Director, AI and Automation

Position DescriptionBase pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”This role leads the organization's strategy and implementation of AI and automation technologies to drive business transformation, operational efficiency, and competitive advantage. This leadership role bridges technical expertise with business acumen to deliver measurable impact across the enterprise. This role is accountable for identifying, prioritizing, and delivering high value use cases that enhance operational efficiency, member and provider experience, compliance, and business transformation.-The ideal candidate has deep expertise in Robotic Process Automation (RPA), major AI/ML platforms, large-language-model (LLM)-based automation, and understands the integration points across core payer systems such as Facets, TruCare. This leader possesses exceptional communication skills to influence at all levels - translating complex AI concepts into business-friendly language and helping stakeholders understand ROI, risks, and value generation.Responsibilities and Qualifications Develop and execute AI and automation roadmaps aligned with business objectives and digital transformation initiatives Establish a clear roadmap for automation capabilities including RPA, intelligent document processing, machine learning, generative AI, and workflow automation. Partner with senior executives to evangelize AI capabilities, guide investment decisions, and promote responsible AI adoption. Use Case Identification, Prioritization & ROI Collaborate with business leaders to identify opportunities where automation and AI can improve efficiency, reduce manual effort, improve accuracy, and enhance customer experience. Identify and prioritize high-value use cases for AI implementation and process automation across departments Conduct ROI assessments, business case development, value tracking, and continuous improvement evaluations. Maintain a portfolio of AI/automation initiatives, ensuring transparency on benefits, risks, and delivery progress. Execution & Delivery Leadership Help with evaluation, selection, and integration of AI platforms, tools, and technologies Oversee the end-to-end design, development, testing, and deployment of automation solutions leveraging: RPA tools (e.g., UiPath, Automation Anywhere, Blue Prism, Salesforce) AI/ML platforms and cloud-based AI services (Azure, AWS, Google, etc.) LLM-based automation and generative AI capabilities Integration with core payer platforms (e.g., Facets, TruCare) Drive a culture of innovation, continuous improvement, and AI literacy throughout the organization Ensure solutions meet enterprise architecture, data governance, and security standards. Establish best practices, reusable patterns, and delivery frameworks for automation and AI. Team Leadership & Collaboration Build and lead a high-performing team of automation engineers, AI specialists, data scientists, and business analysts. Foster a culture of innovation, experimentation, and continuous learning. Partner closely with Enterprise Architecture, Data & Analytics, Cybersecurity, and Agile product teams to ensure cohesive delivery. Drive a culture of innovation, continuous improvement, and AI literacy throughout the organization Governance, Risk & Compliance Partner with AI Governance council to establish and maintain governance frameworks, best practices, and ethical guidelines for responsible AI development and deployment, ensuring transparency, fairness, and regulatory alignment. Ensure adherence to HIPAA, CMS regulations, and payer-specific compliance requirements. Work with risk, legal, compliance, AI Governance Council teams to assess AI impacts and establish mitigation measures. Qualifications Minimum 7 years of experience in IT with at least 3 years leading automation or AI initiatives. Deep knowledge of: Automation technologies (RPA, workflow automation, intelligent document processing) AI/ML solutions (machine learning, NLP, LLMs, predictive analytics) API integration and modern cloud services (Azure highly preferred) Core payer systems and processes (Facets, claims, enrollment, provider data, care management) Proven track record of delivering high-impact automation programs and measurable ROI. Strong understanding of healthcare payer regulatory environment (HIPAA, CMS). Exceptional communication and storytelling abilities to translate technical concepts to senior leadership, operations teams, and non-technical stakeholders. Experience managing cross-functional teams and collaborating with executive stakeholders Excellent communication skills with ability to translate technical concepts for non-technical audiences Bachelor's degree in Computer Science, Information Systems, Engineering, Data Science, or related field; advanced degree preferred About UsWe recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues, and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association. We are an equal opportunity employer and do not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, gender identity, age, genetic information, physical or mental disability, veteran status, or marital status, or any other status protected by applicable law. (Job LocationsUS-PA-HarrisburgWorkplace RemoteEmployment Type Full TimeID 2026-4407Min USD $142,390.00/AnnuallyMax USD $268,270.00/Annually

Created: 2026-03-10