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The jobs most (and least) vulnerable to AI — and how to adapt


As AI becomes more common in the workforce, there are growing concerns about which jobs could be most impacted.  To help workers adapt more effectively, experts say organizations should invest more in training and collaborative work with the technology. 

The jobs most (and least) vulnerable to AI

In a new study from GovAI and the Brookings Institution, researchers measured AI exposure in over 350 occupations, as well as how easily workers in these roles could transition to other jobs if AI replaced their current positions. AI exposure was defined as how many job-related tasks a worker could perform more efficiently than AI.

Overall, the researchers found that 37.1 million U.S. workers had jobs with the highest exposure to AI, including writers, customer service representatives, and translators. However, around 26.5 million of these workers also had above-median adaptive capacity, meaning that they could likely find new work if AI replaced their current roles.

According to the researchers, the people who could easily transition to other work were more likely to have more education and varied work experience. They were also likely to be wealthier, under the age of 55, and live in cities with a robust job market.

Carol Chouinard, VP and provider technology lead at Optum Advisory*, noted that individuals with higher levels of education may be able to adapt to AI more readily since they're better equipped to continuously learn and acquire new skills — something that is essential in an increasingly fast-changing workplace.

However, this "dynamic also raises the risk of widening inequities if not intentionally addressed," Chouinard said. 

The researchers identified people working in clerical and administrative roles had the most AI exposure and had the lowest estimated adaptability. Of these workers, 86% were women, suggesting that they could be disproportionately impacted by AI.  

"These people are really vulnerable because they won't have a lot of decisions over how AI is used, and their exit opportunities are going to be pretty low," said Allison Elias, a professor at the University of Virginia business school.

 

 

"This really is going to necessitate a focus on reskilling, which we tend to define as gaining skills for a new role, and upskilling, which is enhancing skills for one's current role."

So far, the healthcare industry has largely avoided AI-driven job cuts, but some healthcare roles are more vulnerable than others. The healthcare jobs with low vulnerability to AI include surgical technologists, home health and personal care aides, RNs, physicians, and clinical laboratory technologists and technicians. However, healthcare social workers, pharmacy technicians, medical and health services managers, and medical secretaries and administrative assistants have higher vulnerability.

How leaders can help their workers adapt to AI

As AI becomes more prevalent in the workforce, researchers say organizations will need to help their workers learn new skills to better adapt to AI.  

"Technology and automation are affecting the jobs that are available," said Margaret Beier, director of the Adult Skills and Knowledge Lab and chair of the department of psychological sciences at Rice University. "This really is going to necessitate a focus on reskilling, which we tend to define as gaining skills for a new role, and upskilling, which is enhancing skills for one's current role."

Rachel Lipson, scholar in residence and cofounder of Harvard University's Project on Workforce, said training on AI will need to be tailored to the type of job involved. Lipson divided jobs into three categories: frontier jobs, or those created by new technology; retooled jobs, or those whose skills are changing due to new technology; and legacy jobs, or those that will remain essential even as technology evolves. 

"In some ways, I think [retooled jobs are] going to be the most important one for workforce development," Lipson said. "It's actually going to be really critical what happens in an employer context. That includes apprenticeships and other models for upskilling."

According to Chouinard, he expects that entirely new, or at least significantly transformed, value-creation roles will emerge over time as AI continues to develop. For example, the role of primary care position will likely evolve to focus more on population health, care coordination, and the management of complex cases. In healthcare, new roles are expected to be associated with improved access, better outcomes, enhanced affordability, and an improved patient experience.

Beier also noted that while technology may pose new challenges, it can also provide people with new ways to train and learn. "Machine learning is really offering a lot of adaptive and personalized learning opportunities," she said.

Chouinard expressed a similar sentiment, saying that "learning and training themselves will be reshaped by AI and will increasingly involve continuous experimentation with AI tools, alongside prompt-based, 'help-me-do-this' forms of learning."

As organizations continue to invest in AI solutions, leaders will increasingly face questions and potential decisions about workforce replacement. Ty Aderhold, managing director of digital health and AI research at Advisory Board, outlines three actions leaders should take to better prepare themselves for this future:

  • Develop a clear-eyed strategy for how AI will impact work at your organization. Leaders need to understand how different AI solutions will affect their teams and the work they do. This should be part of overall strategic planning and included in regular conversation and review within AI governance systems.
  • Proactively identify roles that are at greater risk from AI. Leaders need to be proactive about identifying roles that are at greater risk from AI and developing adaptation strategies. Taking a fresh look at workflows, investing in additional training, and engaging high-potential staff can all help workers adapt more effectively to AI.
  • Be aware of the human and community costs of your decisions. Many healthcare organizations are major employers and anchors in their community. However, as AI becomes more prevalent in the workforce, leaders will likely face difficult choices when it comes to their workforce, which could have negative financial and health impacts on their broader communities.

*Advisory Board is a subsidiary of Optum. All Advisory Board research, expert perspectives, and recommendations remain independent.  

(Schaul/Ovide, Washington Post, 3/16; Kuchno, Becker's Hospital Review, 3/16; Gil, Gizmodo, 3/16; Frueh, National Academies of Sciences, Engineering, and Medicine, 12/1/25)

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