Brief about Fractal
Fractal Analytics is a strategic AI partner to Fortune 500 companies with a vision to power every human decision in the enterprise. Fractal is building a world where individual choices, freedom, and diversity are the greatest assets. An ecosystem where human imagination is at the heart of every decision. Where no possibility is written off, only challenged to get better. We believe that a true Fractalite is one who empowers imagination with intelligence. And that it will be such Fractalites that will continue to build the company for the next 100 years.
Role Overview
We are seeking a collaborative, visionary, and results-driven Senior Consultants to strengthen our Healthcare Payer AI consulting team. This is a leadership role that fuses deep AI and GenAI expertise with healthcare domain knowledge to solve the industrys most complex challenges. You will be responsible for leading high-impact engagements, developing AI-enabled products and solutions, and influencing strategic priorities at the client and practice levels.
You will be responsible for:
- Drive the execution of our payer segment strategy through the application of advanced AI and GenAI
- Build, manage, and deepen executive relationships with key healthcare payer clients
- Design and deliver GenAI-powered transformation programs that improve care delivery, reduce cost of care, and enhance member engagement
- Develop proprietary frameworks and accelerators using LLMs, knowledge graphs, and agentic AI systems
- Mentor cross-functional teams and evangelize the responsible use of AI in healthcare
Key Responsibilities
- Partner with payer clients (e.g., health plans, PBMs, ASOs) to solve strategic and operational challenges using AI/GenAI
- Lead large-scale AI consulting engagements from scoping to value realization
- Design and deploy AI/GenAI solutions in areas such as member engagement, care management, utilization management, risk adjustment, and fraud detection
- Translate payer business needs into scalable, secure, and compliant AI/GenAI architectures and products
- Lead the development of GenAI use cases, prompt engineering frameworks, agent-based workflows, and governance models
- Collaborate with data scientists, AI engineers, and product managers to rapidly build and iterate on MVPs
- Develop and own executive-ready collateral to support business development and thought leadership
- Stay abreast of the latest trends in GenAI, healthcare policy, and payer business models
Who You Are
- A healthcare-savvy AI leader who bridges business strategy with cutting-edge AI solutions
- A trusted advisor to C-suite and senior stakeholders at health plans and PBMs
- A builder and innovator, passionate about transforming healthcare through GenAI
- A strategic thinker with strong commercial acumen and delivery rigor
- A hands-on mentor who cultivates high-performing, cross-functional teams
- Solution architect who can conceptualize, build, and deliver technology-driven business solutions
Qualifications
- Bachelors degree in Computer Science, Engineering, Data Science, Healthcare Administration, or related field (Masters or MBA preferred)
- 5+ years of experience in healthcare consulting, technology delivery, or innovation roles, with at least 5 years focused on AI and/or GenAI
- Strong understanding of the U.S. healthcare payer ecosystem-commercial, Medicare, Medicaid-and associated data systems (claims, EMR, HEDIS, etc.)
- Proven experience designing and delivering AI/ML and GenAI solutions for health plans, including hands-on exposure to:
- Large Language Models (LLMs), Prompt Engineering, Retrieval-Augmented Generation (RAG), Agentic Workflows
- NLP/NLU for clinical and payer data
- Cloud platforms (Azure, AWS, GCP) and MLOps frameworks
- Strong technical fluency to collaborate with engineering and data science teams while influencing non-technical stakeholders
- Experience in responsible AI governance, data privacy (HIPAA), and regulatory compliance
- Exceptional communication, storytelling, and executive presence
Good to Have
- Experience with GenAI tools and platforms (OpenAI, Anthropic, Vertex AI, Bedrock, etc.)
- Exposure to healthcare interoperability standards (FHIR, HL7)
- Prior experience with AI product development or commercializing AI accelerators
- Experience with consulting providers and payviders
.
Fractal provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Not the right fitLet us know youre interested in a future opportunity by clicking Introduce Yourself in the top-right corner of the page or create an account to set up email alerts as new job postings become available that meet your interest!
