Lead Decision Intelligence Engineer (AI) - NBA

CenterWell Primary Care$129K — $177K *
US-AnywhereRemote in United States
Information Technology
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in computer science or related field
  • 6+ years of experience in software engineering, machine learning engineering, AI engineering, or decision intelligence with 1-2 years in leadership
  • Strong Python engineering experience for production AI systems
  • Hands-on experience with LangGraph, LangChain, or similar frameworks
  • Experience integrating enterprise AI platforms like Azure OpenAI
  • Understanding of Decision Intelligence concepts and metrics
  • Ability to connect business processes to decision frameworks and communicate across stakeholders
  • Demonstrated leadership ability while being a hands-on contributor.

Responsibilities

  • Analyze and model business decision processes for member engagement
  • Decompose complex processes into measurable and automatable decision graphs
  • Identify optimization strategies using rules and models for business impact
  • Design and implement production workflows with LangGraph and LangChain
  • Build AI capabilities directly into the Action Library for user support
  • Integrate LLMs with enterprise systems and manage prompt engineering
  • Design retrieval-augmented architectures for reliable decision context
  • Partner with data science to apply reinforcement learning within workflows
  • Establish evaluation frameworks for AI recommendation and performance
  • Implement AI governance measures for safety and compliance
  • Lead and mentor a small team of engineers in the Decision Intelligence area
  • Collaborate with cross-functional teams to launch production AI capabilities.

Benefits

  • Remote or hybrid work options, primarily based in Boston, MA
  • Occasional travel for meetings or training
  • Typical business hours with some flexibility
  • Participation in a bonus incentive plan based on performance
  • Access to continuous training and professional development opportunities
Full Job Description
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The Lead Decision Intelligence Engineer (AI) owns the application of Decision Intelligence and agentic AI across the NBA platform. This role analyzes and formalizes the business decisions that drive member engagement, translating stakeholder objectives, constraints, policies, and available data into structured decision models that can be evaluated, optimized, and automated. Working closely with business, product, and engineering teams, you identify where decisions should remain rule-based, where predictive models should be applied, and where agentic systems can create measurable value.

You then design and build production-grade decision intelligence capabilities that help teams create, understand, optimize, and govern member actions. Using LangGraph, LangChain, Azure OpenAI, Azure AI Foundry, Databricks, and Humana's AI Gateway, you build agentic workflows that reason through decision processes, generate recommendations, explain tradeoffs, assist with action authoring, and continuously improve decision outcomes. This is a hands-on technical leadership role that combines decision science, AI engineering, and software architecture while leading a small team of engineers.

Key Responsibilities

•Decision intelligence modeling — Analyze and formally model business decision processes, including objectives, constraints, policies, decision points, outcomes, dependencies, and feedback loops that govern member engagement.

•Decision decomposition — Break complex business processes into decision graphs, decision services, decision hierarchies, and optimization opportunities that can be measured, automated, and improved.

•Optimization strategy — Determine where rules, predictive models, reinforcement learning, optimization techniques, or agentic systems create the highest business value and operational impact.

•Agentic workflow delivery — Design and implement production agent workflows using LangGraph and LangChain, including multi-agent collaboration, tool usage, workflow memory, planning, reasoning, and human-in-the-loop approval patterns.

•Action Library intelligence — Build AI-powered capabilities embedded directly into the Action Library that assist users in creating, refining, validating, governing, and optimizing member actions.

•LLM and agent engineering — Own integration with Azure OpenAI and other enterprise models through Humana's AI Gateway, including prompt engineering, structured outputs, retrieval patterns, tool calling, function execution, and workflow orchestration.

•Knowledge and retrieval systems — Design retrieval-augmented architectures using vector search, semantic retrieval, knowledge grounding, and enterprise content sources to provide reliable decision context.

•Reinforcement learning integration — Partner with data science teams to operationalize reinforcement learning and decision optimization models within NBA workflows, ensuring recommendations can be deployed and governed at scale.

•Evaluation and experimentation — Build rigorous evaluation frameworks that measure recommendation quality, decision quality, agent effectiveness, user adoption, business outcomes, and operational performance.

•AI governance and safety — Implement guardrails, observability, traceability, policy controls, human review mechanisms, and auditability requirements appropriate for a healthcare environment.

