Senior Director, AI-Powered Claims Pricing
Zelis
Zelis seeks a Senior Director of Pricing Solutions to lead strategic initiatives improving the performance, efficiency, scalability, and future readiness of the Claims Pricing & Revenue organization. This role collaborates with leadership to turn priorities into actionable roadmaps, ensure measurable outcomes, and drive continuous improvement across pricing, repricing, and negotiations. Initially an senior IC with potential to grow into people leadership, the role emphasizes AI, automation, #J-18808-Ljbffr Zelis
$140k - $190k
...AI Engineering Role At Coaction, we're a unique mix of leaders, achievers, thinkers... ...we design, build, deploy, and operate AI-powered solutions safely and responsibly. The ideal... ...workflows (e.g., submissions, endorsements, claims documentation) using enterprise data...SeniorClaimsWork experience placement- ...Director, Government Pricing Location: Morristown, New Jersey, United States Work Model: Hybrid... ...presentation abilities, with experience engaging senior leadership. Advanced proficiency... ...with Data Analytics or BI Tools (Power BI, Tableau, SQL - specify proficiency...SuggestedContract workH1bWork at officeRemote workRelocation
- ...Location - Florham Park, NJ (Remote) Pharmacy Claims & PBM Domain Testing NCPDP D.0 / F6... ...Validation Claim Adjudication, Eligibility, COB, Pricing & Reject Messaging Test Planning, Test... ...Waterfall & Cross-functional Collaboration AI Tools for Test Automation Resource...SeniorClaimsRemote work
$160k - $200k
...with us on LinkedIn or Twitter Position Summary The Senior Manager of US Benefits will lead the strategic design, financial... ...: Partner with consultants and actuaries to analyze monthly claims data, evaluate stop-loss coverage limits, and establish annual premium...SeniorClaimsContract workTemporary workWorldwide$128k - $245k
...can learn, grow, and thrive. At Verizon, we power and empower how people live, work and play... ...acumen to build and launch advanced AI products and enterprise services. The ideal... ...economics (GPU/token costs), AI services, prices and GTM strategies. Hands-on familiarity with...SeniorFull timeTemporary workPart timeWork experience placementWork at officeWork from homeShift work3 days per week- ...years hands-on experience with Strategy (formerly MicroStrategy), Microsoft Power BI or similar product. Working knowledge of insurance source systems such as Guidewire (Policy, Billing, Claims), Genius, and SAP. Strong SQL skills and experience querying enterprise data...Claims
$131.2k - $174.98k
...next? Role Overview BI and AI capabilities are evolving quickly... .... We are seeking a US-based Senior BI Consultant who can operate... ...above (minimum two, preferably Power BI and Tableau), plus working... ...pharma data sources such as CRM, claims, sales, call activity, HCP /...ClaimsHourly payShift work$105k - $133k
...measurable results for clients. At Zelis, AI is woven into the fabric of how we work. Every... ...shape who you are. Position Overview The Senior Content Ideation Specialist role is... ...Validation content management under the Expert Claim Review (ECR) suite of solutions. The...SeniorClaimsFull timeWork at officeLocal areaRemote workFlexible hours- ...Summary The Associate Director, Commercial Analytics,... ..., focusing on patient claims analytics, brand analytics... ...with clients’ senior stakeholders. Act as the... ...service offerings and AI/ML applications to innovate... ...software such as Tableau or Power BI. ~ Technical...ClaimsRemote work
- ..., and collaborative Associate Director to provide analytics leadership... ...market access strategies, price reform and policy analysis, with... ...analytics ('Follow the Dollar', claims analysis, and scenario... ...insight-driven narratives to senior leadership and cross-functional...ClaimsFull timeTemporary workLocal area
$149k - $198k
...Description CoreWeave is The Essential Cloud for AI™. Built for pioneers by pioneers,... ...'ll eventually report into our incoming Director of Business Recruiting as that leadership... ...technical roles. You'll partner directly with senior engineering stakeholders to translate...SeniorPermanent employmentFull timeTemporary workCasual workWork at officeFlexible hours- Job Title: Associate Director, Brand Analytics - Systemic Mastocytosis... ...levers (e.g., application of AI/ML models to understand patient... ...questions. Patient‑level claims data experience (IQVIA, Komodo... ...business intelligence tools (e.g., Power BI, Tableau, Qlik, or...ClaimsWork at officeLocal areaWorldwide
$175.73k - $292.88k
...customers through innovative strategies, advanced analytics, Generative AI, transformative technologies, and creative design. We can enhance... ...for this role ends on December 31, 2026.Work you'll doAs a Senior Manager, on the Technical Transformation team, you will be...SeniorLocal area$207k - $275k
