Senior Director, AI-Driven Payment Integrity Analytics

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

Benefits offered by this job

401k with match

PTO

Holidays

Parental leave

Life insurance

Disability insurance

Medical coverage

Dental coverage

Vision coverage

Prescription drug coverage

Discretionary bonuses

Commissions

Other incentives

Job summary

Zelis is seeking a Senior Director, Ideation Intelligence & Analytics to lead the analytical discovery capability for the Payment Integrity portfolio. You’ll apply AI, advanced analytics, and healthcare data to uncover untapped savings opportunities and drive strategic decisions at scale.

You’ll partner with Concept & Ideation, validate hypotheses, size opportunities, and supervise a team of analysts. This hybrid U.S. based role offers collaboration and impact across the organization.

Qualifications

• Bachelor’s degree or equivalent in a quantitative field.
• 12+ years in healthcare analytics or payment integrity.
• Experience with AI/ML in analytics.
• Strong communication and cross-functional collaboration.
• Ability to size opportunities and validate concepts.

Responsibilities

• Lead analytical discovery for enterprise PI ideation.
• Apply AI, anomaly detection, and pattern recognition to data.
• Develop hypotheses about payment errors and provider patterns.
• Size opportunities and provide analytical inputs for business cases.
• Partner with Concept & Ideation and PI leadership to drive results.
• Establish validation criteria and governance for analytics.

Skills

Cross-functional influence

Executive communication

Hypothesis testing

Data storytelling

Healthcare analytics

Education

Bachelor’s degree in Data Science/Statistics/Analytics

Advanced degree (preferred)

Job description

Zelis is seeking a Senior Director, Ideation Intelligence & Analytics to lead the analytical discovery capability for the Payment Integrity portfolio. You’ll apply AI, advanced analytics, and healthcare data to uncover untapped savings opportunities and drive strategic decisions at scale.

You’ll partner with Concept & Ideation, validate hypotheses, size opportunities, and supervise a team of analysts. This hybrid U.S. based role offers collaboration and impact across the organization.