AI Transformation Lead (CMH Health)

Milliman is seeking an AI Transformation Lead who is passionate about using the latest in AI to redesign business processes and delivery of value to key stakeholders. This person will work with a diverse range of professionals within the healthcare ecosystem as we embark on a transformative journey to redefine our business processes. This individual will work closely with internal consulting teams and external clients to identify opportunities for process improvement, design innovative solutions, and lead the implementation of Generative AI technologies. The ideal candidate possesses strong business acumen, excellent communication skills, and a deep understanding of how AI can revolutionize business processes within the healthcare industry.

Who We Are

The beginning of a new Data & AI decade that will reshape work and society has begun. Milliman is stepping boldly into this future with a clear goal of reinventing how we and our clients conduct business with data & AI.

With over 5,000 professionals serving our clients to protect the health and financial well-being of people everywhere, Milliman's focus on AI brings together our technologists, consultants, and professionals in every corner of the healthcare ecosystem. Independent for over 75 years, we are helping companies take on some of the world's most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.

Job Responsibilities

• Develop and Execute AI Strategy: Lead the development and implementation of the organization's AI strategy, ensuring alignment with business goals and seamless integration into business workflows.
• Identify and Prioritize AI Opportunities: Identify areas where Generative AI can add value, optimize business processes, and enhance operational efficiency for both internal teams and external clients.
• Manage AI Initiatives and Teams: Oversee all AI initiatives and manage cross-functional teams, ensuring projects meet timelines, quality standards, and deliver measurable impact.
• Bridge Technical and Business Teams: Act as the primary liaison between technical teams and business stakeholders, translating complex technical concepts into actionable strategies and facilitating effective communication.
• Collaborate with Senior Leadership: Work closely with senior leadership to navigate organizational shifts, secure stakeholder buy-in at all levels, and communicate progress reports clearly and concisely.
• Drive Innovative AI Solutions: Develop innovative AI solutions that address client objectives, drive complex problem-solving, and align with long-term business goals.
• Establish and Monitor KPIs: Establish and monitor key performance indicators (KPIs) to measure progress toward strategic goals, evaluate the impact of AI integrations, and recommend adjustments as needed.
• Promote AI Literacy and Innovation: Champion a culture of continuous improvement and innovation by leading workshops and training sessions to promote AI literacy among staff and clients.
• Stay Current with AI Trends: Stay abreast of the latest developments in Generative AI and industry best practices, providing insights and recommendations relevant to the healthcare sector.
• Guide Change Management and Client Adoption: Guide clients through the change management process associated with AI integration, providing support during transitions to ensure smooth adoption of new processes and maintaining strong client relationships.

Minimum requirements

• Bachelor's degree in Computer Science, Data Science, Business Administration, or a related field; a master's degree is preferred.
• At least 4 years of experience in either integrating AI/ML technologies into business processes.
• Proven experience in leading and managing cross-functional teams and AI initiatives, ensuring projects meet timelines and quality standards.
• Strong track record in developing and executing AI strategies that align with organizational goals and drive business transformation.
• Exceptional ability to translate complex technical concepts into actionable business strategies and communicate effectively with both technical teams and business stakeholders.
• Experience collaborating with senior leadership and securing stakeholder buy-in at all levels within an organization.
• Familiarity with the healthcare industry, including regulatory considerations and industry-specific challenges related to AI and Data Science integration.
• Demonstrated ability to guide teams through change management processes associated with new tech adoption, ensuring smooth transitions and high adoption rates.
• A strong commitment to fostering a culture of innovation, continuous improvement, and promoting AI literacy among staff and clients.
• Deep understanding of the latest developments in Generative AI and industry best practices, with the ability to provide insights and recommendations that keep the organization at the forefront of AI technology.

Competencies and Behaviors that Support Success in this Role

• Payer healthcare claim data experience, eligibility data and healthcare industry knowledge
• Familiarity with software development practices, cloud technologies (Azure), and working with multiple large data sets (e.g. Azure Synapse, Databricks, Data Lakes, etc.)
• Sharp critical thinking skills, sound judgment and decision-making ability, and both the ability and willingness to clearly articulate your ideas
• Proven ability to work in a fast-paced environment where the client is always first
• Creativity and Innovation: Strong capacity for creative thinking to design innovative approaches and solutions, fostering a culture of innovation within the organization.
• Learning Agility: Quick to learn and adapt to new technologies and industry trends, continuously updating knowledge in the rapidly evolving field of AI.
• Resilience: Demonstrates determination and persistence in driving initiatives forward, maintaining a proactive and results-oriented approach even in the face of challenges.
• Effective Communication: Exceptional verbal and written communication skills, adept at conveying complex technical concepts in clear, accessible language to diverse audiences.
• Leadership and Influence: Proven ability to inspire and motivate cross-functional teams, leading by example, and effectively influencing stakeholders at all levels.
• Collaboration and Teamwork: Strong interpersonal skills to work effectively with internal teams and external clients, fostering a collaborative and inclusive environment.
• Change Management Proficiency: Expertise in guiding organizations through change, managing resistance, and ensuring smooth adoption of new technologies and processes.

The Team

The AI Transformation Lead will join a team that thrives on leveraging generative AI technology, analytics, and data to deliver meaningful business value. This is a team with technical aptitude and analytical prowess that enjoys building efficient and scalable products and processes. Ultimately, we are passionate about effecting change in healthcare. This role will join a mix of software development, actuary, pharmacist, and consulting professionals and work on several different initiatives with a focus on new innovations. We aim to provide everyone a supportive environment, where we foster learning and growth through rewarding challenges.

Location: The person hired for this role will work in a dynamic, hybrid environment, with 3 days per week on-site work required in our Brookfield, WI office on a weekly basis.

The expected application deadline for this job is May 15, 2025.

Benefits:

At Milliman, we focus on creating an environment that recognizes - and meets - the personal and professional needs of the individual and their family. We offer competitive benefits which include the following based on plan eligibility:

• Medical, dental and vision coverage for employees and their dependents, including domestic partners
• A 401(k) plan with matching program, and profit-sharing contribution
• Employee Assistance Program (EAP)
• A discretionary bonus program
• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked
• Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period
• A minimum of 10 paid holidays
• Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage
• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs

The expected application deadline for this job is May 15, 2025.

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)