AI Process Specialist

Staff AI Process Specialist

Job Location s: US-Remote

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Category:
Process Improvement

Position Type:
Full-Time

We are seeking a highly accomplished Principal AI Process Specialist to lead enterprise-critical process improvement initiatives that drive strategic growth and operational transformation. Looking for a senior leader with a proven track record of delivering significant process improvements with financial impact of seven to eight figures.

The Principal AI Process Specialist will lead cross-functional digital transformation and process improvement initiatives with high executive visibility, driving adoption of technical solutions across functions including Finance, Operations, Sales, Marketing, Product, IT, Data Science, Legal, Compliance, R&D, Legal, HR, and other areas.

The role applies the right mix of methodologies and tools-including process mining, AI/ML, technical documentation, change management, data-driven optimization, and AI process improvements-based on project needs, with or without formal DMAIC/DMADV structure. Core responsibilities include technical process documentation, organizational readiness, change execution, and AI-enabled process improvement implementations. This position is highly self-directed and accountable for independently driving projects through adoption.

• Lead high-impact digital transformation and process improvement projects, typically delivering significant business value through AI, automation, and analytics, with seven to eight figure financial impact.
• Identify, evaluate, and implement AI/ML and intelligent automation solutions to optimize business processes.
• Develop and maintain technical process documentation, including process flows, RACI charts, integration diagrams, SOPs, and design artifacts.
• Assess organizational readiness, identify change impacts, and execute change management strategies to support adoption of new technologies and processes.
• Lead stakeholder engagement, including impact assessments, communication planning, training needs analysis, and resistance management.
• Conduct process discovery using tools such as process mining, value stream mapping, analytics, and interviews to identify improvement opportunities.
• Provide project leadership for initiatives such as integrations, system implementations, and strategic transformation efforts as assigned.
• Coordinate across business and technical teams to align scope, requirements, timelines, handoffs, and deliverables.
• Deliver executive updates on project status, ROI, feasibility, readiness, and adoption metrics.
• Adapt process improvement approaches to project needs using Lean, Six Sigma, Dev Ops, or hybrid methods.
• Build and maintain process repositories, knowledge assets, dashboards, and measures that support continuous improvement.
• Support training, mentoring, and certification efforts in process improvement, technical writing, change management, and AI literacy.
• Complete other duties and special projects as assigned, implementations, and strategic transformation efforts as assigned.
• Complete all responsibilities as outlined on annual Performance Plan.
• Complete all special projects and other duties as assigned. Required.
• Must be able to perform duties with or without reasonable accommodation.

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties, and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and the requirements of the job change.

• 10+ years leading digital transformation, process improvement, technology implementation, or complex operational initiatives in large, matrixed organizations.
• Experience in health care or health care-adjacent companies.
• Consulting experience preferred.
• Experience partnering with Finance, including familiarity with budgeting, financial reporting, business metrics, executive-level reporting, and developing financial impact analysis.
• Experience working with globally distributed teams in remote environments.
• Demonstrated ability to manage multiple concurrent large initiatives with competing priorities, tight timelines, and evolving business needs is a must.
• Proven success scoping and delivering enterprise projects with measurable outcomes and executive visibility.
• Strong experience in technical process documentation, organizational change management, and executive…