Director, AI & ML (US Remote)
Boston, NH - USA
Department:
Job Summary
Role Overview & Scope
Care Lumen is building an AI-first healthcare platform serving complex payer workflows across Care Management Utilization Management and LTSS.
We are seeking a Director of AI & Machine Learning to establish and lead our ML & AI function from the ground up. This is a foundational leadership role responsible for defining our AI strategy building a high-impact team and delivering production-grade ML and AI capabilities embedded directly into core payer workflows.
This leader will sit at the intersection of Engineering Product Clinical Operations and Data translating real-world healthcare complexity into safe scalable AI systems that measurably improve automation accuracy and clinical efficiency.
This is not a research role. It is a production AI leadership role focused on delivering real regulated enterprise-grade systems. The ideal candidate is a builder-operator not a pure data scientist and not an AI evangelist.
Leadership Profile
The ideal candidate is:
- Strategically minded but execution-oriented
- Comfortable with ambiguity and building from zero
- Equally credible with engineers and executives
- Passionate about responsible AI in high-stakes domains
- Motivated by building long-term enterprise value and capability not short-term experiments
- Team-focused
- Comfortable in a leadership role
- A frequent and effective communicator
Key Responsibilities
1. AI Strategy & Architecture
- Define and execute a multi-year AI roadmap aligned to product evolution and regulatory constraints (CMS Medicaid HIPAA NCQA).
- Architect scalable ML and generative AI systems embedded in software products.
- Evaluate and select appropriate model strategies (predictive models RAG pipelines fine-tuned LLMs reasoning models agentic workflows).
2. Build & Lead the AI Function
- Recruit and develop a small (4 to start) experienced team of ML engineers and applied AI specialists.
- Establish experimentation standards prompt engineering practices evaluation benchmarks and model lifecycle processes.
- Create a culture of pragmatic production-focused AI engineering.
3. Production AI Delivery
- Deliver end-to-end ML/AI solutions including:
- Risk prediction models
- Intelligent document summarization
- RAG-based or knowledge-graph-based systems
- Fine-tuned LLM applications
- Agentic automation workflows
- Ensure solutions are measurable reliable and embedded into production workflows.
4. MLOps & Governance
- Establish robust MLOps pipelines (training validation deployment monitoring).
- Implement model observability drift detection and performance monitoring.
- Partner with Security and Compliance to define responsible AI standards (fairness bias evaluation explainability audit trails).
- Design PHI-safe AI environments and secure data pipelines.
5. Cross-Functional Leadership
- Partner with Product and Clinical leaders to identify high-value AI use cases.
- Translate complex AI concepts into executive-ready business cases.
- Guide organizational AI literacy and responsible adoption.
Skills Knowledge & Expertise
- BS in Computer Science Data Analytics ML/AI or related field.
- Minimum 10 years in ML/AI engineering or applied data science
- Minimum 4 years leading teams or building AI functions in a Senior Manager or Director role
- Proven track record delivering production ML generative AI and/or agentic systems at scale.
- Demonstrated experience with relevant frameworks and patterns e.g.
- Model evaluation and benchmarking
- LLM fine-tuning (e.g. LoRA instruction tuning)
- RAG and/or KG architectures
- Agentic systems & workflows
- HuggingFace ecosystem
- PyTorch / TensorFlow
- MLOps (CI/CD for ML monitoring versioning)
- Experience deploying and running ML/AL in cloud-native environments (AWS preferred)
- Demonstrated experience applying governance and guardrails to AI and agentic systems
- Strong understanding of regulated data environments (healthcare preferred)
Whats Preferred
- Masters of PhD in Computer Science Data Analytics ML/AI or related field
- Agentic AI framework experience (LangGraph CrewAI or similar)
- Experience building AI platforms in PHI-safe or regulated environments
- Knowledge of FHIR APIs and healthcare ontologies (SNOMED LOINC)
- Experience building AI Centers of Excellence or practice areas
- Healthcare payer domain expertise (UM CM risk scoring prior authorization)
- Familiarity with CMS and Medicaid compliance considerations
What Success Looks Like (First 1824 Months)
- AI roadmap aligned to product strategy and regulatory realities
- Built and retained a high-performing ML/AI team
- Production deployment of multiple ML/AI/LLM-powered features
- Implemented MLOps platform and model governance framework
- Demonstrated measurable operational impact (e.g. reduced manual review time improved prediction accuracy workflow automation gains)
- Responsible AI framework implemented with auditability and explainability
Compensation & Benefits
The expected total cash compensation for this role is market-driven with an expected starting salary of $210000 - $275000 with up to 15% bonus. Salary is ultimately determined based on a candidates skills expertise and experience.
Care Lumen offers a robust and comprehensive benefits package including:
- Remote-first environment with company provided computer
- Thirteen paid holidays per year (average)
- Medical dental and vision coverage with multiple levels of coverage
- HSA FSA and Dependent Care accounts
- Short-term and Long-term disability
- Life and accidental death insurance
- Discounted voluntary benefits such as additional life insurance
- Employee Assistance Program
- Paid Parental Leave
- Flexible vacation time
- 401(k) with employer matching and immediate vesting
Offers are contingent upon successful completion of a background screening. Background screenings will be conducted in compliance with applicable laws and will not be initiated without your consent.
Care Lumen is an equal opportunity employer committed to building a diverse and inclusive workplace. We do not discriminate on the basis of race color religion sex sexual orientation gender identity national origin veteran status disability status age or any other legally protected status.
We are committed to providing reasonable accommodations to qualified individuals with disabilities in our job application process. If you need assistance or an accommodation due to a disability please contact us at .
About Care Lumen
Care Lumen is transforming healthcare by connecting people care and dataso that every decision leads to better outcomes. We empower care teams with a unified platform that delivers intelligent real-time insights streamlined workflows and stronger collaboration across clinical operational and administrative domains.
Our vision is bold: to reimagine how care is delivered by unifying clinical operations and unlocking insights that improve lives. We believe in the power of great people and purposeful technologyand with all of us aligned around a common goal our potential grows even stronger. Were building for impact today and evolving through innovation tomorrow.
Were a remote-first company that values flexibility autonomy and results over hours logged. Were guided by values that push us to excel stay curious and take smart risks. The best solutions come from teams that listen learn and build together. And were focused on outcomes that matternot just for our clients but for the people they serve.
Process What to Expect
Our hiring process typically includes:
- Applied
- Recruiter Interview
- Hiring Manager Interview
- Second Hiring Manager Interview
- Panel Interview
- Second Panel Interview
- Offer
- Background Check
- Hired Welcome to Care Lumen!
Required Experience:
Director
About Company
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