Blue Cross of Idaho · 3 weeks ago
Director AI & Innovation
Blue Cross of Idaho is a healthcare payer organization seeking a Head of AI and Innovation to lead the design and execution of artificial intelligence and emerging technology strategies. This role focuses on driving enterprise innovation to enhance member engagement and improve operational outcomes while ensuring compliance with regulatory frameworks.
Health InsuranceInsurance
Responsibilities
Develop and execute an enterprise AI and innovation roadmap aligned with payer strategy, digital transformation, and regulatory frameworks
Serve as a thought leader on how AI, machine learning (ML), and automation can improve claims accuracy, utilization management, provider experience, member service, and other areas of the business
Cultivate a culture of innovation across technology and business functions, emphasizing measurable business impact and responsible experimentation
Lead the design, development, and deployment of AI/ML and intelligent automation (e.g., NLP, RPA, GenAI, Agentic) solutions across payer functions such as claims adjudication, call centers, prior authorization, and analytics
Partner with Enterprise Data and IT to operationalize models on modern data platforms and ensure scalability and governance
Build an AI Center of Excellence (CoE) to standardize best practices, accelerate model deployment, and support business-led innovation
Identify high-value opportunities to modernize processes and improve outcomes for members, providers, and internal teams
Manage a structured innovation pipeline — from ideation and proof of concept to pilot and enterprise scaling
Collaborate with strategic vendors, startups, and academic partners to explore new technologies (e.g., predictive analytics, GenAI, digital twins, conversational AI)
Define and implement frameworks for ethical, explainable, and compliant AI use consistent with HIPAA, CMS, and state regulatory requirements
Partner with Legal, Compliance, and Risk functions to ensure AI models and innovation initiatives meet privacy, fairness, and transparency standards
Build and lead a cross-functional team of AI engineers, data scientists, and innovation strategists
Champion workforce AI literacy and innovation training across departments
Promote diversity of thought and inclusive design in innovation initiatives
Qualification
Required
Bachelor's degree in Computer Science, Engineering, Data Science, or equivalent work experience (Two years' relevant work experience is equivalent to one-year college)
10+ years' experience in technology and innovation, to include leadership preferably within healthcare or regulated industries
Proven success deploying Digital or AI/automation at scale
Strong knowledge of Digital/AI/ML platforms, automation technologies (RPA, NLP, GenAI), and data architectures
Ability to translate emerging technologies into operational and clinical value
Understanding of healthcare data standards (HIPAA, FHIR, HL7) and regulatory environments
Excellent leadership, communication, and collaboration skills
Strategic thinker with a bias for measurable outcomes and innovation scalability
Benefits
Paid time off
Paid holidays
Community service and self-care days
Medical/dental/vision/pharmacy insurance
401(k) matching and non-contributory plan
Life insurance
Short and long term disability
Education reimbursement
Employee assistance plan (EAP)
Adoption assistance program
Paid family leave program
Company
Blue Cross of Idaho
Blue Cross of Idaho operates as a health insurance company.
H1B Sponsorship
Blue Cross of Idaho has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
Funding
Current Stage
Late StageRecent News
2025-07-28
2025-07-28
Company data provided by crunchbase