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AVP, Business Intelligence & Analytics Engineering
CareSourceCareSource healthcare technology executive leading enterprise BI, data science, and AI/ML strategy. Driving compliant analytics, generative AI adoption, and measurable health-plan outcomes.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Business Intelligence, Analytics, and AI/ML strategy, governance, and execution within healthcare environments. Proficient in leading technical teams, developing advanced analytic models, and ensuring compliance with regulatory standards.
Highest-signal resume keywords
Data Analytics LeadershipAI/ML EngineeringPython ProgrammingHealthcare Data EcosystemsData Governance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
PythonSQLRSASSparkMachine LearningStatistical ProgrammingData AnalyticsPredictive AnalyticsPrescriptive Analytics
Soft Skills
LeadershipOrganizational ManagementExecutive CommunicationCross-Functional CollaborationTalent Development
Tools & Technologies
DatabricksMLOpsCI/CDGenerative AILLMsRAG ArchitecturesVector Databases
Industry Keywords
HIPAA ComplianceCMS RegulationsHEDISICD-10CPTManaged CareHealth InsuranceData GovernanceQuality MonitoringVendor Risk Management
Tech Stack
Tools & technologiesPySparkPythonSparkSQL
About the role
Key responsibilities & impact- Own the enterprise Business Intelligence, Analytics, and Data Products strategy, governance, and multi-year roadmap
- Partner with clinical, financial, operational, compliance, and technology stakeholders to define KPIs and self-service analytics capabilities
- Establish data product standards, governance practices, and scalable delivery frameworks
- Evaluate BI and analytics technologies and lead build-versus-buy recommendations
- Ensure analytics and reporting comply with HIPAA, CMS, state regulatory, and enterprise governance requirements
- Lead predictive and prescriptive analytics solutions for risk adjustment, quality improvement, population health, utilization management, care gap closure, fraud detection, and other priorities
- Oversee development, deployment, optimization, monitoring, and lifecycle management of advanced analytic models
- Build, lead, and develop an organization of BI developers, data engineers, data scientists, ML engineers, statisticians, and analytics professionals
- Own the enterprise AI/ML platform strategy, architecture, governance, and evolution
- Lead enterprise AI and generative AI use cases, including LLM and RAG solutions
- Establish responsible AI governance covering model risk, fairness, explainability, bias monitoring, human oversight, ethics review, and audit readiness
- Collaborate with Security, Compliance, Legal, Privacy, and Technology leadership on AI regulatory, security, auditability, and vendor risk requirements
- Develop reusable AI frameworks, accelerators, governance standards, and enablement resources
- Advise executive and Board-level stakeholders on analytics and AI strategy, performance, risks, opportunities, and business value
- Own financial planning and budget accountability for the analytics, data science, and AI engineering portfolio
- Foster innovation, continuous learning, experimentation, and responsible data- and AI-driven decision-making
Requirements
What you’ll need- Bachelor's degree in Computer Science, Statistics, Mathematics, Biomedical Informatics, or a related quantitative field required
- Equivalent years of relevant work experience may be accepted in lieu of required education
- Ten (10) years of progressive experience in data analytics, data science, or AI/ML engineering required
- Four (4) years in a senior leadership role managing technical teams required
- Advanced proficiency in Python, SQL, and statistical programming languages such as R or SAS
- Experience with Spark/PySpark and modern machine learning frameworks
- Familiarity with claims, clinical, HEDIS/Stars, HCC, and member data models
- Understanding of AI/ML and MLOps, including model lifecycle management, monitoring, CI/CD, experiment tracking, generative AI, LLMs, prompt engineering, RAG architectures, and vector databases
- Knowledge of healthcare and managed care data ecosystems, including HL7/FHIR, ICD-10/CPT, NCQA HEDIS, CMS risk adjustment, and applicable regulations
- Demonstrated leadership, talent development, organizational management, executive communication, and cross-functional collaboration capabilities
- Experience in managed care, health plan, or health insurance environments preferred
- Production AI/ML solutions experience in regulated, privacy-sensitive environments preferred
- Databricks or equivalent modern lakehouse platform experience strongly preferred
- Vendor evaluation, contract negotiation, and technology partnership management experience preferred
- Data governance experience including cataloging, lineage, quality monitoring, and access control in a HIPAA-regulated context preferred
- Ability to travel as required by business needs
- No licensure or certification required
Benefits
Comp & perks- Remote work arrangement
- Bonus tied to company and individual performance may be available
- Substantial and comprehensive total rewards package
- Employee total well-being support
- Professional development, career development, and technical skill advancement opportunities