Principal Consultant

Job Description It's fun to work in a company where people truly BELIEVE in what they are doing We're committed to bringing passion and customer focus to the business. 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 clicking Introduce Yourself in 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