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Tata Consultancy Services · Chicago, IL

# US Healthcare Payor Transformation Lead

Chicago, IL Manager or lead Healthcare & Clinical 

Last seen on Tata Consultancy Services’s official careers site on August 1, 2026; it may have closed since.
[Apply on Tata Consultancy Services’s careers site →](https://ibegin.tcsapps.com/candidate/jobs/421058J)

[OpenNash Jobs](https://jobs.opennash.com/) / [Tata Consultancy Services](https://jobs.opennash.com/companies/tata-consultancy-services/) / US Healthcare Payor Transformation Lead

## Job description
- Strong domain expertise and leadership experience in US Healthcare Payer Techno-functional understanding of Payer lines of business including Medicare, Medicaid, and Commercial Deep understanding of AI led transformation possibilities for the Payers
- Proven track record of leading end-to-end payer transformation programs
- Demonstrated experience in AI-led reimagination of payer business (e.g., claims modernization, prior authorization transformation, contact center transformation, Clinical transformation, Value based care) Deep understanding of payer operating model + data flows across claims, provider, membership, and care management
- Ability to shape transformation vision, define value articulation, and drive execution at scale Strong CXO-level stakeholder management and advisory experience with US payer clients
- Knowledge of regulatory mandates and interoperability requirements ROLES & RESPONSIBILITIES Define and lead AI-led payer transformation vision – Establish forward-looking transformation strategies for US healthcare payer organizations by reimagining core business processes (claims, prior authorization, provider, member engagement, digital and data) using AI, GenAI, and advanced analytics
- Act as a CXO-level strategic advisor – Engage with senior client stakeholders (COO, CIO, CDO) to shape transformation roadmaps, define value cases, and influence business and technology decisions Reimagine payer business processes with AI – Identify high-impact AI/GenAI use cases (e.g., autonomous claims adjudication, intelligent prior authorization, payment integrity, conversational AI for member/provider interactions) and drive their incubation, scaling, and industrialization AI led

### Transformation Enablement
- Partner with delivery and engineering teams to Design payer platforms modernization strategies (Core Admin Systems, Digital Front Door)
- Define business-aligned solution architectures for payer transformation

### Business Development
- Lead large deal pursuits by providing transformative domain-led solutioning and proposal inputs, Conduct AI led transformation workshops for customers as an industry authority

### Innovation & Thought Leadership
- Develop reusable assets: Payer domain frameworks, Solution accelerators and reference architecture Publish whitepapers, POVs, and internal knowledge artifacts Salary Range: 187200-253300 a year #LI-MM6

## At a glance
- Posted by the employer: Not stated
- First seen by OpenNash: Aug 1, 2026
- Last checked: Aug 1, 2026
- Listed for: Under a day
- Location: Chicago, IL[Apply on Tata Consultancy Services’s careers site →](https://ibegin.tcsapps.com/candidate/jobs/421058J)

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