Senior Director, Health Claims AI Product Lead
Zelis Healthcare, LLC
Zelis is seeking a Senior Director of Product, Expert Claims Review (ECR) to lead product management across the ECR portfolio, including DRG Review, Clinical Chart Review, and Itemized Bill Review, as well as retrieval features within Payment Integrity. You will translate strategy into coordinated roadmaps, establish priorities, guide investment decisions, and develop Product Managers and Owners. The role partners with Operations, Technology, Sales, and executive leadership to deliver measurable #J-18808-Ljbffr Zelis Healthcare, LLC
- ...Healthcare, LLC is seeking a Senior Director of Pricing Solutions to... ...initiatives across Claims Pricing & Revenue. This... ...with Operations, Product, Technology, Analytics... ...contributor, the role may lead a team as transformation... ...expands, with a focus on AI, globalization,...SeniorClaims
$171.6k - $338.3k
...Are you an experienced health and welfare benefits consultant ready to lead complex client work? As a Senior Manager, Health Benefits Consulting... ...financial projections, claims, and utilization data to support... ...detail and quality of work productAbility to build and sustain...SeniorClaimsLocal areaVisa sponsorship$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... ...end to end — from architecture through production — and your work ships into live...SeniorClaimsLocal areaVisa sponsorship$180k - $230k
...the best solutions happen when product, engineering, data, security,... ...industry.This is our first dedicated Senior AI Solutions Architect role. This... ...., submissions, endorsements, claims documentation) that scale... ...enterprise data sources.Lead the design and rollout of an Agentic...SeniorClaimsFull time$179.3k - $200.4k
...As an experienced RCM Senior Delivery Lead, you will have the ability... ...including Billing and Claims Submission, A/R Follow... ...and Refunds, for health care provider clientClient... ...and quality of work product* Ability to build and... ...solutions in software, data, AI, network, and hybrid...SeniorClaimsLocal areaRemote workVisa sponsorship$124k - $280k
...implementing advanced AI and ML solutions to... ...you need to lead and deliver value at... ...of the Applied AI Health System Engineering... ...health plans. As a Senior Manager, you will drive... ...healthcare challenges into production-grade AI solutions.... ...clinical notes, claims data, ADT feeds,...SeniorClaimsFull timeH1b- 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
$124.48k - $155.6k
...TevaWe’re Teva, a leading innovative biopharmaceutical... ...to better health worldwide, together... ...Team, Your ImpactThe Senior Manager Business... ...Reporting, Master Data, AI-enabled solutions,... .... Collaborate with product owners, architects,... ...customer, sales, claims, marketing, managed...SeniorClaimsWork at officeLocal areaWorldwideFlexible hours- Zelis seeks a Senior Director of Pricing Solutions to lead strategic initiatives improving the performance, efficiency... ..., and future readiness of the Claims Pricing & Revenue organization. This... ...people leadership, the role emphasizes AI, automation, #J-18808-Ljbffr ZelisSeniorClaims
- ...Owned Warranty Company LLC is a leading provider of F&I (Finance and... ...services, top-of-the-line products, technology, and training. We... ...time. Job Summary: The Senior Data Scientist (Actuarial) is... ...across Underwriting, Claims, Finance, Operations, and Dealer...SeniorClaimsFull timeLocal area
- ...the computing environment, develop macros and tools, and apply ML/AI techniques to advance data-driven insights. The role requires... ...statistical concepts. Prior work with RWD sources such as EMR and claims is preferred, offering collaboration across analytics teams. #J-1...SeniorClaimsRemote job
$127k - $150k
...with many of the world's leading technological companies... ...pipelines across claims, payments, member, provider... ...and pharmacy domains. Senior Data Engineer responsible... ...cloud-based data products using Azure Databricks,... ...guidance to others The Team AI & Data offers a full...SeniorClaimsLocal areaVisa sponsorship- ...Sanofi in Morristown, NJ seeks an experienced Senior Corporate Counsel to support Patient Support Services and Diagnostic Testing programs... .../biotech legal experience and NJ or MA licensure, with a strong focus on False Claims Act, Anti‑Kickback #J-18808-Ljbffr Jobleads-USSeniorClaims
- A consulting firm in the pharma sector is seeking a Brand/Claims Analytics professional. This role requires at least 6 years of experience in managing Patient/Brand Analytics, especially with patient-level datasets in Specialty Pharma. The ideal candidate will have strong...SeniorClaims
- ...Cigna-Evernorth Services Inc. seeks an Agile Product Management Senior Advisor to define and execute product vision, roadmap, and goals for enterprise... ...translate complex business needs into actionable backlogs, lead backlog grooming, and align releases with strategic...Senior
- ...Avis Budget Group is seeking a Product Manager to drive AI-driven self-service initiatives from Parsippany, NJ. You will define the roadmap, partner... ..., document epics in JIRA, and communicate progress to senior leadership. This role emphasizes hands-on roadmap delivery...
