01Responsibilities
AI Opportunity Identification & Validation: Proactively identifies and champions opportunities for developing innovative native AI products that address critical pain points and unlock new value within the US healthcare payer domain. Conducts in-depth research, feasibility studies (technical, ethical, regulatory), and evaluates the administrative and implementation complexities of AI solutions.
AI Project Leadership & Execution: Leads complex AI product development projects from conception to deployment, employing agile methodologies tailored for AI/ML development. Successfully meets ambitious business objectives while navigating the iterative nature of AI.
Advanced Market & Technology Analysis: Performs comprehensive market research and competitive analysis, specifically tracking emerging AI technologies (e.g., Generative AI, Large Language Models), industry trends in healthcare AI, regulatory landscape shifts (e.g., FDA guidelines for AI/ML, HIPAA for AI), and the capabilities of AI vendors.
Strategic AI Roadmap & Vision: Drives the development of the AI product strategy and roadmap, ensuring strong alignment with Highmark's long-term business goals, digital strategy, and ethical AI principles. Articulates a compelling vision for how AI will transform healthcare experiences.
Data-Driven AI Product Optimization: Establishes and reviews key performance indicators (KPIs) and metrics specifically for AI models and applications (e.g., model accuracy, drift, bias, latency, business impact). Uses data-driven insights to iterate on and continuously improve AI product performance and value delivery.
AI-Driven Process Transformation: Critically reviews existing business processes and operations across payer platforms, identifying and championing advanced automation opportunities leveraging AI (e.g., RPA integrated with ML, intelligent document processing, AI-powered chatbots for member services).
Thought Leadership & Mentorship: Provides principal Subject Matter Expertise consultation for AI product management across the organization, mentoring junior product managers, and fostering an AI-first culture.
Required Skills & Experience:
Healthcare Payer Domain Expertise (10+ years): Deep, proven experience within the US healthcare payer industry, demonstrating a comprehensive .
