About the company
This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for an Applied AI Senior Consultant based in Canada.
Responsibilities
- Serve as a trusted AI advisor to healthcare clients and payer organizations, helping leadership teams identify high-value opportunities for AI and automation.
- Lead discovery sessions and solution-design workshops that translate operational challenges into practical, achievable AI use cases and adoption roadmaps.
- Guide AI initiatives from strategy and use-case identification through pilots, solution implementation, production deployment, optimization, and continuous improvement.
- Design and deliver AI-powered solutions for payer workflows, including utilization management, claims processing, care management, member engagement, member services, and administrative operations.
- Develop solutions incorporating large language models, retrieval-augmented generation, workflow automation, copilots, and agentic AI orchestration where appropriate.
- Define solution architectures that integrate AI capabilities responsibly with existing client systems, technologies, and operating environments.
- Establish governance models, human-in-the-loop controls, safeguards, and responsible AI practices for regulated healthcare environments.
- Evaluate AI platforms, technologies, and vendors based on business value, implementation feasibility, security, compliance, scalability, and return on investment.
- Create reusable frameworks, accelerators, and delivery approaches that can be applied consistently across multiple consulting engagements.
- Coordinate cross-functional delivery teams and technology vendors throughout solution design, implementation, and operationalization.
- Support business development and pre-sales activities, including client presentations, prospect discussions, solution development, and RFP responses.
- Help expand AI capabilities and offerings by identifying emerging technologies, partnerships, market opportunities, and areas for differentiation.
- Define success metrics for AI initiatives, monitor outcomes, and communicate progress and business impact to technical, operational, and executive stakeholders.
- Stay current with advances in AI, payer-industry trends, responsible AI practices, and relevant healthcare regulatory developments.
Requirements
- Bachelor’s degree in a relevant discipline or equivalent practical experience, with 8+ years of experience in technology consulting, digital transformation, solution delivery, or a related field.
- Significant recent experience applying AI in production environments, with a proven track record of moving beyond prototypes and proofs of concept into deployed solutions.
- Direct experience working with health plans, payers, managed-care organizations, or related healthcare operations.
- Strong understanding of payer workflows such as utilization management, claims processing, care management, member engagement, member services, or administrative operations.
- Practical expertise with large language models, retrieval-augmented generation, workflow automation, copilots, and agentic AI patterns.
- Experience designing and implementing AI solutions in regulated environments, with a strong understanding of privacy, security, HIPAA compliance, reliability, governance, and responsible AI.
- Proven ability to connect complex business challenges with practical AI opportunities and translate strategy into executable solutions.
- Strong solution architecture and delivery skills, including the ability to integrate AI technologies with enterprise systems and operational environments.
- Experience advising executive stakeholders and communicating complex technical concepts clearly to both technical and non-technical audiences.
- Experience supporting consulting business development, pre-sales activities, client presentations, solution development, or RFP responses.
- Demonstrated ability to coordinate cross-functional teams, technology partners, and external vendors throughout complex initiatives.
- Strong strategic thinking, problem-solving, stakeholder management, and communication skills.
- Comfortable operating independently in a client-facing environment while maintaining a strong focus on delivery quality, business value, and measurable outcomes.
Conditions
- Opportunity to work on high-impact AI initiatives within the healthcare and payer ecosystem.
- Client-facing consulting environment with significant exposure to executive, operational, and technology stakeholders.
- Opportunity to lead initiatives across the full AI lifecycle, from strategy and discovery through production deployment and optimization.
- Fully remote work arrangement within the United States.
- Contractor or FTE engagement structure, depending on the position and arrangement.
- Opportunity to contribute to responsible AI practices involving privacy, security, HIPAA compliance, governance, and human oversight.