•Team leadership — Lead and mentor AI engineers, establish engineering standards, conduct design reviews, and drive execution across the Decision Intelligence workstream.

•Cross-functional partnership — Work closely with product, business, decision science, data science, and engineering teams to convert complex decision processes into production AI capabilities.


Use your skills to make an impact

Required Qualifications

Bachelor's degree in computer science or related field

6+ years of software engineering, machine learning engineering, AI engineering, or decision intelligence experience, including at least 1–2 years in a technical leadership capacity.

Strong Python engineering experience building and operating production AI systems.

Hands-on experience building agentic applications using LangGraph, LangChain, AutoGen, CrewAI, or similar orchestration frameworks.

Experience integrating Azure OpenAI, Azure AI Foundry, Vertex AI, Anthropic, OpenAI, or comparable enterprise AI platforms.

Strong understanding of Decision Intelligence concepts, including decision modeling, optimization, decision automation, objectives, constraints, and outcome measurement.

Experience implementing LLM application patterns including tool calling, structured outputs, retrieval-augmented generation (RAG), memory management, and workflow orchestration.

Experience building evaluation frameworks for AI systems, including automated evaluation, human review, performance measurement, and experimentation.

Ability to map business processes into formal decision frameworks and communicate those models to both technical and non-technical stakeholders.

Demonstrated ability to lead a small engineering team while remaining a hands-on contributor.

Strong communication skills with the ability to explain complex AI and decision architectures to senior leadership.

Preferred Qualifications

Experience with Decision Intelligence methodologies, decision modeling notation, decision requirements analysis, influence diagrams, decision graphs, or business decision management frameworks.

Experience operationalizing reinforcement learning, contextual bandits, recommendation systems, or next-best-action optimization platforms.

Experience with Databricks, MLflow, Feature Store, Mosaic AI, or enterprise machine learning platforms.

Experience with Azure AI Search, vector databases, semantic retrieval systems, and enterprise knowledge architectures.

Experience with observability platforms such as LangSmith, OpenTelemetry, PromptFlow, Azure Monitor, or equivalent AI monitoring solutions.

Experience integrating AI capabilities into enterprise software platforms and workflow-driven applications.

Familiarity with Adobe Experience Platform (AEP), Salesforce, CRM platforms, healthcare engagement platforms, or marketing technology ecosystems.

Background in healthcare, insurance, or another highly regulated industry with auditability, explainability, and compliance requirements.

Key Responsibilities

Microservices & Backend Engineering

  • Architect, implement, and operate microservices that deliver:

    • Action and variant metadata

    • Context-aware policy and eligibility evaluation

    • Versioned, read-optimized APIs for high-performance runtime consumption

  • Guarantee that services are:

    • Highly available, with low latency

    • Horizontally scalable for increased demand

    • Backward compatible to support safe evolution and upgrades

  • Apply industry best practices for API design, schema evolution, service isolation, and secure integration.

Database & Schema Design

  • Design, deploy, and maintain resilient database schemas to support:

    • Comprehensive action and variant catalogs

    • Versioning, lifecycle management, and effective dating

    • Rule bindings and complex metadata relationships

  • Select and operate appropriate data stores (relational, document, key-value) tailored to workload and scalability requirements.

  • Implement and monitor:

    • Schema migration and backward compatibility strategies

    • Indexing and query optimization for performance

    • Data integrity, consistency, and reliability

    • Auditability and traceability for compliance and governance

Rules & Policy Engine Integration

  • Integrate and manage enterprise-grade rules engines to support:

    • Eligibility, constraints, and business policies

    • Suppression, cooldowns, exclusions, and other operational guardrails

    • Policy-driven allow/deny logic

  • Work with technologies such as Drools (DRL/DMN), IBM ODM, DMN-based services, OPA/Rego, or similar.

  • Ensure rule execution is deterministic, versioned, stateless, and free from unintended side effects.

AI-Assisted & Agentic Engineering

  • Utilize AI-powered and agentic tools to:

    • Generate and refactor database schemas and service logic

    • Streamline rule authoring, validation, and ongoing refactoring

    • Detect and address conflicting or redundant rules early in the development cycle

    • Automatically produce comprehensive test cases and explore edge scenarios

  • Apply AI responsibly to reduce manual effort while safeguarding clarity, correctness, and strong governance.

