Artificial Intelligence Business Partner, Senior (IHS)

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

At Acentra Health, we embrace emerging technologies, including artificial intelligence and advanced analytics that can be utilized to improve processes, enhance decision-making, and drive better health outcomes. We value professionals who are curious about new technologies and motivated to use innovative tools to increase efficiency, quality, and impact in their roles.

Job Summary and Responsibilities

Acentra Health is looking for a AI Business Partner, Senior to join our growing team.

Job Summary:

The AI Business Partner serves as a strategic liaison between the AI & Automation Center of Excellence and assigned business units, helping leaders identify, evaluate, and advance practical AI opportunities that improve operational performance, product capability, service quality, and user experience. This role is responsible for bringing a strong foundational understanding of AI, generative AI, automation, and data-driven innovation into business discussions to help teams understand the “art of the possible” while translating ideas into actionable opportunities.

Deployed within the HealthTech Systems organization, this role will work closely with leaders and teams supporting provider and claims software platforms, services, and operations. The AI Business Partner will combine domain knowledge of healthcare administration workflows with AI fluency to uncover high-value use cases, shape business cases, support prioritization, and coordinate with product, technology, operations, transformation, and AI engineering teams to move AI concepts from discovery into execution.

Responsibilities:

• Partner with IHS leaders to identify, assess, and prioritize AI opportunities across utilization management, case management, assessments, appeals, independent review, and related clinical service workflows.
• Facilitate discovery conversations and working sessions that help clinical and operational teams explore AI-enabled improvements, including workflow automation, clinical and document summarization, decision support, knowledge retrieval, correspondence support, and user assistance.
• Translate clinical business needs, pain points, quality goals, service-level expectations, and operational priorities into well-defined AI opportunity statements, use case summaries, business value hypotheses, and initial solution concepts.
• Serve as a bridge between IHS business stakeholders, clinical operations teams, medical directors, nurse reviewers, case managers, quality and compliance partners, product teams, transformation partners, change management, data teams, and AI engineering resources to support alignment from ideation through delivery planning.
• Help evaluate feasibility, value, risk, data readiness, workflow impact, clinical policy alignment, regulatory and compliance considerations, human oversight needs, and stakeholder adoption factors for proposed AI initiatives.
• Support development of business cases, intake materials, prioritization recommendations, and executive-level summaries for AI opportunities within IHS.
• Promote responsible AI practices in clinical operations by helping business teams understand appropriate AI use, decision-support boundaries, required human review, auditability, PHI and data sensitivity, privacy considerations, and operational risk factors..
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

Qualifications

Required Qualifications

• Bachelor's degree in Business, Healthcare Administration, Nursing, Clinical Services, Information Systems, Data Analytics, Computer Science, or a related field; equivalent relevant experience may be considered.

• 5+ years of experience working in healthcare operations, clinical services, managed care, healthcare technology, product management, business analysis, consulting, transformation, or a related business-facing role.

• Working knowledge of clinical and healthcare administration workflows, preferably including utilization management, case management, assessments, appeals, independent review, prior authorization, concurrent review, or payer/provider service operations.

• Working knowledge of AI, generative AI, automation, data analytics, and emerging technologies, with the ability to identify relevant business applications, assess potential value and feasibility, and communicate complex concepts clearly to business audience(s).

• Demonstrated ability to partner with business and clinical leaders to identify operational challenges, frame opportunities, and translate needs into structured requirements or solution concepts.

• Strong facilitation, communication, and stakeholder management skills, including the ability to lead discovery sessions and synthesize input across diverse clinical, operational, technical, and compliance teams.

• Experience supporting business case development, initiative prioritization, process improvement, quality improvement, or technology-enabled transformation efforts.

• Ability to balance innovation with practical considerations such as feasibility, adoption, change impact, clinical quality, compliance, data sensitivity, privacy, and responsible AI use.

Preferred Qualifications:

• Experience working with AI, automation, analytics, digital transformation, or product innovation initiatives in a healthcare, managed care, clinical operations, or software environment.
• Familiarity with utilization management, prior authorization, concurrent review, discharge planning, care coordination, assessments, medical necessity review, appeals and grievances, independent review organization processes, or related clinical programs.
• Experience collaborating with clinical subject matter experts, medical directors, nurses, case managers, reviewers, AI engineers, data scientists, product owners, business analysts, scrum masters, or technical delivery teams.
• Comfort using generative AI tools to support research, documentation, workflow analysis, solution framing, process mapping, or productivity improvements.

Understanding of HIPAA, PHI handling, contractual requirements, state or federal program requirements, accreditation or quality standards, and audit/compliance considerations relevant to clinical service delivery.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Experience in Lieu of Degree

For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

We are committed to providing a secure and positive hiring experience. Depending on the role, interviews may be conducted virtually, in person, or through a combination of both. As part of our recruitment process, candidates may be asked to participate in identity verification measures to help ensure the integrity of the hiring process.

~ The Acentra Health Talent Acquisition Team

Visit us at https://careers.acentra.com/jobs

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay range for this position is listed below.

“Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”

Pay Range

USD $142,840.00 - USD $178,550.00 /Yr.