VP AI Engineering

Posted Yesterday
2 Locations
In-Office or Remote
Expert/Leader
Healthtech
The Role
Lead AI engineering across the health plan: set strategy, build cloud-native MLOps platform, deliver LLM and ML production systems, ensure compliance with healthcare regulation, hire and grow teams, partner with product and clinical stakeholders, and own KPI-driven business and clinical impact.
Summary Generated by Built In

We are seeking a bold, technically deep, and strategically minded engineering executive to lead our AI Engineering organization. As VP of AI Engineering, you will own the architecture, development, and operation of the platforms and systems that power AI-driven innovation across our health plan enterprise. This is a critical leadership role responsible for transforming how our organization leverages artificial intelligence from predictive models that improve member outcomes to automation that drives operational efficiency across claims, care management, and utilization review.  
You will serve as the senior engineering authority for all AI initiatives, working in close partnership with Product, AI Governance, Data Science, Clinical Operations, and executive leadership to deliver production-grade AI systems that are scalable, compliant, and clinically sound. You will be accountable for engineering excellence, team growth, and measurable business impact.

Key Responsibilities:
AI Engineering Strategy & Vision
•    In collaboration with the office of the CEO, execute on the multi-year technical roadmap for AI engineering, aligned with the company's strategic goals across care delivery, cost management, and member experience.
•    Serve as the senior engineering voice for AI at the executive level, influencing platform investment, architecture direction, and build-vs-buy decisions across the enterprise.
•    Partner with the CTO, Chief Data Officer, and clinical leadership to ensure AI engineering capabilities support the full AI lifecycle from research and experimentation to scalable production deployment.
AI Platform & MLOps Infrastructure
•    Architect and operate a cloud-native, enterprise-grade AI platform that supports model training, evaluation, versioning, deployment, and monitoring at scale.
•    Establish and enforce MLOps best practices including CI/CD pipelines for model development, automated testing, model registry management, and drift detection.
•    Drive infrastructure strategy across compute, orchestration (e.g., Kubernetes, Airflow), and data pipelines to optimize cost, performance, and regulatory compliance.
Model Development & Production Deployment
•    Lead engineering teams responsible for developing, fine-tuning, and deploying machine learning models and LLM-powered solutions into production healthcare environments.
•    Oversee integration of AI models with core health plan systems including claims platforms, EHRs, care management tools, and member-facing applications ensuring high availability, low latency, and auditability.
•    Champion rigorous model evaluation, A/B testing, and continuous improvement frameworks appropriate for high-stakes healthcare use cases.
Team Building & Engineering Culture
•    Recruit, develop, and retain a world-class team of AI engineers, ML engineers, and data scientist with deep healthcare domain exposure.
•    Build an engineering culture rooted in technical ownership, clinical accountability, psychological safety, and continuous learning.
•    Define career frameworks, leveling guides, and growth paths for the AI engineering organization.
AI Governance, Compliance & Risk Management
•    Establish and enforce AI engineering standards covering responsible AI, bias detection, model explainability, and clinical safety in alignment with HIPAA, CMS regulations, and applicable state requirements.
•    Ensure all AI systems and infrastructure meet the company's security, data privacy, and compliance standards, protecting sensitive member and clinical data.
•    Partner with Office of CEO, Legal, Compliance, Security, and Risk teams to identify, assess, and mitigate technical and ethical risks associated with AI deployments, including third-party and vendor AI solutions.
•    Develop and maintain AI governance policies and audit frameworks to support regulatory reporting and internal oversight.
Stakeholder Engagement & Cross-Functional Collaboration
•    Collaborate with Office of CEO, clinical, operational, and business stakeholders to translate complex engineering capabilities into clear, actionable AI solutions.
•    Communicate AI engineering strategy, platform performance, and risk posture to executive leadership and board-level stakeholders with clarity and confidence.
•    Work closely with vendor and technology partners to evaluate and integrate external AI capabilities into the enterprise platform.
Performance & ROI
•    Define and own engineering KPIs including model performance, system reliability (SLOs/SLAs), deployment velocity, infrastructure cost efficiency, and clinical outcome metrics.
•    Provide regular executive reporting on AI engineering progress, translating technical performance into measurable business and clinical impact.
•    Lead cost optimization efforts across AI infrastructure without compromising platform capability or compliance posture.

