Senior Manager, Claims Strategy & Operations

Zelis; Morristown (NJ); Hybrid; USD 95,000 - 121,000; Full time

Job summary

Zelis is seeking a senior leader to oversee multiple negotiator teams within its claims organization. You will drive operational excellence, implement strategic initiatives, and ensure compliance across all claims processes while partnering with senior leadership to align goals and improve performance.

This role requires proven experience leading large teams, strong business acumen, and the ability to influence cross‑functional stakeholders.

Qualifications

• Experience leading multiple teams or large-scale projects.
• Proficiency using AI tools to develop prompts and/or agents.
• Strong strategic thinking and execution capabilities.
• Ability to influence cross-functional stakeholders and drive alignment.

Responsibilities

• Oversee multiple teams of negotiators and align with objectives.
• Develop and implement strategies to optimize claims resolution.
• Oversee complex claims negotiations with guidance as needed.
• Monitor performance metrics and drive improvements.
• Collaborate with leadership to establish policies and best practices.
• Analyze claims data to identify trends and suggest improvements.
• Build relationships with internal and external stakeholders.
• Ensure regulatory and company standard compliance.
• Provide training and development opportunities for team members.
• Conduct regular performance reviews and provide feedback.

Skills

Leadership

Strategic thinking

Cross-functional influence

People development

Negotiation

Education

Bachelor's degree

Master's degree

Tools

AI tools

Job description

Zelis is seeking a senior leader to oversee multiple negotiator teams within its claims organization. You will drive operational excellence, implement strategic initiatives, and ensure compliance across all claims processes while partnering with senior leadership to align goals and improve performance.

This role requires proven experience leading large teams, strong business acumen, and the ability to influence cross‑functional stakeholders.