Sr. Assistant Vice President - AI Engineering, Healthcare

Jacksonville, FL, USA Req #28300
Wednesday, July 9, 2025

Company Overview and Culture 

EXL (NASDAQ: EXLS) is a leading data analytics and digital operations and solutions company. We partner with clients using a data and AI-led approach to reinvent business models, drive better business outcomes and unlock growth with speed. EXL harnesses the power of data, analytics, AI, and deep industry knowledge to transform operations for the world's leading corporations in industries including insurance, healthcare, banking and financial services, media and retail, among others. EXL was founded in 1999 with the core values of innovation, collaboration, excellence, integrity and respect. We are headquartered in New York and have more than 55,000 employees spanning six continents. For more information, visit http://www.exlservice.com.

 

 

About EXL Health

We leverage Human Ingenuity and domain expertise to help clients improve outcomes, optimize revenue and maximize profitability across the healthcare ecosystem.  Technology, data and analytics are at the heart of our solutions.  We collaborate closely with clients to transform how care is delivered, managed and paid.  

 

EXL Health combines deep domain expertise with analytic insights and technology-enabled services to transform how care is delivered, managed, and paid.  Leveraging Human Ingenuity, we collaborate with our clients to solve complex problems and enhance their performance with nimble, scalable solutions.  With data on more than 260 million lives, we work with hundreds of organizations across the healthcare ecosystem.   

We help payers improve member care quality and network performance, manage population risk, and optimize revenue while decreasing administrative waste and reducing health claim expenditures. We help Pharmacy Benefit Managers (PBMs) manage member drug benefits and reduce drug spending while maintaining quality. We help provider organizations proactively manage risk, improve outcomes, and optimize network performance. We provide Life Sciences companies with enriched data, insights through advanced analytics and data visualization tools to get the right treatment to the right patient at the right time.

EXL is looking for a Senior Assistant Vice President – AI Engineering team in the US! This is a remote opportunity in Jacksonville, FL!

 

Role Overview:

We are looking for an entrepreneurial and forward-thinking Senior AVP – AI Engineering Leader to drive the next wave of AI transformation in Payment Integrity (PI). This role blends strategic vision, technical depth, and business acumen to reimagine how audits, rules, medical policies, and insights are automated and scaled using Agentic and Generative AI.

You will lead cross-functional teams to strategize, build, and operationalize AI solutions that create measurable value—reducing costs, accelerating audit outcomes, and modernizing how we solve healthcare challenges. This is a high-visibility leadership role, ideal for someone passionate about combining technology, domain, and design thinking to create lasting impact.

 

Key Responsibilities:

AI Strategy & Leadership

  • Define and own the AI roadmap for the PI business aligned with growth goals ($250M to $500M).
  • Lead the transition from traditional rule-based systems to Agentic AI-first workflows using LLMs, embeddings, and AI agents.
  • Embed AI deeply across core workflows—claim audits, medical record navigation, rules management, and policy summarization.

Productization & Platform Enablement

  • Drive the architecture and delivery of reusable AI components across Smart Platform (Smart Rules, Smart Records, Smart Alerts).
  • Lead the design and scaling of document pipelines, embedding-based retrieval, and multi-agent orchestration (MCP, A2A) for complex use cases.
  • Integrate Open Source, Azure OpenAI, and AWS Bedrock (Claude, Sonnet) as part of a hybrid, cost-efficient LLM stack.

Execution & Delivery Excellence

  • Translate AI innovation into outcomes through agile execution, MVP builds, and business-centric prioritization.
  • Partner with engineering, data, product, and delivery teams to ensure timely, secure, and scalable implementation.
  • Champion privacy-first design, anonymization techniques, and compliance with HIPAA and data governance frameworks.

Cross-Functional Collaboration

  • Work closely with business leaders, audit SMEs, product managers, and clients to contextualize AI opportunities and drive adoption.
  • Influence roadmap decisions by articulating the value of AI through ROI, effort-to-impact, and savings acceleration metrics.
  • Build thought leadership, evangelize capabilities, and shape market perception through client conversations and external forums.

 

Required Skills & Experience:

  • 15+ years of experience in AI/ML engineering, platform product leadership, or enterprise technology roles.
  • Proven track record of leading and scaling AI solutions in healthcare, fintech, or regulated industries.
  • Hands-on and architectural expertise in:
    • LLMs, embeddings, vector search, prompt engineering, RAG pipelines
    • Cloud AI platforms: Azure OpenAI, AWS Bedrock (Claude, Sonnet), Ollama
    • Agent orchestration frameworks: LangChain, LiteLLM, FastAPI, Python
    • Secure API design, authorization/authentication (OAuth2/JWT)
  • Experience with document intelligence, audit automation, or rules engines is a strong advantage.
  • Exceptional leadership, storytelling, and stakeholder influence skills.

 

Preferred Qualifications:

  • Deep domain knowledge in healthcare payment integrity, claims lifecycle, or medical policy interpretation.
  • Experience setting up or scaling AI Centers of Excellence or reusable agent frameworks.
  • Recognized speaker, patent holder, or contributor in the AI innovation space is a plus.

 

Why Join Us?

  • Lead the transformation of a $250M+ PI business with AI at its core.
  • Be part of a high-impact organization pushing the boundaries of Gen AI and Agentic automation in healthcare.
  • Work with visionary leaders, cutting-edge tech, and purpose-driven teams solving real-world challenges at scale.
EEO/Minorities/Females/Vets/Disabilities 

To view our total rewards offered click here —> https://www.exlservice.com/us-careers-and-benefits
 
Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL base salary range for this position. Actual salaries will vary depending on factors including but not limited to: location and experience. The base salary range listed is just one component of EXL's total compensation package for employees. Other rewards may include bonuses, as well as a Paid Time Off policy, and many region specific benefits.
 
Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy. 

Application & Interview Impersonation Warning – Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the “Company”) for yourself or for the other individual is a crime.  We have implemented measures to deter and to uncover such unlawful conduct.  If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s). 

EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate’s full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL.

Other details

  • Pay Type Salary
  • Employment Indicator Regular
  • Min Hiring Rate $175,000.00
  • Max Hiring Rate $210,000.00
  • Travel Required Yes
  • Travel % 20
  • Telecommute % 100
Location on Google Maps
  • Jacksonville, FL, USA