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
- ...payers, providers, and consumers. The Senior Director, Pricing Solutions, drives strategic initiatives... ...performance, efficiency, and scalability through AI, automation, and global workflow... ...& Insights, Finance and more. #J-18808-Ljbffr LE011 Zelis Claims Integrity, LLCSeniorClaims
- Zelis Healthcare, LLC is seeking a Senior Director of Pricing Solutions to drive strategic initiatives across Claims Pricing & Revenue. This role partners with Operations, Product... ...as transformation expands, with a focus on AI, globalization, workflow optimization, quality...SeniorClaims
$169k - $213.75k
...results for clients. At Zelis, AI is woven into the fabric... ...Overview As part of the Pricing Solutions division, this... ...future readiness of the Claims Pricing & Revenue... .... Initially serving as a senior individual contributor, the Senior Director leads complex, cross‑functional...SeniorClaimsFull timeWork at officeLocal areaImmediate startFlexible hours- ...for an Agile Product Management Senior Advisor for a healthcare... ...area, with a strong focus on AI/ML-driven products, agentic automation... ..., and scaling of AI-powered solutions, ensuring alignment... ...Specialty Pharmacy (billing, claims, Rx workflows) preferred. Strong...SeniorClaims
$140k - $190k
...regulated industry.This is our first dedicated AI Engineering role. This role will be... ...we design, build, deploy, and operate AI-powered solutions safely and responsibly. The ideal... ...workflows (e.g., submissions, endorsements, claims documentation) using enterprise data sources...SeniorClaimsFull timeWork experience placement$132.5k - $302.4k
...organizations transform with the full power of the Microsoft ecosystem. We... ..., and next‑generation AI—including Microsoft Copilot, Azure... ...simultaneously: provide senior guidance on solution direction... ...collaborate with deal teams on pricing, terms and conditions, and governance...SeniorWork experience placementLive inWork at officeLocal area$144k - $168k
...application process. Associate Director, Commercial Data Management... ...and practical experience using AI-enabled tools to speed up work... ..., specialty pharmacy, hub, or claims data preferred. Exposure to reporting... ...analytics platforms such as Power BI, Tableau, Microsoft Fabric,...ClaimsFull timeWork at officeRemote work$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...ClaimsFlexible hours- ...Job Description The Director of Managed Care serves as the leader responsible for the... ...monitoring. Ensure accurate pricing of claims through Epic contract configuration and... ...setting standards for quality health care powered by a workforce of more than 18,000 team...ClaimsHourly payFull timeContract workTemporary workPart timeFor contractorsFor subcontractorFlexible hoursShift work
$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$143k - $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$160k - $175k
...cutting‑edge technologies, including advancements in Guidewire and AI integration, to enhance policy processing efficiency, reduce... ...Center ecosystem, including integrations with financial systems, claim systems, portals, third‑party vendors, etc. Ensure the platform...ClaimsFull timeFlexible hours- Job title: Director of Pricing and Contracting, Mainline and Beyfortus - Vaccines... ..., mRNA innovation, and AI-driven breakthroughs. In Vaccines... ...We’re an R&D‑driven, AI‑powered biopharma company committed to... ...compliance Work closely with Senior Director of Pricing and Contracting...Contract workTemporary workWork at office3 days per week
$225k - $275k
...corporate private placement opportunities through senior-level relationships with issuers, sponsors... ...screening, underwriting, structuring, pricing, and negotiation for investment-grade and... ...views clearly.Working understanding of AI’s impact on team outputs, with the ability...SeniorFull timeTemporary workWork at officeLocal areaRelocation package3 days per week- ...Career Opportunities: Senior Benefits Manager (6902) Requisition ID 6902 -Posted 08/11/2026 - Hybrid Sun Chemical, a member of the DIC... ...Modeling: Partner with consultants and actuaries to analyze monthly claims data, evaluate stop-loss coverage limits, and establish annual...SeniorClaimsContract workTemporary workWorldwide
$198k - $264k
CoreWeave is The Essential Cloud for AI. Built for pioneers by pioneers, CoreWeave delivers... ...4/7/365, the team supports the Kubernetes-powered infrastructure behind the AI revolution:... ...the product roadmap.About the RoleAs the Senior Manager of Technical Support Engineering -...SeniorPermanent employmentFull timeTemporary workCasual workWork at officeFlexible hours$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- 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
$143k - $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- ...methodological improvements and AI‑guided initiatives. You will... ..., BTS, Legal, Payer Strategy, Pricing and field‑based Account... ...management tactics. Influence senior account executives and payer marketers... ...and analyzing patient claims data for Pharmacy channel products...ClaimsContract workWork experience placement
$122.7k - $190.3k
...ConnectiveRx better than the sum of its parts. The Director, Advanced Analytics leads the development... ...rooted in statistical models applied to Claims data Claims‑based analyses - focus on... ...programming tools (e.g., SQL, Python, Power BI, Tableau, Looker, etc.) Competencies...ClaimsLocal areaFlexible hours$120k - $135k
...Senior HR Manager – Northeast/Southeast Regions | Metro One Security Onsite – Manhattan or Morristown, NJ office About us Specialized... ...industries, and Aurix is our proprietary technology platform, powering prevention, detection, and operational visibility while collecting...SeniorHourly payWork at officeLocal area$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 time- ## Senior Director, Commodity ManagementApplylocations: USA, NJ, Florham Parktime type: Full timeposted on: Posted Todayjob requisition id:... ...project support.* Support sourcing needs for waste-to-energy power plants, waste processing facilities, and general back-office operations...SeniorHourly payContract work
- ...win in self-care.Description OverviewThe Senior Brand Manager, U.S. Women’s Health is a strategic... ...growth opportunities, portfolio gaps, pricing and promotion opportunities, and... ...Maintain clear brand architecture, positioning, claims strategy, content priorities, and...SeniorClaimsRemote work2 days per week
- ...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
$128k - $252.5k
...the healthcare ecosystem. As an Actuarial Senior Consultant, you will apply actuarial,... ...landscape and product types, focused on pricing, underwriting, forecasting, reserving, and... ...changes, network changes, or other detailed claims analytics Review Medicare Advantage and Part...SeniorClaimsWork at officeLocal areaVisa sponsorship$141.2k - $278.3k
..., product-level sales, claims data, rebate and chargeback... ...revenue quality, pricing realization, reimbursement... ...leveraging AI tools to extract and visualize... ...visualization (e.g., Tableau, Power BI, Excel Charts, etc.)... ...recommendations to senior executive stakeholdersMaster...ClaimsContract workLocal areaVisa sponsorship$116.2k - $229.1k
...IFRS 17 and LDTI. As an FP&A Senior Consultant focused on the insurance... ..., investments, underwriting, claims, and other client stakeholders... ...by disruptive tech like AI, market uncertainty, and regulatory... ...Cloud, OneStream, Tableau, or Power BI • Experience designing...SeniorClaimsLocal areaVisa sponsorship
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