to base salary, this position is eligible for an annual performance bonus and a comprehensive benefits package, including health insurance and a 401(k) retirement plan.

Qualifications

• Education: Bachelor’s in a quantitative field; Master’s or PhD preferred.
• Experience:
  • 10+ years in Data Science / AI
  • 5+ years in R&D or advanced analytics innovation
  • Experience building 0→1 AI products or platforms, ideally in ambiguous or greenfield environments
  • 3+ years mentoring or managing technical talent
• Technical Skills:
  • Deep expertise in modeling, algorithms, and statistical methods
  • Strong proficiency in Python and modern AI/GenAI ecosystems
  • Experience operationalizing AI systems at scale
• Domain & Strategic Skills:
  • Ability to identify high-value opportunities in complex systems (e.g., provider networks, payments, or marketplaces)
  • Strong product and systems thinking mindset
• Other Skills: Problem-solving, critical thinking, creativity, and strong communication
• Preferred Experience: Healthcare, provider networks, or large-scale operational systems
• Team Leadership: Build and mentor a high-performing AI team; foster a culture of experimentation and innovation
• Compliance: Ensure adherence to HIPAA and data privacy standards

Benefits

We realize that our employees are instrumental in our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.

• Medical, dental and vision coverage with low deductible & copay
• Life insurance
• Short and long-term disability
• Paid Parental Leave
• 401(k) + match
• Employee Stock Purchase Plan
• Generous Paid Time Off - accrued based on years of service
• WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
• 10 paid company holidays
• Tuition reimbursement
• Flexible Spending Account
• Employee Assistance Program
• Sick time benefits - for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.

EEO STATEMENT

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here .

APPLICATION DEADLINE

We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

- VG1

About Us

Why Claritev?

Healthcare is complex. We help make it clearer.

At Claritev, you'll do work that matters. Together, we're helping make healthcare more transparent and affordable for all through the power of data, technology, and expertise. We offer meaningful opportunities to grow your career, collaborate with talented colleagues, and make an impact on the clients and communities we serve. If you're looking for purpose, growth, and a team that succeeds together, you'll find it here.

What Guides Us

At Claritev, innovation, agility, and a focus on results drive our success. We embrace bold thinking, work as one team, take ownership, and strive for excellence in everything we do - creating meaningful impact for our clients, communities, and each other.

About The Team

My Total Value

Claritev’s Global Total Rewards Philosophy - My Total Value - Is Grounded In Investing In Our Associates And Rewarding Performance. This Includes

• Competitive compensation and incentive opportunities (where eligible)
• Medical, dental, and vision coverage
• Life and disability coverage
• 401(k) with company match
• Employee stock purchase plan
• Flexible spending accounts and health savings accounts
• Paid time off and company holidays
• Paid parental leave
• Mental health resources
• Tuition reimbursementFinancial planning resources
• Professional development opportunities

Our Commitment to Inclusion

At Claritev, we believe diverse perspectives strengthen our teams and lead to better outcomes. We are committed to fostering an inclusive workplace where every associate feels respected, valued, and empowered to succeed.

Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other characteristic protected by law.