Associate Vice President, Adjudication Services

What you'll do

• Own the technology strategy, transformation, and operational performance of the prescription claims adjudication platform.
• Ensure the availability, performance, accuracy, and regulatory compliance of mission-critical claims processing systems.
• Create and execute a unified technology roadmap across Commercial, Government, and Strategic portfolios.
• Lead the migration from legacy applications to a cloud-native, microservices-based, and domain-driven architecture.
• Direct the API-first strategy, governance, and real-time integration across internal and external platforms.
• Embed AI, DevSecOps, and test automation to transition the organization toward predictive operations.
• Manage a $60M+ technology portfolio, including investment prioritization, cost base, and business case development.
• Lead and develop a high-performing organization of 500+ engineers and senior technology leaders.

What we're looking for

• 15+ years of progressive experience in technology, software engineering, application delivery, or platform leadership.
• Experience leading large, complex organizations and managing enterprise portfolios over $50M+.
• Demonstrated success leading deep technology and business transformation in large, matrixed, and highly regulated environments.
• Experience owning mission-critical platforms with demanding requirements for availability, performance, resilience, security, and operational support.
• Proven ability to lead large-scale transformations involving AI, cloud technologies, microservices, API strategy, and system interoperability.
• Strong financial and portfolio management experience, including investment prioritization, workforce planning, and vendor management.
• Exceptional stakeholder management skills with the ability to align senior business and technology leaders around shared outcomes.
• Bachelor’s degree or equivalent relevant experience.
• Deep knowledge of pharmacy benefit management, health care claims processing, or related health care transaction ecosystems (preferred).
• Experience with prescription claims adjudication platforms and National Council for Prescription Drug Programs standards (preferred).
• Experience operating in environments governed by HIPAA and other health care privacy and security regulations (preferred).
• Experience applying artificial intelligence, automation, and modern software delivery practices to improve engineering productivity (preferred).
• Advanced degree in computer science, engineering, business, or a related field (preferred).