CoreWeave is The Essential Cloud for AI. Built for pioneers by... ...supports the infrastructure that powers the AI revolution—working... ...position reports directly to the Director of Cloud Platform Support, is... ...complex projects with visibility to senior stakeholdersExpert leadership...SeniorPermanent employmentFull timeTemporary workCasual workWork at officeFlexible hours- Arch Capital Group Ltd. is seeking a Senior Claims Examiner, Casualty, for its Middle Market Casualty Team within Arch Insurance Group. This role handles complex general liability and related excess/umbrella claims nationwide. Ideal candidates will have strong negotiation...SeniorClaims
- ...Senior Counsel – Sales Operations The Senior Counsel – Sales Operations provides strategic... ...sales teams on commercial contracts, pricing programs, promotions, and customer-facing... ...advertising, promotional materials, and product claims. Support corporate governance,...SeniorClaims
- Arch Insurance Group Inc. is seeking a Claims professional to manage Lawyers Professional Liability claims across jurisdictions in the United States. This role emphasizes developing timely resolution strategies, addressing coverage issues, and coordinating with underwriters...SeniorClaims
- ...in Parkinson’s Disease. The Senior Manager, Marketing Research... ...sources like IQVIA/SHS Sales and Claims Data (APLD, PTD, Xponent, NSP... ...Machine Learning, BI tools like Power BI or Tableau in addition to... ...Scope: Reports to Associate Director, Market Research & Analytics...SeniorClaimsFull timeLocal area
$153k - $193.8k
...results for clients. At Zelis, AI is woven into the fabric of... ...the technical direction for the Price Optimization business unit's unified... ...data across offerings. As a senior technical leader, you will... ...across pricing, payments, claims, reimbursement, provider-payer...ClaimsFull timeWork at officeLocal areaVisa sponsorshipFlexible hours- Atlantic Health in Morristown, NJ seeks an Employment Counsel (claims manager) to lead employment-related claims, agency matters, and... ...medical centers and affiliates. The role requires managing assigned directors & officers and EPL claims, reviewing demand letters and...SeniorClaims
- Arch Insurance Group Inc. is seeking a seasoned attorney/claims executive to lead strategy and resolution of its most complex, high-exposure... ...Reporting to the Chief Technical Claim Officer, you will advise senior leadership, drive litigation management, and partner with Claims...SeniorClaims
$189.2k - $372.9k
...Summary Join our AI & Engineering team in... ...infrastructure. These solutions are powered by engineering for... ...6. Work you'll do As a Senior Manager on the... ...Policy, Billing, and/or Claims knowledge to develop strategies... ...development and pricing.Build senior client relationships...SeniorClaims$108k - $145.07k
...Senior Cost Manager As a Senior Cost Manager at Linesight, you will work with highly... ...accounts, including the handling of any claims to ensure the client gets best value from... ...With Linesight, you can truly discover the power of team! Diversity, inclusion and accessibility...SeniorClaimsContract work- ...Opportunity: Role Summary We are seeking a highly motivated and talented Director, Analytics to join our dynamic team. This individual will be... ...sources. Familiarity with syndicated data sources (eg, IQVIA, claims data, etc). Skills Expertise with BI platforms (Tableau, Data...ClaimsWork at office
- Zelis is modernizing the healthcare financial experience. The Senior Content Ideation Specialist will develop and deliver content for Itemized Bill Review and DRG Validation within the Expert Claim Review suite, sourcing from ICD-10, AHA, AMA, CPT, CMS and clinical research...SeniorClaimsRemote jobWork at office
- ...methodology improvements and AI-guided initiatives. In this... ..., BTS, Legal, Payer Strategy, Pricing as well as field-based Account... ...data sources. Influencing senior account executives and payer marketers... ...and analyzing patient claims data (e.g. IQVIA LAAD, Symphony...ClaimsFull timeContract workWork experience placementLocal area
$175k - $250k
...market data, have solid knowledge of asset pricing literature, and strong programming skills.... .... read more + We are seeking a Senior Quantitative Equity Researcher with a strong... ...Learning, Natural Language Processing, and AI Engineering is a plus ~Ability to work collaboratively...Senior- ...visit us at . Follow @abbvie on LinkedIn, Facebook , Instagram , X and YouTube. Job Description The Scientific Director / Senior Medical Director provides specialist medical and scientific input into core strategic and operational medical affairs activities...SeniorFull timeTemporary workLocal area3 days per week
- ...re looking for someone to help us harness AI to do our best work. About the Role Giftogram... ...comfortable telling a stakeholder that a claim cannot go out as written Measure... ...team follows Verify product, redemption, pricing, and compliance claims against internal...Claims
$160k - $190k
Overview The Associate Director performs business-driven analyses that... ..., as well as support the Senior Director of I&A in all business... ...support initiatives that leverage AI, machine learning, and... ...Specialty Pharmacies/Distributors), Claims (Open, Closed, Chargemaster, etc...ClaimsFull timeTemporary workWork at officeLocal areaHome office3 days per week
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