Key Requirements:
•    Bachelor's degree or additional equivalent work experience
•    10+ years in software or AI/ML engineering, with 5+ years leading multi-team engineering organizations at the senior director or VP level
•    Deep understanding of the healthcare payer landscape, including health plan operations, claims processing, utilization management, and care management programs
•    5+ years' hands-on experience building and deploying machine learning or AI systems in production, preferably within a healthcare or regulated industry environment
•    Deep proficiency in Python; working knowledge of SQL, Java, or Scala a plus.
•    Experience with PyTorch, TensorFlow, Hugging Face and LangChain or similar LLM orchestration frameworks
•    Direct experience building and deploying large language models, including fine-tuning, RAG architectures, prompt engineering, and safety/evaluation frameworks in regulated environments
•    MLOps & Platform Engineering: Strong hands-on experience with MLflow, Kubeflow, Airflow, or equivalent tools for orchestration, experiment tracking, and model lifecycle management.
•    Deep expertise with AWS, Azure, or GCP, including managed AI/ML services (e.g., SageMaker, Azure ML, Vertex AI)
•    Familiarity with HL7, FHIR, ICD-10, CPT, and claims data structures; experience working with EHR data, ADT feeds, or clinical NLP a strong plus
•    Experience with modern data stack components including data lakes, streaming pipelines (Kafka, Flink), and vector databases
•    Proven track record of building and scaling high-performing engineering teams, including hiring, mentoring, and developing senior and staff-level engineers.
•    Exceptional ability to translate complex engineering and AI concepts for non-technical executive, clinical, and regulatory audiences
•    Demonstrated ability to drive large-scale technical programs from strategy through delivery in complex, matrixed healthcare organizations

Preferred:
•    M.S. or Ph.D. in Computer Science, Software Engineering, Biomedical Informatics, or a related field 
 

General Physical Demands
Sedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. 
 

What We Offer: 
As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. 

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: 
Medical, dental, vision, life and global travel health insurance;

Income protection benefits: life insurance, short- and long-term disability programs;

Leave programs to support personal circumstances;

Retirement Savings Plan including employer match;

Paid time off, volunteer time off, 10 holidays and 2 well-being days;

Additional voluntary benefits available; and

A comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. 

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.

Skills Required

  • Bachelor's degree or equivalent experience
  • 10+ years in software or AI/ML engineering with 5+ years leading multi-team organizations
  • Deep understanding of healthcare payer operations, claims, utilization and care management
  • 5+ years hands-on experience building and deploying ML/AI systems in production (preferably in regulated/healthcare environments)
  • Deep proficiency in Python
  • Working knowledge of SQL, Java, or Scala
  • Experience with PyTorch, TensorFlow, Hugging Face and LangChain or similar LLM frameworks
  • Direct experience building and deploying LLMs including fine-tuning, RAG, prompt engineering, and safety/evaluation frameworks
  • Hands-on MLOps/platform experience with MLflow, Kubeflow, Airflow, or equivalent tools
  • Deep expertise with cloud providers (AWS, Azure, GCP) and managed ML services (SageMaker, Azure ML, Vertex AI)
  • Familiarity with HL7, FHIR, ICD-10, CPT and claims data structures
  • Experience with EHR data, ADT feeds, or clinical NLP
  • Experience with data lakes, streaming pipelines (Kafka, Flink), and vector databases
  • Proven track record building and scaling high-performing engineering teams (hiring, mentoring senior/staff engineers)
  • Ability to translate complex engineering/AI concepts for executive, clinical, and regulatory audiences
  • Demonstrated ability to lead large-scale technical programs from strategy through delivery in matrixed healthcare organizations
  • M.S. or Ph.D. in Computer Science, Software Engineering, Biomedical Informatics, or related field
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The Company
Jacksonville, FL
200 Employees
Year Founded: 2014

What We Do

GuideWell Mutual Holding Corporation is a not-for-profit mutual holding company that is the parent to a family of forward-thinking companies focused on transforming health care. We’re at the forefront, forging ahead by innovating, collaborating and advocating for better health. We help people make sense of this new world, forming an integrated ecosystem of products and services and ensuring they get the best experience. We’re relentlessly building and refining to drive higher efficiency and exceptional care. GuideWell – Built for the future of health.

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