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
$210k - $250k
...Position Title: Senior Director, Prestige Hair Care & Styling R&D Location: Morris Plains, New Jersey Reports to: Vice President, R&D... ...Lead technical development across formulation, packaging, claims, testing strategy, and commercialization readiness for innovation...SeniorClaimsFull timeContract workLocal area3 days per week$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$110.7k - $372.9k
Position Summary Senior Agentic AI Engineer — Healthcare AI Three hundred fifty million Americans... ...by prior authorization and paperwork, claims that misfire, clinical decisions made... ..., and operationalize the LLM- and SLM-powered systems behind real healthcare...SeniorClaimsLocal areaVisa sponsorship$124k - $280k
...Description & SummaryThe OpportunityAs a Pricing and Revenue Data Science Senior Manager - Consumer Markets Sector,... ..., MS SQL), visualization tools (Power BI), cloud platforms (AWS, Azure, GCP... ...projects in consumer markets- Utilizing AI and machine learning for predictive...SeniorFull timeH1b$140k - $190k
## Senior AI EngineerApplylocations: Morristown, NJtime type: Full timeposted on: Posted 2... ...we design, build, deploy, and operate AI-powered solutions safely and responsibly. The... ...workflows (e.g., submissions, endorsements, claims documentation) using enterprise data...SeniorClaimsWork experience placement$88.54k - $141.69k
...lead market access–focused analytics that power strategic decision-making for... ...analyses across payer coverage, formulary, claims, affordability, and related data sources,... ...drivers behind payer behavior, and inform pricing, contracting, and market access strategies...Claims$88.54k - $141.69k
...lead market access-focused analytics that power strategic decision-making for... ...analyses across payer coverage, formulary, claims, affordability, and related data sources,... ...drivers behind payer behavior, and inform pricing, contracting, and market access strategies...ClaimsTemporary workFreelanceFlexible hours- Job DescriptionADP is hiring a Senior Technical Product Manager.ADP is building a next-generation AI-native HCM platform for small businesses. We are rethinking what... ...day. You might be reviewing (or creating) an AI-powered prototype in the morning, writing a spec in the...SeniorFull timeDay shift
- ...Morris Plains, NJ, seeks a transformational Senior Director of Software Engineering to lead strategy... ...of technology platforms supporting Claims and Intelligence Solutions. This executive... ...drive platform engineering, DevSecOps, AI-first development, and cloud infrastructure...SeniorClaims
- Zelis is transforming the healthcare financial experience and seeks a Sr. Director of Product, Expert Claims Review (ECR) to lead product management across DRG Review, CCR, IBR, and related document retrieval features within Zelis’ Payment Integrity portfolio. You will...SeniorClaims
- ...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...Contract workH1bWork at officeRemote workRelocation
$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$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$171.6k - $338.3k
...Recruiting for this role ends on 10/16/2026.Work you'll doAs a Senior Manager on the HR Cloud Operate team, you will be responsible for... ...) offerings, including solution design, proposal development, pricing, and client presentations.Advance BPaaS growth by supporting...SeniorLocal areaVisa sponsorship- ...The Director of Managed Care serves as the leader responsible for the strategy, execution, and performance of all managed care activities... ..., modeling, and performance monitoring. Ensure accurate pricing of claims through Epic contract configuration and partner with Revenue...ClaimsFull timeContract workShift work
- ...Summary The Associate Director, Commercial Analytics,... ...solutions, focusing on patient claims analytics, brand... ...relationships with clients’ senior stakeholders. Act as... ...service offerings and AI/ML applications to... ...software such as Tableau or Power BI. Technical Skills...ClaimsFull time
$195k - $325k
...Summary We are seeking a transformational Senior Director of Software Engineering to lead the... ...of the technology platforms supporting Claims and Intelligence Solutions. This leader... ...accountable for platform engineering, DevSecOps, AI-first software development practices,...SeniorClaimsLocal areaRemote workWork from home- ...Career Opportunities: Senior Benefits Manager (6902) Requisition ID 6902-Posted 08/11/2026- Hybrid Sun Chemical, a member of the... ...: Partner with consultants and actuaries to analyze monthly claims data, evaluate stop-loss coverage limits, and establish annual premium...SeniorClaimsContract workTemporary workWorldwide
$112.7k - $193.2k
...lives? Join us to start Caring. Connecting. Growing together.As a Senior Manager of Technical Support within the Optum Insight Engineering... ...and non-production environmentsUtilize enterprise-approved AI tools, RAG frameworks, agentic systems, and code intelligence tools...SeniorMinimum wageFull timeWork experience placementWork at officeLocal areaRemote work- ...candidates at this time. Job Summary: The Senior Data Scientist (Actuarial) is a senior,... ...with stakeholders across Underwriting, Claims, Finance, Operations, and Dealer Services... ...Business Intelligence (e.g., Microsoft Power BI). Ensure models are scalable, well-...SeniorClaimsFull timeLocal area
$165k - $185k
...credit skills and demonstrated ability to analyze and appropriately price riskComfort and credibility presenting accurate and compelling... ...skillsBachelor’s degree required; MBA preferredUnderstand and use of AI platforms to assist and supplement workflow efficiencies....SeniorFull timeTemporary workWork at officeLocal areaRelocation package3 days per week- ...Python) and working closely with real-world data sources such as claims, EHR / EMR, and other commercial datasets Core Competencies:... ...responsibilities and who bring both therapeutic depth and commercial analytics expertise. Powered by JazzHR jDJReJLKSS...Claims
- Accident & Health - Senior Financial AnalystThe Accident and Health... ...closely with Actuarial, Accounting, Claims Operations, and enterprise... ...that support reserving and pricing decisions.Partner with enterprise... ...Excel and data tools (e.g., Power BI).Experience working with insurance...SeniorClaims
$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$157k - $210k
CoreWeave is The Essential Cloud for AI. Built for pioneers by pioneers, CoreWeave delivers a platform of technology, tools, and teams... ...technical understanding of the data center stack, including power, cooling, networking, and GPU/server hardware infrastructure.Strong...SeniorPermanent employmentFull timeTemporary workCasual workWork at officeFlexible hours$149k - $198k
...CoreWeave is The Essential Cloud for AI™. Built for pioneers by pioneers, CoreWeave... ...You'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$104k - $135k
...insurance can be for our clients.Senior Business Analyst, Underwriting... ...modern tools, including AI solutions such as Microsoft Copilot... ...projects, such as policy, claims, billing, and underwriting.Analyze... ...and Design.Leverage AI-powered tools such as Microsoft Copilot...SeniorClaimsFull timeWork at office$131.2k - $174.98k
...next? Role Overview BI and AI capabilities are evolving... ...sidelines. We are seeking a US-based Senior BI Consultant who can operate... ...(minimum two, preferably Power BI and Tableau), plus working... ...pharma data sources such as CRM, claims, sales, call activity, HCP / HCO...ClaimsHourly payFull timeShift work$116k - $148k
...boundaries of what insurance can be for our clients.The Senior Underwriter possesses strong analytical and... ..., internal controls, regulatory status and claims/loss history•Determine appropriate coverage terms, pricing and insurance program structure• Prepare and document...SeniorClaimsFull timeRemote work- ...hazards, and reduce losses. As a Risk Control Senior Specialist, Property you are responsible... ...Underwriting to support effective risk pricing.Leverage expert consulting skills to... ...emerging issues, tracking loss trends in claim data, and occasionally attending industry...SeniorClaimsFull timeLocal areaLong distanceNight shift
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