Testing, Reliability & Governance

  • Develop automated tests for:

    • Database migrations and schema changes

    • Service-level contracts and API backward compatibility

    • Rules behavior, precedence, and edge cases

  • Ensure platforms are fully observable and resilient, featuring:

    • Structured logging, metrics, and alerting

    • Clear error handling, fallback strategies, and robust incident management

  • Support audit and compliance requirements through traceable and reproducible system behavior

Collaboration & Technical Leadership

  • Work closely with platform, data, and machine learning teams to maintain clean integration points and shared standards.

  • Participate actively in architecture and design reviews to uphold platform quality.

  • Mentor junior engineers and contribute to technical standards and best practices.

Required Qualifications

  • Bachelor's degree in computer science or related field

  • 8 or more years of progressive IT experience as a senior developer in large IT projects

  • 2 or more years of project leadership experience

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

  • Master's Degree

Additional Information

Work Style: Remote/Hybrid - Preferably Boston, MA. Occasional travel to Humana's offices for training or meetings may be required.

Work Hours: Typical business hours are Monday-Friday, 8 hours/day, 5 days/week-- some flexibility might be possible, depending on business needs.

Very minimal travel might be required for training, meetings, and/or conferences

Interview Format

As part of our hiring process, we will be using on-demand technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers with an enhanced method for decision-making through on-demand candidate assessments.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in an on-demand assessment with pre-determined questions. You should anticipate the assessment to take approximately 10-15 minutes.

Your on-demand assessment will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

SSN Task via Workday

Should you be extended a formal employment offer you will receive a request to enter your SSN into our Workday system to scan for duplicate profiles.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$129,300 - $177,800 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

About CenterWell Primary Care

CenterWell Primary Care Careers

Joining CenterWell Primary Care presents an unparalleled opportunity to advance one's career in a leading healthcare organization that is dedicated to innovation and quality care. CenterWell Primary Care is actively seeking professionals who are passionate about making a difference in the healthcare industry.

Explore Job Opportunities

CenterWell Primary Care offers a variety of job opportunities that enable professionals to grow their careers in an environment that values leadership and diversity. The company is committed to fostering a culture where innovation thrives and leadership skills are honed.

Professional Growth and Development

At CenterWell Primary Care, career growth is a priority. The company supports professional development through comprehensive training programs and opportunities for advancement. Employees are encouraged to expand their skills and knowledge, positioning themselves as leaders in the healthcare sector.

Diversity and Inclusion

CenterWell Primary Care is dedicated to creating a diverse and inclusive workplace. The company believes that diversity training and an inclusive culture are key to innovation and the delivery of exceptional care. Employees from various backgrounds bring unique perspectives that enhance the team's performance and patient outcomes.

Benefits and Culture

Employees at CenterWell Primary Care enjoy a range of benefits designed to support their professional and personal lives. The company's culture is centered on teamwork, respect, and integrity, providing a solid foundation for personal growth and job satisfaction.

Internship Programs

For those starting their career, CenterWell Primary Care offers internship programs that provide hands-on experience in the healthcare field. Interns gain valuable insights and skills, which are crucial for building a successful career in healthcare.

Hiring Process

The hiring process at CenterWell Primary Care is designed to identify candidates who are not only skilled but also passionate about making a difference in healthcare. Prospective employees can expect a thorough interview process where they can showcase their skills and learn more about the company's mission and values.

Networking and Professional Opportunities

CenterWell Primary Care encourages its team to engage in networking opportunities within and beyond the company. This engagement fosters professional connections and collaborative opportunities that can lead to innovative solutions and enhanced patient care.

Join the Team

CenterWell Primary Care is looking for curious, creative, and solution-driven team players. Search open positions that match your skills and interests on the CenterWell Primary Care Jobs page. Tailor your resume to reflect your expertise and prepare for a career that promises both professional and personal growth.

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Explore Careers at CenterWell Primary Care

Discover the rewarding opportunities awaiting at CenterWell Primary Care. With a commitment to employee growth, a diverse culture, and a drive for innovation, CenterWell Primary Care is the perfect place to advance your career in healthcare.
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