Healthcare Life Sciences, Payers Lead

About Anthropic

Anthropics mission is to create reliable interpretable and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of committed researchers engineers policy experts and business leaders working together to build beneficial AI systems.

About the role

As the Payer Lead within Anthropics Healthcare & Life Sciences team you will define and execute our AI transformation strategy for health insurance companies and health plans. Youll build and lead a small specialized team focused on the payer segment developing repeatable playbooks that guide payers through end-to-end AI strategy definition implementation and scale across their critical business functionsfrom claims processing and utilization management to member engagement and provider network optimization.

This role requires deep domain expertise in the payer business model combined with strategic AI advisory capabilities. Youll become the go-to expert on how Claude transforms payer operations working directly with C-suite executives at major health plans to design multi-year AI transformation roadmaps. Your playbooks will enable both your team and our broader field organization to drive consistent high-value outcomes across the payer segment.

Youll partner closely with payer executives to understand their strategic prioritieswhether reducing medical costs improving Star Ratings enhancing member experience or streamlining administrative burdenand translate these into concrete AI use cases with measurable ROI. Success means establishing Anthropic as the strategic AI partner for the payer industry.

Responsibilities :

Develop comprehensive repeatable playbooks for AI transformation across the payer value chain. Create frameworks that address claims adjudication prior authorization care management member services provider contracting Medicare Advantage operations and risk adjustment.

Build and lead a specialized team that deeply understands payer operations and can credibly engage with health plan executives on AI strategy. Develop your team into trusted advisors who can navigate complex payer organizations.

Partner directly with payer C-suite executives (CEOs CFOs CMOs CTOs CCOs) to understand their strategic priorities and design multi-million dollar AI transformation initiatives. Build long-term trusted advisor relationships.

Serve as Anthropics subject matter expert on payer operations business models regulatory environment (CMS regulations HIPAA state insurance departments) and competitive dynamics. Translate this expertise into repeatable go-to-market strategies.

Work closely with Account Executives Applied AI Engineers Customer Success Product and Legal teams to ensure seamless execution of complex payer deals and implementations.

Build strategic relationships with payer-focused system integrators (e.g. Cognizant Accenture Optum Advisory Deloitte Health) health tech vendors and industry organizations to scale our go-to-market capabilities.

Establish Anthropics position as the AI partner of choice for payers through conference presentations white papers case studies and participation in industry forums like AHIP NAHU and regional Blues plans associations.

You may be a good fit if you :

Have 10 years of experience in healthcare with at least 5 years specifically in the payer segment (health plans managed care organizations PBMs or payer-focused consulting)

Have deep understanding of payer business models operations and economics including claims processing medical management network contracting risk adjustment and regulatory compliance

Have experience in leadership roles driving technology transformation or operational improvement initiatives within payer organizations or as a payer-focused consultant

Have built and led teams (even small ones) that delivered measurable business outcomes in healthcare settings

Are skilled at translating complex business problems into technology solutions and vice versa with ability to engage credibly with both clinical and technical stakeholders

Have strong strategic thinking combined with hands-on execution capabilitycomfortable building frameworks while also rolling up sleeves on deals

Are an influential communicator who can build trust with payer C-suite executives and navigate complex healthcare organizations

Have experience with healthcare technology implementations and understand the regulatory constraints that shape payer operations

Are passionate about using AI to improve healthcare delivery and reduce administrative burden in the healthcare system

The expectedbase compensation for this position is below. Our total compensation package for full-time employees includes equity benefits and may include incentive compensation.

Annual Salary :

$435000 - $550000 USD

Logistics

Education requirements : We require at least a Bachelors degree in a related field or equivalent experience.

Location-based hybrid policy : Currently we expect all staff to be in one of our offices at least 25% of the time. However some roles may require more time in our offices.

Visa sponsorship : We do sponsor visas! However we arent able to successfully sponsor visas for every role and every candidate. But if we make you an offer we will make every reasonable effort to get you a visa and we retain an immigration lawyer to help with this.

We encourage you to apply even if you do not believe you meet every single qualification. Not all strong candidates will meet every single qualification as listed. Research shows that people who identify as being from underrepresented groups are more prone to experiencing imposter syndrome and doubting the strength of their candidacy so we urge you not to exclude yourself prematurely and to submit an application if youre interested in this work. We think AI systems like the ones were building have enormous social and ethical implications. We think this makes representation even more important and we strive to include a range of diverse perspectives on our team.

How were different

We believe that the highest-impact AI research will be big science. At Anthropic we work as a single cohesive team on just a few large-scale research efforts. And we value impact advancing our long-term goals of steerable trustworthy AI rather than work on smaller and more specific puzzles. We view AI research as an empirical science which has as much in common with physics and biology as with traditional efforts in computer science. Were an extremely collaborative group and we host frequent research discussions to ensure that we are pursuing the highest-impact work at any given time. As such we greatly value communication skills.

The easiest way to understand our research directions is to read our recent research. This research continues many of the directions our team worked on prior to Anthropic including : GPT-3 Circuit-Based Interpretability Multimodal Neurons Scaling Laws AI & Compute Concrete Problems in AI Safety and Learning from Human Preferences.

Come work with us!

Anthropic is a public benefit corporation headquartered in San Francisco. We offer competitive compensation and benefits optional equity donation matching generous vacation and parental leave flexible working hours and a lovely office space in which to collaborate with colleagues. Guidance on Candidates AI Usage : Learn about our policyfor using AI in our application process

Key Skills

Revenue Cycle Management,HIPAA,Healthcare Management,PMBOK,Microsoft Outlook,Project Leadership,Data Management,Project Management,Affiliate Marketing,Project Management Software,Supervising Experience,Workday

Employment Type : Full Time

Experience : years

Vacancy : 1

Monthly Salary Salary : 435000 - 550000