A Clinical Supervisor or Manager supervises staff and manages services in a clinical program. May provide clinical supervision for nursing, counseling or home health care staff. Works to ensure quality patient care. Trains and develops clinical staff and manages clinical program budgets.
Healthcare Transformation Lead at Claddagh Resources Healthcare Transformation Lead at Claddagh Resources in Minneapolis, Minnesota Posted in 2 days ago.
Type:
full-time
Job Description:
US Healthcare Payer Transformation Lead, Life Sciences and Healthcare Consulting Locations:
Chicago, IL | New Jersey | Minneapolis, MN | Connecticut A global tier-1 IT services and consulting firm is seeking a senior transformation leader to shape and drive AI-led reinvention for major US healthcare payer organizations. This is a high-visibility consulting leadership role sitting at the intersection of payer domain strategy, AI and GenAI innovation, and large-scale program execution. You will define forward-looking transformation strategies for payer clients, reimagining core business processes across claims, prior authorization, provider and member engagement, and data. Operating as a CXO-level advisor to COOs, CIOs, and CDOs, you will shape transformation roadmaps, build value cases, and influence business and technology decisions at the highest levels of client organizations.
What you will do:
Define and lead AI-led payer transformation visions spanning claims modernization, prior authorization, payment integrity, contact center, clinical transformation, and value-based care Identify high-impact AI and GenAI use cases such as autonomous claims adjudication and conversational AI for member and provider interactions, and drive their incubation and scaling Partner with delivery and engineering teams on payer platform modernization strategies, including core admin systems and digital front door Lead large deal pursuits with domain-led solutioning and proposal input, and run AI transformation workshops as an industry authority Build reusable payer frameworks, solution accelerators, and reference architectures, and publish whitepapers and points of view What you bring: Deep domain expertise and leadership in US healthcare payer, with techno-functional command of Medicare, Medicaid, and Commercial lines of business A proven track record leading end-to-end payer transformation programs Strong CXO-level stakeholder management and advisory experience with US payer clients Deep understanding of payer operating models and data flows across claims, provider, membership, and care management Knowledge of regulatory mandates and interoperability requirements Candidates must be authorized to work in the United States without sponsorship.
