Assistant Vice President

Posted Sep 18, 2026 by EXL · open on Oracle Cloud as of Nov 8, 2026

Pay not postedUS · city not listedOn-site

Own end-to-end architecture and hands-on production delivery of agentic and generative AI solutions embedded in large U.S. healthcare payer environments.

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At a glance

Posted base pay

Not posted

Median $225K

Staff+ FDE postings388 postings · middle 50% of posted pay$197K–$262K

The work

Builds what the customer runs

Balance Mostly building

Project stages

Pre-sales (not covered)
Proof of concept
Implementation
Operations

Travel Required, amount not stated

Coding: Writes production code
Builds for: External customers
Level: Staff+
Role: Technical lead

What they ask for

Experience

10+ yearsProgressive experience in software/AI engineering, cloud architecture, or forward deployed/solution engineering roles

Background

Software engineering
Forward deployed engineering

Do you meet what the posting states?

The posting asks for 10+ years. How many do you have?

The posting reads as a staff-level role. What level are you at now?

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Conditions

Location: US · city not listed
Work arrangement: On-site
Travel: Travel required, amount not stated

What you’ll do

Own technical architecture and reusable reference patterns for payer AI solutions.
Build, deploy, troubleshoot, and harden AI systems within client-controlled environments.
Architect secure multi-cloud deployments, infrastructure, and LLM operations.
Develop governed multi-agent systems and integrations with payer platforms and clinical criteria sources.

What you’ll bring

10+ years of software/AI engineering, cloud architecture, or forward-deployed engineering experience.
Hands-on production architecture and deployment on at least one major hyperscaler.
Demonstrated production delivery of agentic, multi-agent, and generative AI systems.
Deep understanding of U.S. healthcare payer operations, including prior authorization, utilization management, care management, or claims.