Senior Director, AI-Driven Ideation & Analytics

Zelis Healthcare, LLC; New Jersey; Hybrid; USD 198,000 - 272,000; Full time

Benefits offered by this job

401k with employer match

Flexible paid time off

Health benefits (medical, dental, I/V)

Job summary

Zelis Healthcare, LLC is seeking a Senior Director, Ideation Intelligence & Analytics to lead analytical discovery across the Payment Integrity portfolio. You will apply advanced analytics, AI, and statistical methods to healthcare claims data, surface savings opportunities, and guide leadership with evidence-driven decision making.

You will partner with Concept & Ideation, Product, Finance, and Technology to size opportunities, validate concepts, and scale successful approaches.

Qualifications

• Bachelor's degree in Data Science, Statistics, Analytics/Healthcare Analytics, or related discipline.
• 12+ years of progressive experience in healthcare analytics, data science, or advanced analytics.
• Deep experience with healthcare claims data and advanced analytics to identify patterns and savings opportunities.
• Strong understanding of healthcare reimbursement, billing, coding, provider behavior, and payer economics.
• Ability to develop and test hypotheses, size value, and communicate findings to clinical, business, Product, and executive audiences.
• Strong cross-functional influence and executive communication skills in complex organizations.

Responsibilities

• Build and lead the analytical discovery capability for enterprise PI ideation.
• Apply analytics, AI, anomaly detection, and pattern recognition to various data to surface unseen opportunities.
• Develop sizing methods for addressable claims, frequency, savings, and yield.
• Evaluate precision, sensitivity, and false-positive risk, and test against historical claims.
• Identify uses of ML, AI, and advanced analytics to accelerate discovery and prototype scalable capabilities.
• Partner with leadership to evaluate performance and refine models post-deployment.
• Collaborate with Data & Analytics and Technology on data access, governance, and methods.

Skills

12+ years experience

Cross-functional influence

Executive communication

Hypothesis testing

AI & ML exploration

Education

Bachelor's degree in Data Science / Statistics / Analytics

Advanced degree in a relevant discipline

Tools

SQL

Python

Job description

Zelis Healthcare, LLC is seeking a Senior Director, Ideation Intelligence & Analytics to lead analytical discovery across the Payment Integrity portfolio. You will apply advanced analytics, AI, and statistical methods to healthcare claims data, surface savings opportunities, and guide leadership with evidence-driven decision making.

You will partner with Concept & Ideation, Product, Finance, and Technology to size opportunities, validate concepts, and scale successful approaches.