Principal Consultant - Healthcare

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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!