Assistant Vice President

Published October 25, 2026 · Updated October 26, 2026

Pay not postedUS · city not listedOn-site5w ago

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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View posting at EXL

At a glance

Posted base pay

Not posted

Median $225K

Typical staff+ FDE payMiddle 50% of 428 postings$194K–$260K

The work

Builds what the customer runs

Balance

Mostly building
Mixed
Mostly pre-sales or support

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

Tools

Azure OpenAI
AWS Bedrock
GCP Vertex AI
LangGraph
CrewAI
AutoGen
MCP
FHIR
Docker
Kubernetes

Less common in FDE jobs

Responsibility level: Staff+16%
Company stage: Public30%
Company size: About 5,000+ people34%
On-site37%

Share of US FDE postings that state each fact.

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.

About EXL

EXL provides data, AI, analytics, consulting, and digitally enabled operations services to enterprises across regulated and other industries.

Public · 5000+ people

View posting at EXL

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Pay and conditions

Posted pay: Pay not posted
Location: US · city not listed
Work arrangement: On-site
Travel: Travel required, amount not stated
Experience requirements: 10+ years: Progressive experience in software/AI engineering, cloud architecture, or forward deployed/solution engineering roles (required)

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