$158.3k - $293.9k
...relationships with senior IT executives.Solution... ...to the Data & AI offering development... ...representatives to qualify leads, address technical... ...new AI-powered products. Plan data... ...is not limited to, health, dental, and vision... ...unsolicited emails claiming to be from the company...SeniorClaimsMinimum wageFull timeContract workRemote workFlexible hours- IPolarity LLC is seeking a Senior FACETS Developer for a fully remote CST role. The candidate will apply deep FACETS platform expertise... ...implement healthcare solutions, and support modules across Enrollment, Claims, and Provider Management with strong EDI understanding. Must...SeniorClaimsRemote job
- Teva Pharmaceuticals in Parsippany-Troy Hills, New Jersey, seeks a Senior Analyst, Medicaid Rebates, to manage Medicaid rebate claims and related fees in accordance with state contracts, CMS requirements, and internal procedures. You will validate invoiced units, rebates...SeniorClaims
$105k - $133k
...the top five national health plans, regional health... ...for clients. At Zelis, AI is woven into the fabric... ...Position Overview The Senior Content Ideation Specialist... ...under the Expert Claim Review (ECR) suite of solutions... ...with Operations and Product teams in the...SeniorClaimsFull timeWork at officeLocal areaRemote workFlexible hours$191k - $225k
...s oldest enemy: disease. As a Senior Principal Statistician, Biometrics... ...in regulatory submissions, health technology assessment (HTA),... ...development plans and target product profilesAuthoring statistical... ...Experience working with registry/claims data, including assessing the...SeniorClaimsFull timeTemporary workLocal areaFlexible hours- ...ADP is hiring a Senior Manager, Product Management to lead a team responsible for the strategy, roadmap, and enhancement delivery of GenesysCloud and IVR capabilities. The leader will partner with internal stakeholders to identify business needs, gather requirements,...Senior
$104k - $135k
...can be for our clients.Senior Business Analyst, Underwriting... ...Underwriting Solutions leads business analysis... ...with underwriting, product, and delivery teams to... ...modern tools, including AI solutions such as Microsoft... ..., such as policy, claims, billing, and underwriting...SeniorClaimsFull timeWork at office$88k - $112k
...DESCRIPTION The Casualty Claim Representative will be responsible for the handling of... ...Professional designation such as IIA, AEI, Senior Claim Law Associate (SCLA) or Chartered Property... ...~ Low cost and excellent coverage health insurance options that start on Day 1 (medical...SeniorClaimsFull time- ...Senior Counsel – Sales Operations Location: New Jersey About Midea America Midea... ...performance, convenience, and design into every product, Midea delivers on the promise of every... ..., promotional materials, and product claims. Support corporate governance,...SeniorClaims
- ...Senior SAP FS-RI Consultant Location: Jersey City, NJ / Parsippany, NJ / New York,... ...premium calculation, estimations, postings, claims, recoveries, commissions, and... ...Support SIT, UAT, defect resolution, and production issues Analyze and resolve posting errors...SeniorClaimsFull timeContract work
- ...The Senior Applications Scientist develops skin and hair care formulations that showcase... ...ingredient development, StageGate activities, product launches, and innovation pipeline... .... Partner with Technical Marketing on claims support, presentations, competitive insights...SeniorClaimsFull timeWork at office
- ...assess complex risk and sell our products in challenging markets will... ...partner with your Managing Director (MD) to develop region/group... ...?Four years of underwriting, claim, operations, risk assessment,... ...experience.What Is in It for You?Health Insurance: Employees and...SeniorClaimsFull timeLocal area
- ...Senior Counsel position in AbbVie's Oncology division providing legal strategy and commercial... ...with cross-functional teams to support product launches, marketing strategies, and... ...regulations, anti-kickback statutes, False Claims Act, and competition law Develop and implement...SeniorClaims
$116k - $148k
...insurance can be for our clients.The Senior Underwriter possesses strong... ...our business model as well as products and services. This will... ...relationships with distribution, lead a team to successful outcomes,... ..., regulatory status and claims/loss history•Determine appropriate...SeniorClaimsFull timeRemote work
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