At Claritev, we are revolutionizing healthcare through innovative solutions and data-driven insights. As the Director of AI for Provider Network, you will lead the initiative to embed AI across the Claritev's provider network, unlocking new value across one of the largest healthcare ecosystems in the country.
This role is not about incremental optimization—it is about building from first principles: defining how AI transforms provider engagement, network intelligence, and payment workflows at scale. You will spearhead the evolution of our AI capabilities, leveraging generative AI and advanced analytics to move from experimentation to production-grade solutions.
You will drive R&D, architect AI-powered products, and shape the long-term AI strategy for a space with significant untapped potential, while mentoring talent and establishing best-in-class practices.
JOB RESPONSIBILITIES- Build AI for Claritev's Provider Network: Lead the design and deployment of AI solutions across Claritev's provider network, identifying high-impact use cases in a largely untapped space.
- Enhance AI Operations: Leverage generative AI to streamline development workflows, accelerate experimentation, and enable scalable deployment.
- Lead R&D Efforts: Drive applied research to develop reusable components, frameworks, and best practices tailored to provider network intelligence and healthcare payments.
- AI Product Innovation: Partner with business and network stakeholders to identify and launch net-new AI-driven products and capabilities.
- Program Leadership: Own end-to-end delivery of AI initiatives—from concept through production—within a fast-moving, ambiguous environment.
- Stakeholder Collaboration: Translate complex provider network dynamics into actionable AI opportunities through close cross-functional engagement.
- Ethical AI/ML Practices: Ensure solutions are transparent, compliant, and aligned with responsible AI standards, particularly within healthcare contexts.
- Education: Bachelor’s in a quantitative field; Master’s or PhD preferred.
- Experience:
- 10+ years in Data Science / AI
- 5+ years in R&D or advanced analytics innovation
- Experience building 0→1 AI products or platforms, ideally in ambiguous or greenfield environments
- 3+ years mentoring or managing technical talent
- Technical Skills:
- Deep expertise in modeling, algorithms, and statistical methods
- Strong proficiency in Python and modern AI/GenAI ecosystems
- Experience operationalizing AI systems at scale
- Domain & Strategic Skills:
- Ability to identify high-value opportunities in complex systems (e.g., provider networks, payments, or marketplaces)
- Strong product and systems thinking mindset
- Other Skills: Problem-solving, critical thinking, creativity, and strong communication
- Preferred Experience: Healthcare, provider networks, or large-scale operational systems
- Team Leadership: Build and mentor a high-performing AI team; foster a culture of experimentation and innovation
- Compliance: Ensure adherence to HIPAA and data privacy standards
COMPENSATION
The salary range for this position is $210K to $230K. Specific compensation offers are determined based on a variety of factors including the candidate’s education, experience, skills, work location, and internal equity considerations In addition to base salary, this position is eligible for an annual performance bonus and a comprehensive benefits package, including health insurance and a 401(k) retirement plan.
BENEFITS
We realize that our employees are instrumental in our success, and we reward them accordingly with very competitive compensation and benefits packages, an incentive bonus program, as well as recognition and awards programs. Our work environment is friendly and supportive, and we offer flexible schedules whenever possible, as well as a wide range of live and web-based professional development and educational programs to prepare you for advancement opportunities.
Your benefits will include:
- Medical, dental and vision coverage with low deductible & copay
- Life insurance
- Short and long-term disability
- Paid Parental Leave
- 401(k) + match
- Employee Stock Purchase Plan
- Generous Paid Time Off – accrued based on years of service
- WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
- 10 paid company holidays
- Tuition reimbursement
- Flexible Spending Account
- Employee Assistance Program
- Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.
EEO STATEMENT
Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. If you would like more information on your EEO rights under the law, please click here.
APPLICATION DEADLINE
We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.
#LI – VG1
Skills Required
- Bachelor's in a quantitative field; Master's or PhD preferred
- 10+ years in Data Science / AI
- 5+ years in R&D or advanced analytics innovation
- Experience building 0 ->1 AI products or platforms
- 3+ years mentoring or managing technical talent
- Deep expertise in modeling, algorithms, and statistical methods
- Strong proficiency in Python and modern AI/GenAI ecosystems
- Experience operationalizing AI systems at scale
- Ability to identify high-value opportunities in complex systems
- Strong product and systems thinking mindset
- Problem-solving, critical thinking, creativity, and strong communication
- Preferred Experience: Healthcare, provider networks, or large-scale operational systems
- Build and mentor a high-performing AI team
- Ensure adherence to HIPAA and data privacy standards
Claritev Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Claritev and has not been reviewed or approved by Claritev.
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Leave & Time Off Breadth — Paid time off, paid holidays, and paid parental leave are part of the offering. Flexible schedules expand practical time‑off and scheduling options.
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Healthcare Strength — Medical (PPO and HDHP), dental, vision, and HSA/FSA options are available alongside an EAP and a Noom weight‑management program. These elements indicate broad healthcare coverage with added wellness support.
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Flexible Benefits — Work‑from‑home opportunities and flexible schedules are commonly advertised. Remote work and schedule flexibility are highlighted as positives that can offset cash‑pay concerns for some employees.
Claritev Insights
What We Do
Claritev is an independent and public healthcare technology, data and insights company making healthcare more transparent, fair and affordable for all. We work across the healthcare value chain to expose imbalanced and inefficient pricing practices. Led by deeply experienced analysts, negotiators and innovators, Claritev provides tech-enabled solutions and services fueled by proprietary data from over 40 years of experience. Today, along with machine learning and AI, we utilize a robust enterprise platform to deliver price transparency, improve payment accuracy, and drive more meaningful analytics and decision-making. Through Claritev, providers are able to make data-enabled decisions to optimize their service offerings, market position and ultimately deliver high-quality care. Payors and third-party administrators can deliver greater flexibility and value to plan sponsors. Employers can drive cost-efficient benefit design and patients can finally afford the care they need. By focusing on customized solutions that that improve transparency, affordability and quality for all key players, we’re igniting a more competitive marketplace — one that lowers overall costs while improving quality. Claritev brings the transparency our nation needs to see its way to a better healthcare system.
