AI Governance & Model Risk Specialist

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JOB SUMMARY

We are seeking an AI Governance / Model Risk / Compliance Specialist to ensure the responsible, compliant, and ethical use of AI and machine learning across the healthcare organization. This role is critical for establishing governance frameworks, managing model risk, and ensuring AI solutions comply with regulatory, clinical, and organizational standards.

The ideal candidate has a strong understanding of AI/ML concepts, healthcare regulations, and risk management, and can collaborate effectively with data science, product, clinical, legal, and compliance teams.

JOB RESPONSIBILITIES

• Develop and maintain AI governance frameworks, policies, and standards.
• Support model risk management activities across the AI/ML lifecycle.
• Review and validate AI models for fairness, bias, explainability, and performance.
• Partner with data science and ML engineering teams on model documentation, validation, and approval processes.
• Ensure AI solutions comply with HIPAA, CMS regulations, and internal compliance standards.
• Support regulatory readiness for AI-related audits, reviews, and inquiries.
• Track and monitor model performance, drift, and risk indicators.
• Participate in AI ethics, governance, or risk committees.
• Provide guidance on responsible AI practices to technical and business stakeholders.
• Stay current on evolving AI regulations, industry guidance, and best practices.

JOB QUALIFICATIONS

• Bachelor's degree in Data Science, Computer Science, Statistics, Risk Management, Health Informatics, or a related field.
• 3+ years of experience in AI governance, model risk, compliance, analytics, or related roles.
• Working knowledge of machine learning concepts and model lifecycle management.
• Experience operating in regulated environments, preferably healthcare or insurance.
• Strong documentation, communication, and stakeholder engagement skills.
• Ability to translate technical concepts into clear risk and compliance narratives.

PREFERRED QUALIFICATIONS

• Experience in health insurance, managed care, or healthcare analytics.
• Familiarity with model risk management (MRM) frameworks.
• Knowledge of AI explainability tools (e.g., SHAP, LIME).
• Exposure to FDA guidance on AI/ML, CMS oversight, or healthcare AI regulations.
• Experience supporting enterprise risk, compliance, or internal audit functions.
• Advanced degree or certification in data science, risk, or compliance-related fields.

OpTech is an equal opportunity employer and is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, pregnancy, status as a parent, disability, age, veteran status, or other characteristics as defined by federal, state or local laws. https://www.optechus.com/eeo_self_identification/