Principal Consultant

It's fun to work in a company where people truly BELIEVE in what they are doing Role Overview We are seeking a collaborative, visionary, and results-driven Principal Consultant to strengthen our Healthcare Payer AI consulting team. This is a leadership role that fuses deep AI and GenAI expertise with healthcare domain knowledge to solve the industry's most complex challenges. You will be responsible for leading high-impact engagements, developing AI-enabled products and solutions, and influencing strategic priorities at the client and practice levels. You will be responsible for: Drive the execution of our payer segment strategy through the application of advanced AI and GenAI Build, manage, and deepen executive relationships with key healthcare payer clients Design and deliver GenAI-powered transformation programs that improve care delivery, reduce cost of care, and enhance member engagement Develop proprietary frameworks and accelerators using LLMs, knowledge graphs, and agentic AI systems Mentor cross-functional teams and evangelize the responsible use of AI in healthcare Key Responsibilities Partner with payer clients (e.g., health plans, PBMs, ASOs) to solve strategic and operational challenges using AI/GenAI Lead large-scale AI consulting engagements from scoping to value realization Design and deploy AI/GenAI solutions in areas such as member engagement, care management, utilization management, risk adjustment, and fraud detection Translate payer business needs into scalable, secure, and compliant AI/GenAI architectures and products Lead the development of GenAI use cases, prompt engineering frameworks, agent-based workflows, and governance models Collaborate with data scientists, AI engineers, and product managers to rapidly build and iterate on MVPs Develop and own executive-ready collateral to support business development and thought leadership Stay abreast of the latest trends in GenAI, healthcare policy, and payer business models Who You Are A healthcare-savvy AI leader who bridges business strategy with cutting-edge AI solutions A trusted advisor to C-suite and senior stakeholders at health plans and PBMs A builder and innovator, passionate about transforming healthcare through GenAI A strategic thinker with strong commercial acumen and delivery rigor A hands-on mentor who cultivates high-performing, cross-functional teams Solution architect who can conceptualize, build, and deliver technology-driven business solutions Qualifications Bachelor's degree in Computer Science, Engineering, Data Science, Healthcare Administration, or related field (Master's or MBA preferred) 12+ years of experience in healthcare consulting, technology delivery, or innovation roles, with at least 5 years focused on AI and/or GenAI Strong understanding of the U.S. healthcare payer ecosystem-commercial, Medicare, Medicaid-and associated data systems (claims, EMR, HEDIS, etc.) Proven experience designing and delivering AI/ML and GenAI solutions for health plans, including hands-on exposure to: Large Language Models (LLMs), Prompt Engineering, Retrieval-Augmented Generation (RAG), Agentic Workflows NLP/NLU for clinical and payer data Cloud platforms (Azure, AWS, GCP) and MLOps frameworks Strong technical fluency to collaborate with engineering and data science teams while influencing non-technical stakeholders Experience in responsible AI governance, data privacy (HIPAA), and regulatory compliance Exceptional communication, storytelling, and executive presence Nice to Have Experience with GenAI tools and platforms (OpenAI, Anthropic, Vertex AI, Bedrock, etc.) Exposure to healthcare interoperability standards (FHIR, HL7) Prior experience with AI product development or commercializing AI accelerators Experience with consulting providers and payers If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us Not the right fit? Let us know you're interested in a future opportunity by clickingin the top-right corner of the page or create an account to set up email alerts as new job postings become available that meet your interest