
Director – AI and Automation
Capital Blue Cross
full-time
Posted on:
Location Type: Remote
Location: Pennsylvania • United States
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Salary
💰 $142,390 - $268,270 per year
Job Level
Tech Stack
About the role
- Develop and execute AI and automation roadmaps aligned with business objectives and digital transformation initiatives
- Establish a clear roadmap for automation capabilities including RPA, intelligent document processing, machine learning, generative AI, and workflow automation.
- Partner with senior executives to evangelize AI capabilities, guide investment decisions, and promote responsible AI adoption.
- Collaborate with business leaders to identify opportunities where automation and AI can improve efficiency, reduce manual effort, improve accuracy, and enhance customer experience.
- Conduct ROI assessments, business case development, value tracking, and continuous improvement evaluations.
- Help with evaluation, selection, and integration of AI platforms, tools, and technologies.
- Oversee the end-to-end design, development, testing, and deployment of automation solutions leveraging: RPA tools (e.g., UiPath, Automation Anywhere, Blue Prism, Salesforce) AI/ML platforms and cloud-based AI services (Azure, AWS, Google, etc.) LLM-based automation and generative AI capabilities Integration with core payer platforms (e.g., Facets, TruCare) Drive a culture of innovation, continuous improvement, and AI literacy throughout the organization
- Build and lead a high-performing team of automation engineers, AI specialists, data scientists, and business analysts.
- Foster a culture of innovation, experimentation, and continuous learning.
- Partner closely with Enterprise Architecture, Data & Analytics, Cybersecurity, and Agile product teams to ensure cohesive delivery.
- Partner with AI Governance council to establish and maintain governance frameworks, best practices, and ethical guidelines for responsible AI development and deployment, ensuring transparency, fairness, and regulatory alignment.
Requirements
- Minimum 7 years of experience in IT with at least 3 years leading automation or AI initiatives.
- Deep knowledge of: Automation technologies (RPA, workflow automation, intelligent document processing)
- AI/ML solutions (machine learning, NLP, LLMs, predictive analytics)
- API integration and modern cloud services (Azure highly preferred)
- Core payer systems and processes (Facets, claims, enrollment, provider data, care management)
- Proven track record of delivering high-impact automation programs and measurable ROI.
- Strong understanding of healthcare payer regulatory environment (HIPAA, CMS).
- Exceptional communication and storytelling abilities to translate technical concepts to senior leadership, operations teams, and non-technical stakeholders.
- Experience managing cross-functional teams and collaborating with executive stakeholders.
- Bachelor's degree in Computer Science, Information Systems, Engineering, Data Science, or related field; advanced degree preferred.
Benefits
- Medical, Dental & Vision coverage
- Retirement Plan
- generous time off including Paid Time Off
- Holidays
- Volunteer time off
- Incentive Plan
- Tuition Reimbursement
- more
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
RPAmachine learninggenerative AIworkflow automationintelligent document processingAPI integrationpredictive analyticsNLPcloud servicesautomation program delivery
Soft Skills
communicationstorytellingcollaborationleadershipinnovationcontinuous improvementteam managementcross-functional collaborationstakeholder engagementAI literacy
Certifications
Bachelor's degree in Computer ScienceBachelor's degree in Information SystemsBachelor's degree in EngineeringBachelor's degree in Data Scienceadvanced degree preferred