Sr. Director, Healthcare AI & Operational Transformation at Privia Health

United States

$140k - $150k

<h3>Company Description</h3><p>Privia Health™ is a technology-driven, national physician enablement company that collaborates with medical groups, health plans, and health systems to optimize physician practices, improve patient experiences, and reward doctors for delivering high-value care in both in-person and virtual settings. The Privia Platform is led by top industry talent and exceptional physician leadership, and consists of scalable operations and end-to-end, cloud-based technology that reduces unnecessary healthcare costs, achieves better outcomes, and improves the health of patients and the well-being of providers.</p><h3>Job Description</h3><p>The Senior Director, AI Innovation is a transformational leader responsible for partnering with senior leaders and defining, measuring, driving, and operationalizing the organization’s AI and automation strategy, beginning within Revenue Cycle Management and then spreading throughout the organization. This role serves as the strategic connector between technology, operations, vendors, analytics, and RCM leadership to accelerate innovation, simplify complex workflows, reduce cost-to-collect, and improve both provider and patient financial experience.</p><p>The Senior Director, AI Innovation provides oversight of automation initiatives, including AI/ML models, RPA workflows, and advanced analytics ensuring they deliver measurable impact, scalability, and reliability. This leader builds and mentors a high-performing team that champions innovation, supports operational excellence, and drives continuous improvement across the organization, beginning with RCM.</p><p><strong>Job responsibilities: </strong></p><p> </p><ul><li>Expand and execute the RCM AI and automation strategy, aligned with organizational priorities, regulatory requirements, and long-term growth objectives.</li><li>Drive strategic alignment across executive leadership, IT, analytics, finance, and operational leaders to identify high-value innovation opportunities.</li><li>Collaborate across departments with business stakeholders to identify, prioritize, and implement automation opportunities and workflow redesigns that maximize value.</li><li>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…</li><li>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.</li><li>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.</li><li>Partner with Analytics to define KPIs, insights, and dashboards to measure AI impact and forecast financial outcomes.</li><li>Drive automation initiatives that reduce manual effort, improve accuracy, and support operating efficiency across RCM functions.</li><li>Drive the comprehensive strategy, roadmap, and operational prioritization for RCM's Robotic Process Automation (RPA) initiatives.</li><li>Oversee the operational testing and deployment readiness for new bots and bot updates.</li><li>Establish and uphold rigorous controls to ensure the quality and effectiveness of automation through operational testing and prioritization.</li><li>Establish SLAs, playbooks, and support frameworks to sustain automation tools post-implementation.</li><li>Manage relationships with AI and automation vendors; negotiate contracts, evaluate performance, and ensure ROI delivery.</li><li>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.</li><li>Collaborate with compliance, security, and legal teams to ensure ongoing adherence to organizational, regulatory, and contractual requirements.</li><li>Implement structured frameworks for evaluating new ideas, testing solutions, and scaling successful pilots.</li><li>Monitor and report on financial impact, operational KPIs and quality metrics.</li><li>Ensure strong communication, transparency, and alignment with executive stakeholders.</li><li>Lead and develop a team that supports RCM automation, vendor oversight, and system optimization efforts.</li><li>Provide vision, prioritization, and direction for system enhancement work, RPA pipeline development, and operational support models, including coordination with offshore teams.</li><li>Foster a culture focused on curiosity, continuous learning, disciplined execution, and measurable outcomes.</li><li>Coach and mentor team members through goal setting, performance feedback, skills development, and professional growth pathways.</li><li>Other job duties as assigned.</li></ul><h3>Qualifications</h3><ul></ul><ul><li>Bachelor’s degree in Business, Healthcare Administration, IT, or related field (Master’s preferred).</li><li>10+ years of leadership experience in technology/innovation field, Revenue Cycle Management, or healthcare operations.</li><li>Demonstrated success leading enterprise AI/ML, automation, or RPA initiatives at scale.</li><li>Proven ability to collaborate with executive leadership and influence cross-functional teams.</li><li>Strong understanding of healthcare billing, coding, claims processing, payer policies, and regulatory requirements.</li><li>Experience managing complex vendor relationships and negotiating technology agreements.</li><li>Must be able to critically evaluate data and make recommendations for change based on solid research and evidence.</li><li>Proficiency in Microsoft Excel is required, along with strong analytical capabilities.</li><li>Background in analytics, engineering, or process improvement preferred.</li><li>Certification in Lean Six Sigma or project management preferred.</li><li>Experience in a multi-state, multisite, or large-scale physician group environment preferred.</li></ul><p><em>The salary range for this role is $140,000.00-$150,000.00 in base pay and exclusive of any bonuses or benefits (medical, dental, vision, life, and pet insurance, 401K, paid time off, and other wellness programs). This role is also eligible for an annual bonus targeted at 20% and restricted stock units. The base pay offered will be determined based on relevant factors such as experience, education, and geographic location. </em></p><h3>Additional Information</h3><p>All your information will be kept confidential according to EEO guidelines.</p><p><strong>Technical Requirements (for remote workers only, not applicable for onsite/in office work):</strong></p><p><strong>In order to successfully work remotely, supporting our patients and providers, we require a minimum of 5 MBPS for Download Speed and 3 MBPS for the Upload Speed. This should be acquired prior to the start of your employment. The best measure of your internet speed is to use online speed tests like <a href="https://www.speedtest.net/">https://www.speedtest.net/</a>. This gives you an update as to how fast data transfer is with your internet connection and if it meets the minimum speed requirements. Work with your internet provider if you have questions about your connection. Employees who regularly work from home offices are eligible for expense reimbursement to offset this cost.</strong></p> <p>Privia Health is committed to creating and fostering a work environment that allows and encourages you to bring your whole self to work. We understand that healthcare is local and we are better when our people are a reflection of the communities that we serve. Our goal is to encourage people to pursue all opportunities regardless of their age, color, national origin, physical or mental (dis)ability, race, religion, gender, sex, gender identity and/or expression, marital status, veteran status, or any other characteristic protected by federal, state or local law.  </p>