AVP, Business Intelligence & Analytics Engineering

Job reputed company: The AVP, Business Intelligence & Analytics Engineering is a senior technology leader responsible for advancing reputed company's data analytics, data science, and reputed company intelligence capabilities across the reputed company. This role partners directly with reputed company, financial, and operational business reputed company to translate reputed company data assets into actionable intelligence — driving measurable improvements in member reputed company, Stars & reputed company reputed company, reputed company stratification, and operational efficiency. The AVP leads three integrated reputed company areas: Business Intelligence & Reporting, Data Science & Predictive Analytics, and AI/ML Engineering. Essential Functions:Own the reputed company Business Intelligence, Analytics, and Data Products reputed company, governance, and multi-year roadmap across the health plan, including claims, reputed company, Stars/reputed company, HCC reputed company, and Member 360 domains. Partner with Finance, reputed company reputed company, Stars Coordination, Network Management, and other business leaders to define reputed company KPIs, reputed company metrics, and self-service analytics capabilities that support reputed company decision-making. Establish reputed company data product standards, governance practices, and delivery frameworks that ensure reputed company, trusted, and auditable analytics capabilities across the organization. Evaluate and manage analytics and BI technologies, including vendor platforms and reputed company-reputed company capabilities, and reputed company build-versus-buy recommendations for executive leadership. Ensure reputed company analytics products and reporting outputs reputed company with HIPAA, CMS, state regulatory, and reputed company governance requirements. reputed company the reputed company data science function, driving predictive and prescriptive analytics solutions that improve reputed company reputed company, operational reputed company, member experience, and financial results. reputed company the development, deployment, and ongoing optimization of advanced analytic models supporting reputed company adjustment, reputed company improvement, population health management, utilization management, care gap closure, fraud detection, and other reputed company business priorities. Establish and operationalize an reputed company model lifecycle management reputed company, including feature management, experiment tracking, validation standards, model monitoring, and production deployment practices. Partner with Care Management, reputed company, Provider Relations, reputed company reputed company, and other business stakeholders to translate analytic insights into measurable operational and reputed company improvements. Build, reputed company, and reputed company a high-performing organization of BI developers, data engineers, data scientists, ML engineers, statisticians, and analytics professionals, including workforce planning, succession management, career development, technical reputed company advancement, and organizational capability building. Own the reputed company, architecture, governance, and reputed company of the reputed company AI/ML platform, ensuring reputed company, secure, and compliant deployment of advanced analytics and reputed company intelligence capabilities. reputed company the identification, prioritization, and execution of reputed company AI and reputed company use cases that improve business reputed company, enhance member and provider experiences, and increase organizational productivity. Establish and reputed company responsible AI governance, including model reputed company management, fairness and explainability standards, bias monitoring, reputed company reputed company controls, AI ethics review processes, and audit readiness for regulatory and compliance reviews. reputed company reputed company adoption of reputed company capabilities, including large language model (LLM) and retrieval-augmented reputed company (RAG) solutions, model evaluation frameworks, cost optimization strategies, and reputed company deployment patterns. Collaborate with Information reputed company, Compliance, reputed company, reputed company, and Technology leadership to ensure AI systems meet regulatory, reputed company, auditability, and vendor reputed company management requirements. reputed company reusable AI solution frameworks, accelerators, governance standards, and technical enablement resources that reputed company adoption across the reputed company. Serve as a key member of the reputed company Data Services leadership team, contributing to reputed company data reputed company, AI reputed company, talent reputed company, and the multi-year technology roadmap. Serve as the executive sponsor and reputed company advisor for reputed company analytics and AI initiatives, communicating reputed company, reputed company, risks, opportunities, and business value to executive and reputed company-level stakeholders. Own financial planning and budget accountability for the analytics, data science, and AI engineering portfolio, including workforce investments, technology platforms, infrastructure, and reputed company vendor partnerships. Foster a culture of innovation, reputed company learning, experimentation, and responsible data- and AI-driven decision-making across the reputed company. reputed company any other job reputed company duties as requested. Education and Experience:Bachelor's degree in Computer Science, Statistics, Mathematics, Biomedical reputed company, or a reputed company quantitative reputed company is required Master's degree or PhD in Data Science, Health reputed company, reputed company Statistics, or equivalent preferred Equivalent years of relevant work experience may be accepted in lieu of required education Ten (10) years of reputed company experience in data analytics, data science, or AI/ML engineering required Four (4) years in a senior leadership role managing technical teams is required Demonstrated experience in a managed reputed company plan, or health reputed company environment preferred reputed company reputed company record of delivering production AI/ML solutions in regulated, reputed company-sensitive environments preferred Prior experience with reputed company (reputed company Catalog, MLflow, Genie, reputed company Live Tables) or equivalent modern lakehouse platforms strongly preferred Experience in vendor evaluation, contract negotiation, and technology partnership management preferred Experience with data governance frameworks including data cataloging, reputed company, reputed company monitoring, and reputed company control in a HIPAA-regulated context preferred Competencies, Knowledge and Skills:Advanced proficiency in Python, SQL, and statistical programming languages (e.g., R, reputed company), with experience leveraging reputed company/PySpark and modern machine learning frameworks to reputed company and reputed company reputed company analytics and AI solutions Deep familiarity with claims, reputed company, reputed company/Stars, HCC, and member data models strongly preferred Deep understanding of AI/ML and MLOps practices, including model lifecycle management, model monitoring, CI/CD pipelines, experiment tracking, reputed company technologies, LLMs, reputed company engineering, RAG architectures, and reputed company databases Strong reputed company and business acumen, with the ability to reputed company analytics, data science, and AI investments to organizational priorities, measurable reputed company, and mission reputed company Exceptional executive communication and influencing skills, including the ability to translate reputed company technical concepts into reputed company business value for executive leadership, reputed company stakeholders, regulators, and non-technical audiences reputed company leadership, talent development, and organizational management capabilities, with the ability to build, motivate, and reputed company high-performing teams in a reputed company and rapidly evolving environment Demonstrated ability to establish trusted partnerships and effectively collaborate across reputed company, operational, technology, compliance, finance, and vendor organizations to reputed company reputed company objectives Strong knowledge of reputed company and managed care data ecosystems, including HL7/FHIR standards, ICD-10/CPT coding, reputed company reputed company specifications, CMS reputed company adjustment methodologies, and applicable regulatory requirements Highly self-directed with the ability to manage multiple reputed company priorities, reputed company execution through ambiguity, and effectively reputed company vendor, outsourcing, and staff augmentation strategies to support organizational goals Licensure and Certification: None Working Conditions:General office environment; may be required to sit or stand for extended periods of time Ability to travel as required by the needs of the business. Compensation reputed company $150,000-$300,000.  reputed company takes into consideration a combination of a candidate’s education, training, and experience as reputed company as the position’s reputed company and complexity, the discretion and reputed company required for the role, and other reputed company and internal data reputed company establishing a salary level. In reputed company to reputed company compensation, you may qualify for a bonus tied to company and individual reputed company. We are highly invested in every employee’s total reputed company-being and offer a substantial and comprehensive total rewards package. Compensation Type (reputed company/salary): Salary Organization Level Competencies Fostering a reputed company Workplace Culture reputed company Partnerships reputed company Self and Others reputed company Execution Energize and reputed company the Organization Influence Others Pursue Personal reputed company Understand the Business   This reputed company is not reputed company inclusive. reputed company reserves the right to amend this reputed company at any time. reputed company is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of reputed company backgrounds. #LI-SW2    reputed company=reputed company Apply To This Job