Sr. Director, Operational Innovation

The Senior Director AI Innovation is a transformational leader responsible for partnering with senior leaders and defining measuring driving and operationalizing the organizations AI and automation strategy beginning within Revenue Cycle Management and then spreading throughout the organization. This role serves as the strategic connector between technology operations vendors analytics and RCM leadership to accelerate innovation simplify complex workflows reduce cost-to-collect and improve both provider and patient financial experience.

The Senior Director AI Innovation provides oversight of automation initiatives including AI/ML models RPA workflows and advanced analytics ensuring they deliver measurable impact scalability and reliability. This leader builds and mentors a high-performing team that champions innovation supports operational excellence and drives continuous improvement across the organization beginning with RCM.

Job responsibilities: 

• Bachelors degree in Business Healthcare Administration IT or related field (Masters preferred).
• 10 years of leadership experience in technology/innovation field Revenue Cycle Management or healthcare operations.
• Demonstrated success leading enterprise AI/ML automation or RPA initiatives at scale.
• Proven ability to collaborate with executive leadership and influence cross-functional teams.
• Strong understanding of healthcare billing coding claims processing payer policies and regulatory requirements.
• Experience managing complex vendor relationships and negotiating technology agreements.
• Must be able to critically evaluate data and make recommendations for change based on solid research and evidence.
• Proficiency in Microsoft Excel is required along with strong analytical capabilities.
• Background in analytics engineering or process improvement preferred.
• Certification in Lean Six Sigma or project management preferred.
• Experience in a multi-state multisite or large-scale physician group environment preferred.

Qualifications :

• Expand and execute the RCM AI and automation strategy aligned with organizational priorities regulatory requirements and long-term growth objectives.
• Drive strategic alignment across executive leadership IT analytics finance and operational leaders to identify high-value innovation opportunities.
• Collaborate across departments with business stakeholders to identify prioritize and implement automation opportunities and workflow redesigns that maximize value.
• Serve as the thought leader on emerging technologies vendor capabilities and industry trends influencing the future of RCM. Continuing to stay current with the latest AI tech companies who are innovating in healthcare specific solutions across clinicals Value Based Care (VBC) RCM operations customer experience etc
• Lead evaluation selection deployment and optimization of AI/ML models to support RCM functions such as coding prior auth denials predictive analytics and patient engagement.
• Partner with Privias AI governance committee to oversee that AI use cases and quality align with established expectations ensuring ethical deployment compliance risk mitigation and continuous monitoring of model performance.
• Partner with Analytics to define KPIs insights and dashboards to measure AI impact and forecast financial outcomes.
• Drive automation initiatives that reduce manual effort improve accuracy and support operating efficiency across RCM functions.
• Drive the comprehensive strategy roadmap and operational prioritization for RCMs Robotic Process Automation (RPA) initiatives.
• Oversee the operational testing and deployment readiness for new bots and bot updates.
• Establish and uphold rigorous controls to ensure the quality and effectiveness of automation through operational testing and prioritization.
• Establish SLAs playbooks and support frameworks to sustain automation tools post-implementation.
• Manage relationships with AI and automation vendors; negotiate contracts evaluate performance and ensure ROI delivery.
• Support vendors through the companys Third-Party Approval Committee (TPAC) process ensuring all partners meet required standards for security privacy data governance risk controls and compliance before implementation.
• Collaborate with compliance security and legal teams to ensure ongoing adherence to organizational regulatory and contractual requirements.
• Implement structured frameworks for evaluating new ideas testing solutions and scaling successful pilots.
• Monitor and report on financial impact operational KPIs and quality metrics.
• Ensure strong communication transparency and alignment with executive stakeholders.
• Lead and develop a team that supports RCM automation vendor oversight and system optimization efforts.
• Provide vision prioritization and direction for system enhancement work RPA pipeline development and operational support models including coordination with offshore teams.
• Foster a culture focused on curiosity continuous learning disciplined execution and measurable outcomes.
• Coach and mentor team members through goal setting performance feedback skills development and professional growth pathways.
• Other job duties as assigned.

The salary range for this role is $140000.00-$150000.00 in base pay and exclusive of any bonuses or benefits (medical dental vision life and pet insurance 401K paid time off and other wellness programs). This role is also eligible for an annual bonus targeted at 20% and restricted stock units. The base pay offered will be determined based on relevant factors such as experience education and geographic location. 

Additional Information :

All your information will be kept confidential according to EEO guidelines.

Technical Requirements (for remote workers only not applicable for onsite/in office work):

In order to successfully work remotely supporting our patients and providers we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.

Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age color national origin physical or mental (dis)ability race religion gender sex gender identity and/or expression marital status veteran status or any other characteristic protected by federal state or local law.  

Remote Work :

Yes

Employment Type :

Full-time