Sr. Director Product - Expert Claims Review

At Zelis, we Get Stuff Done. So, let’s get to it!

Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.

The Sr. Director of Product, Expert Claims Review (ECR) is responsible for leading product management across Zelis’ Expert Claims Review and Data Mining portfolio, including Diagnosis-Related Group (DRG) Review, Clinical Chart Review (CCR), Itemized Bill Review (I ), and supporting features like our Document Retrieval functions within Zelis’ Payment Integrity business.

This leader translates the broader Payment Integrity strategy into coordinated product plans across the ECR portfolio. The Senior Director establishes portfolio priorities, oversees product roadmaps, guides investment recommendations, and ensures Product Managers and Product Owners are aligned around customer needs, business objectives, and operational requirements.

The role works closely with Payment Integrity Operations leadership, Technology, Sales/Client Management, executive leadership and other key stakeholders. Success requires strong healthcare product leadership, payment integrity knowledge, sound commercial judgment, and the ability to lead effectively within a complex matrixed organization.

The role is also responsible for developing product leadership capability, strengthening succession pipelines, and advancing the responsible use of AI and automation across the ECR portfolio.

• Lead product management for the ECR product areas.
• Translate enterprise and Payment Integrity strategy into coordinated portfolio priorities and product plans.
• Establish portfolio objectives and ensure individual product roadmaps support broader business goals.
• Evaluate client needs, market conditions, regulatory developments, operational requirements, and technology opportunities when setting priorities.
• Identify opportunities to expand product value, improve market competitiveness, and strengthen client outcomes.
• Guide decisions regarding product investment, modernization, enhancement, integration, and retirement.
• Ensure dependencies across the ECR portfolio are identified and effectively managed.

• Create clarity in complex or ambiguous situations and align leaders around enterprise priorities, tradeoffs, and intended outcomes, while promoting consistent product lifecycle management practices across the portfolio.
• Lead transformation initiatives across Product, Operations, and Technology while balancing short-term execution with long-term portfolio value.
• Build, coach, and develop Product Managers, Product Owners and Business Analysts alike, including talent planning and leadership development.
• Foster a culture of accountability, transparency, sound judgment, continuous improvement, and responsible experimentation.
• Influence senior leaders across a matrixed organization without relying on…