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Privia Health · 2 days ago

Sr. Director, AI & Operational Transformation

United States

Full-time

Remote

Director/Executive

$140K/yr - $150K/yr

10+ years exp

Privia Health is a technology-driven, national physician enablement company that collaborates with medical groups and health systems. The Senior Director, AI Innovation is responsible for defining and operationalizing the organization’s AI and automation strategy, overseeing automation initiatives, and driving innovation across the Revenue Cycle Management functions.

Health CareHospitalInformation TechnologyManagement Information SystemsMedicalOutpatient CareWellness

Growth Opportunities

H1B Sponsor Likely

Responsibilities

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 Privia’s 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 RCM's 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 company’s 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

Qualification

AI/ML initiativesRevenue Cycle ManagementRobotic Process AutomationHealthcare billing knowledgeVendor managementMicrosoft ExcelAnalytical skillsLean Six SigmaLeadershipCollaborationProject management

Required

Bachelor's degree in Business, Healthcare Administration, IT, or related field (Master's 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

Preferred

Background in analytics, engineering, or process improvement

Certification in Lean Six Sigma or project management

Experience in a multi-state, multisite, or large-scale physician group environment

Benefits

Medical

Dental

Vision

Life

Pet insurance

401K

Paid time off

Other wellness programs

Company

Privia Health

Glassdoor4.0

Privia Health is a physician enablement company that provides technology and services to optimize the healthcare delivery experience.

Founded in 2007

Arlington, Virginia, USA

501-1000 employees

http://www.priviahealth.com

H1B Sponsorship

Privia Health 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

2025 (1)

2022 (2)