[Remote] Chief Solutions Officer (CSO) – Healthcare / Medicare Advantage / AI Platforms
Note: The job is a remote job and is open to candidates in USA. N-21.ai is focused on delivering scalable, AI-powered solutions in the healthcare sector, particularly in Medicare Advantage. The Chief Solutions Officer (CSO) will lead the strategy for healthcare solutions, ensuring compliance and driving product-led architecture to meet enterprise needs while enhancing value realization through AI-driven outcomes.
Responsibilities
• Own solution strategy across risk adjustment, Stars/HEDIS, medical cost management, member and provider engagement
• Translate CMS regulations and clinical complexity into clear solution blueprints
• Ensure CMS compliance and audit readiness across solutions
• Partner with Product and Engineering to convert customer needs into scalable platform features and AI workflows
• Define what is configurable versus custom
• Drive creation of reusable solution accelerators and AI copilots
• Reduce bespoke consulting and increase ARR
• Own ROI and value narratives across RAF lift, Stars improvement, cost reduction, and admin productivity
• Establish outcome dashboards, ROI models, and time-to-value metrics
• Support outcome-based pricing and ROI guarantees
• Serve as executive solution sponsor for complex Medicare Advantage deals
• Support C-suite discovery, solution positioning, and deal structuring
• Ensure deals reinforce product adoption over services dependency
• Act as trusted advisor to payer and provider executives
• Lead executive workshops on AI-driven MA optimization
• Ensure early success and referenceable outcomes
• Provide executive oversight for solution delivery
• Ensure alignment between sold, delivered, and realized outcomes
• Protect margins and manage scope discipline
• Identify recurring client needs and productize into platform features
• Build a healthcare solutions catalog aligned to roadmap priorities
• Build and lead a senior solutions and consulting organization
• Establish healthcare playbooks, standards, and CMS-aware frameworks
• Coach teams on executive storytelling and outcome-based selling
Skills
• 10+ years of healthcare experience with Medicare Advantage exposure
• Experience in consulting, solutions, or healthcare SaaS/AI platforms
• Deep understanding of CMS, payer and provider operations
• Strong executive presence and cross-functional leadership
• Deep healthcare credibility
• Product-first mindset with consulting judgment
• Outcome-obsessed and commercially disciplined
• Strong communicator comfortable with ambiguity
Company Overview
• Who We Are? We are a mission driven healthcare company focused on delivering measurable business outcomes through AI led intelligent automation in managed care. It was founded in 2025, and is headquartered in Princeton, New Jersey, US, with a workforce of 2-10 employees. Its website is https://n-21.ai/.
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