About the role

The Chief Solutions Officer (CSO) is responsible for translating complex healthcare and Medicare Advantage problems into scalable, AI-powered, product-led solutions that deliver measurable outcomes for payers, providers, and value-based care organizations. This role bridges product, consulting, and revenue—ensuring enterprise needs across risk adjustment, quality, medical cost management, and member engagement are solved through repeatable platform capabilities rather than bespoke services. The CSO ensures the company wins complex MA deals, delivers outcomes, and continuously productizes insights into differentiated AI capabilities.
Company Overview: Core Mandate: Move the company from SAAS based product orientation to custom healthcare solutions and outcome-driven, AI-powered capabilities at scale Why This Role Matters: This role ensures the company scales AI-powered healthcare solutions while delivering measurable Medicare Advantage outcomes without becoming a service-heavy organization.
Key Responsibilities: Own solution strategy across risk adjustment, Stars/HEDIS, medical cost management, member and provider engagement. Translate CMS regulations and clinical complexity into clear solution blueprints. Ensure CMS compliance and audit readiness across solutions.
What We're Looking For: 10+ years of healthcare experience with Medicare Advantage exposure Experience in consulting, solutions, or healthcare SaaS/AI platforms Deep understanding of CMS, payer and provider operations Strong executive presence and cross-functional leadershi

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JOB OVERVIEW

Experience level

Director

Location

Brooklyn, NY

Occupation

Medical and Health Services Managers

Industry

Other Management Consulting Services

Posted

yesterday

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