Director – Network

Claritev•New York, NY

About The Position

At Claritev, we are revolutionizing healthcare through innovative solutions and data-driven insights. As the Director of AI, and Head of AI for Network, you will lead the initiative to embed AI across the Claritev's provider network, unlocking new value across one of the largest healthcare ecosystems in the country. This role is not about incremental optimization—it is about building from first principles: defining how AI transforms provider engagement, network intelligence, and payment workflows at scale. You will spearhead the evolution of our AI capabilities, leveraging generative AI and advanced analytics to move from experimentation to production-grade solutions. You will drive R&D, architect AI-powered products, and shape the long-term AI strategy for a space with significant untapped potential, while mentoring talent and establishing best-in-class practices.

Requirements

Education: Bachelor’s in a quantitative field; Master’s or PhD preferred.
Experience: 10+ years in Data Science / AI 5+ years in R&D or advanced analytics innovation Experience building 0→1 AI products or platforms, ideally in ambiguous or greenfield environments 3+ years mentoring or managing technical talent
Technical Skills: Deep expertise in modeling, algorithms, and statistical methods Strong proficiency in Python and modern AI/GenAI ecosystems Experience operationalizing AI systems at scale
Domain & Strategic Skills: Ability to identify high-value opportunities in complex systems (e.g., provider networks, payments, or marketplaces) Strong product and systems thinking mindset
Other Skills: Problem-solving, critical thinking, creativity, and strong communication
Team Leadership: Build and mentor a high-performing AI team; foster a culture of experimentation and innovation
Compliance: Ensure adherence to HIPAA and data privacy standards

Nice To Haves

Preferred Experience: Healthcare, provider networks, or large-scale operational systems

Responsibilities

Build AI for Claritev's Provider Network: Lead the design and deployment of AI solutions across Claritev's provider network, identifying high-impact use cases in a largely untapped space.
Enhance AI Operations: Leverage generative AI to streamline development workflows, accelerate experimentation, and enable scalable deployment.
Lead R&D Efforts: Drive applied research to develop reusable components, frameworks, and best practices tailored to provider network intelligence and healthcare payments.
AI Product Innovation: Partner with business and network stakeholders to identify and launch net-new AI-driven products and capabilities.
Program Leadership: Own end-to-end delivery of AI initiatives—from concept through production—within a fast-moving, ambiguous environment.
Stakeholder Collaboration: Translate complex provider network dynamics into actionable AI opportunities through close cross-functional engagement.
Ethical AI/ML Practices: Ensure solutions are transparent, compliant, and aligned with responsible AI standards, particularly within healthcare contexts.

Benefits

Medical, dental and vision coverage with low deductible & copay
Life insurance
Short and long-term disability
Paid Parental Leave
401(k) + match
Employee Stock Purchase Plan
Generous Paid Time Off – accrued based on years of service
WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service
10 paid company holidays
Tuition reimbursement
Flexible Spending Account
Employee Assistance Program
Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits.