Senior Healthcare AI Consultant (HIPAA Compliance)

Senior Healthcare AI Consultant (HIPAA Compliance)

Fractal is a strategic AI partner to Fortune 500 companies with a vision to power every human decision in the enterprise. Fractal is building a world where individual choices, freedom, and diversity are the greatest assets. An ecosystem where human imagination is at the heart of every decision. Where no possibility is written off, only challenged to get better. We believe that a true Fractalite is the one who empowers imagination with intelligence. Fractal has been featured as a Great Place to Work by The Economic Times in partnership with the Great Place to Work® Institute and recognized as a ‘Cool Vendor’ and a ‘Vendor to Watch’ by Gartner.

Please visit Fractal | Intelligence for Imagination for more information about Fractal

Note: This position is not eligible for Immigration Sponsorship at this time.

Domain: Digital Health & Wellness; Pharmacy & Healthcare Consumer Experience; HIPAA-compliant Conversational AI

Overview and Business Problem

Healthcare organizations face increasing challenges in extending digital and conversational platforms into the health and wellness domain while ensuring strict compliance with data privacy regulations and clinical safety requirements. Traditional systems are not designed to handle sensitive health data (PHI), risk-aware decisioning, and regulated pharmacy interactions within AI-driven user experiences. There is a critical need to build intelligent, HIPAA-compliant systems that can safely manage health-related queries, enable compliant commerce, and provide audit-ready, traceable interactions at scale.

About the Role

Design and scale a HIPAA-compliant, AI-driven health and wellness conversational platform to deliver safe, compliant, and seamless user experiences. Lead the development of intelligent workflows for query classification, PHI-aware routing, medical risk assessment, and AI-assisted advisory and commerce orchestration, with human-in-the-loop controls and full auditability.

Key Responsibilities

* Platform & Workflow Design: Design end-to-end health & wellness conversational workflows across intake → classification → routing → response → commerce handoff

* Intent Classification & Routing: Implement real-time classification of healthcare vs non-health queries and route to appropriate agents.

* PHI Handling & HIPAA Compliance: Enable PHI detection, HIPAA zoning, and secure session management with role-based access controls.

* Medical Risk Assessment & Safety Controls: Develop symptom severity and medical risk classification frameworks to ensure safe and compliant responses

* AI-powered Advisory & RAG: Design retrieval-augmented generation (RAG) pipelines using trusted medical knowledge sources for grounded responses.

* Pharmacy & Commerce Integration (OTC & Rx): Orchestrate compliant OTC and prescription workflows with controlled handoff to commerce systems

* Data Governance & Multi-Party Integration: Design secure data exchange across systems (platform, APIs, external data providers) ensuring strict data boundaries.

* Auditability & Traceability: Ensure end-to-end logging, provenance, and audit-ready traceability of all interactions and decisions

* AI Governance & Human-in-the-Loop (HITL): Define oversight mechanisms, escalation paths, and HITL controls for high-risk or sensitive scenarios

* Delivery & Stakeholder Management: Lead implementation, integration, and rollout; collaborate with product, engineering, and compliance teams

Must-Have Qualifications

* Strong understanding of healthcare workflows including pharmacy (OTC & Rx), digital health, and wellness interactions

* Demonstrated experience with HIPAA Privacy & Security principles, PHI handling, audit readiness, and data governance

* Ability to translate business requirements into scalable technical solutions across cloud, APIs, data platforms, and interoperability.

* Exposure to Azure, SQL

* Strong communication and ability to work with product, engineering, clinical, and compliance teams

Pay

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Fractal, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is: $120,000 - $165,000. In addition, for the current performance period, you may be eligible for a discretionary bonus.

Benefits

As a full-time employee of the company or as an hourly employee working more than 30 hours per week, you will be eligible to participate in the health, dental, vision, life insurance, and disability plans in accordance with the plan documents, which may be amended from time to time. You will be eligible for benefits on the first day of employment with the Company. In addition, you are eligible to participate in the Company 401(k) Plan after 30 days of employment, in accordance with the applicable plan terms. The Company provides for 11 paid holidays and 12 weeks of Parental Leave. We also follow a “free time” PTO policy, allowing you the flexibility to take time needed for either sick time or vacation.

Fractal provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.