Staff AI Process Specialist

Cotiviti•Remote,
•$160,000 - $180,000•Remote

About The Position

We are seeking a highly accomplished Principal AI Process Specialist to lead enterprise-critical process improvement initiatives that drive strategic growth and operational transformation. Looking for a senior leader with a proven track record of delivering significant process improvements with financial impact of seven to eight figures. The Principal AI Process Specialist will lead cross-functional digital transformation and process improvement initiatives with high executive visibility, driving adoption of technical solutions across functions including Finance, Operations, Sales, Marketing, Product, IT, Data Science, Legal, Compliance, R&D, Legal, HR, and other areas. The role applies the right mix of methodologies and tools—including process mining, AI/ML, technical documentation, change management, data-driven optimization, and AI process improvements—based on project needs, with or without formal DMAIC/DMADV structure. Core responsibilities include technical process documentation, organizational readiness, change execution, and AI-enabled process improvement implementations. This position is highly self-directed and accountable for independently driving projects through adoption.

Requirements

  • 10+ years leading digital transformation, process improvement, technology implementation, or complex operational initiatives in large, matrixed organizations.
  • Experience in health care or health care-adjacent companies.
  • Consulting experience preferred.
  • Experience partnering with Finance, including familiarity with budgeting, financial reporting, business metrics, executive-level reporting, and developing financial impact analysis.
  • Experience working with globally distributed teams in remote environments.
  • Demonstrated ability to manage multiple concurrent large initiatives with competing priorities, tight timelines, and evolving business needs is a must.
  • Proven success scoping and delivering enterprise projects with measurable outcomes and executive visibility.
  • Strong experience in technical process documentation, organizational change management, and executive stakeholder engagement.
  • Bachelor’s degree in Computer Science, Business, Engineering, Information Systems, a health or medical discipline, or a related field; MBA or equivalent business and technology knowledge required.
  • Required certifications: Change Management (Prosci, ACMP, or equivalent) and Lean Six Sigma Black Belt or Master Black Belt.
  • Working knowledge of AI/ML, process mining, intelligent automation, technical documentation tools, visualization platforms, and Microsoft Power Platform.
  • Strong communication, technical writing, stakeholder management, problem-solving, and ability to translate technical concepts for non-technical audiences.
  • Highly organized, self-directed, and able to manage multiple priorities in a fast-changing environment characterized by ambiguity, change, and evolving complexity.
  • Thought leadership background and experience introducing new tools and processes in a large corporate environment.
  • Ability to work independently as well as collaborate as a team with a sense of urgency.
  • Professional with ability to properly handle confidential information.
  • Be value-driven, understand that success is based on the impact of your work rather than its complexity or the level of effort.
  • Ability to handle multiple tasks, prioritize and meet deadlines.
  • Ability to work within a matrixed organization.
  • Proficiency in all required skills and competencies above.
  • Communicating with others and teamwork.
  • Assessing the accuracy, neatness, and thoroughness of the work assigned.
  • Must be able to provide high-speed internet access / connectivity and office setup and maintenance.
  • Must be able to provide a dedicated, secure work area.

Nice To Haves

  • Preferred certifications: PMP and relevant technical credentials in cloud platforms, analytics, AI/ML, or Microsoft Power Platform.

Responsibilities

  • Lead high-impact digital transformation and process improvement projects, typically delivering significant business value through AI, automation, and analytics, with seven to eight figure financial impact.
  • Identify, evaluate, and implement AI/ML and intelligent automation solutions to optimize business processes.
  • Develop and maintain technical process documentation, including process flows, RACI charts, integration diagrams, SOPs, and design artifacts.
  • Assess organizational readiness, identify change impacts, and execute change management strategies to support adoption of new technologies and processes.
  • Lead stakeholder engagement, including impact assessments, communication planning, training needs analysis, and resistance management.
  • Conduct process discovery using tools such as process mining, value stream mapping, analytics, and interviews to identify improvement opportunities.
  • Provide project leadership for initiatives such as integrations, system implementations, and strategic transformation efforts as assigned.
  • Coordinate across business and technical teams to align scope, requirements, timelines, handoffs, and deliverables.
  • Deliver executive updates on project status, ROI, feasibility, readiness, and adoption metrics.
  • Adapt process improvement approaches to project needs using Lean, Six Sigma, DevOps, or hybrid methods.
  • Build and maintain process repositories, knowledge assets, dashboards, and measures that support continuous improvement.
  • Support training, mentoring, and certification efforts in process improvement, technical writing, change management, and AI literacy.
  • Complete other duties and special projects as assigned.implementations, and strategic transformation efforts as assigned.
  • Complete all responsibilities as outlined on annual Performance Plan.
  • Complete all special projects and other duties as assigned.
  • Must be able to perform duties with or without reasonable accommodation.

Benefits

  • medical
  • dental
  • vision
  • disability
  • life insurance coverage
  • 401(k) savings plans
  • paid family leave
  • 9 paid holidays per year
  • 17-27 days of Paid Time Off (PTO) per year
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