Sr. Director Product - Expert Claims Review

We need to output HTML fragment with sections: headings

for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real content. We must not repeat job title as heading. Remove boilerplate like EEO, legal, etc. Must preserve all substantive info. We need to parse the posting. Key sections: - About Us (maybe "About the role"? Actually "A Little About Us" is about company. Could be "About the role"? The instruction: use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we can choose appropriate headings based on content. We have: - A Little About Us (company description). Could be "About Zelis" but not listed. Could be "About the role"? Not exactly. Might be better to have "About the role" covering Position Overview? Actually "Position Overview" is a section. So we could have:

About the role

containing Position Overview. Then Responsibilities: "What You’ll Do" with subsections: Portfolio Leadership, Leadership and Organizational Capability, Customer and Market Leadership, Business and Product Performance, AI and Innovation Leadership, Cross-Functional Leadership. We can combine into a list of responsibilities. Requirements: "What You’ll Bring To Zelis" includes Bachelor's degree etc. That's qualifications. Preferred Qualifications separate. Skills: maybe we can extract skills from requirements: strong financial, analytical, communication, decision-making skills, etc. Benefits: described: "Zelis’ full-time associates are eligible for a highly competitive benefits package... The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage." Pay: Base Salary Range $185,000.00 - $234,650.00. Schedule: Not explicitly given. There's location and workplace flexibility: hybrid approach flexible, in-office presence guided by team and business needs rather than fixed weekly schedule. Could be considered schedule info? Might be considered "Workplace Flexibility". But schedule heading only if posting actually states them. It does mention hybrid approach flexible, in-office presence guided by team and business needs rather than a fixed weekly schedule. That's schedule info. So we can include Schedule section. We must not include boilerplate like EEO, Accessibility Support, Disclaimer, visa sponsorship note? The visa sponsorship note is substantive: "Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future." That's a requirement/constraint. Should we include? It's not a heading but could be part of Requirements or a note. We could include in Requirements as a bullet. We must not include duplicated lines. We must not invent or summarize away detail. Must preserve all substantive info. We need to output only HTML fragment, no markdown fences. Let's structure:

About the role

Position Overview ...

Responsibilities

• Portfolio Leadership: 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.
• Leadership and Organizational Capability: 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 direct authority; identify and remove organizational barriers that limit product performance, speed, scalability, or customer value; review and approve product roadmaps, investment recommendations, business cases, and major release plans; establish clear accountability between portfolio strategy, product roadmap ownership, and Agile delivery execution; establish product governance, planning cadences, and performance reporting.
• Customer and Market Leadership: Maintain an understanding of payer needs, healthcare reimbursement trends, competitive offerings, and emerging payment integrity capabilities; engage with strategic clients and prospects to understand business challenges and product needs; partner with key stakeholders on product positioning, client presentations, requests for proposals, and strategic growth opportunities; represent the ECR portfolio in executive client discussions and internal leadership forums; ensure client requests are evaluated consistently against strategic fit, market applicability, operational impact, and expected return.
• Business and Product Performance: Establish portfolio-level measures for revenue, savings performance, adoption, client satisfaction, operational efficiency, quality, and product health; monitor portfolio results and direct corrective action where performance does not meet expectations; partner with Finance and business leadership on annual planning, forecasting, budgeting, and investment analysis; review business cases for material product investments and recommend priorities to executive leadership; ensure product decisions account for implementation complexity, operational scalability, technical sustainability, and financial impact.
• AI and Innovation Leadership: Establish priorities for the responsible use of AI, automation, and advanced analytics across the ECR portfolio; partner with key stakeholders to ensure AI-enabled capabilities are accurate, explainable, compliant, and operationally sustainable; sponsor business cases and investment recommendations for AI-enabled product improvements; define governance expectations for AI-assisted workflows, including human oversight, validation, monitoring, escalation, and performance measurement; promote appropriate adoption of AI-enabled tools within the Product organization to improve research, analysis, documentation, planning, and decision-making; monitor market developments in AI and healthcare technology and assess their relevance to the ECR portfolio.
• Cross-Functional Leadership: Partner closely with Operations leadership to ensure products can be delivered consistently, efficiently, and at scale; collaborate with keys senior leaders to ensure product capabilities are accurate, defensible, and technically feasible; align with Implementation and Client Management teams regarding client readiness, product changes, and adoption; escalate and resolve cross-functional issues that affect product performance or portfolio delivery; sponsor major product transformation and modernization initiatives; support change management, release readiness, and communication for significant portfolio changes.

Requirements

• Bachelor’s degree in a related field, or commensurate experience.
• 10+ years of product management, healthcare technology, payment integrity, or related experience.
• 5+ years of leadership experience managing product or comparable teams.
• Demonstrated experience managing a portfolio of complex healthcare products or services.
• Demonstrated experience leading enterprise change and influencing senior stakeholders in a matrixed environment.
• Strong knowledge of healthcare claims, reimbursement, clinical review, or payment integrity processes.
• Experience developing product roadmaps, evaluating investments, and managing products throughout their lifecycle.
• Experience evaluating or implementing AI, automation, analytics, or decision-support capabilities in a regulated environment.
• Demonstrated ability to work with executive leaders, clients, technical teams, and operational organizations.
• Strong financial, analytical, communication, and decision-making skills.
• Experience operating effectively in a matrixed organization.
• Note: Unable to proceed with candidates who require visa sponsorship now or in the future.

Preferred Qualifications

• Master’s degree or MBA.
• Direct experience with solutions in the ECR portfolio.
• Experience with pre-payment and post-payment integrity solutions.
• Experience modernizing technology-enabled healthcare services.
• SAFe, Pragmatic Institute, Product School, or comparable product management certification.
• Understanding of responsible AI principles, including governance, explainability, privacy, human oversight, and performance monitoring.

Skills

Strong financial, analytical, communication, and decision-making skills; ability to work with executive leaders, clients, technical teams, and operational organizations; experience in healthcare claims, reimbursement, clinical review, payment integrity; product roadmap development; investment evaluation; AI/automation implementation in regulated environments; leadership in matrixed organization.

Benefits

Zelis offers a highly competitive benefits package for US-based full-time associates, including a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits covering medical, dental, vision, and prescription drug coverage.

Pay

Base Salary Range: $185,000.00 - $234,650.00.

Schedule

Hybrid work approach with flexible in‑office presence guided by team and business needs rather than a fixed weekly schedule.

We must ensure we didn't include any boilerplate like EEO, Accessibility Support, Disclaimer, etc. We omitted those. Check that we preserved all substantive info: About Us description (company) we omitted? The instruction: "Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It didn't require an About Us section. The "A Little About Us" is company overview; maybe we could include under About the role? But we already used About the role for Position Overview. Could we add a separate About Zelis section? Not in the list of allowed headings but we could still use

for any heading? The instruction says use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings, but says "use

for section headings (e.g. ...)" implying those are examples; we could still add other headings but better to stick to those. The company overview could be considered part of About the role? Might be okay to include a brief paragraph under About the role before responsibilities. But we already put Position Overview there. Could we add a short paragraph about Zelis under About the role? The instruction: "Do NOT repeat the job title as a heading (the page already shows it) and do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short

or drop it." So we can include company description as a paragraph under About the role. Let's adjust: Under About the role, we can have two paragraphs: first about Zelis (company), second about Position Overview. Or we could combine. We must preserve all substantive info: The company description includes: "At Zelis, we Get Stuff Done. So, let’s get to it! A Little About Us 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. At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture." We should include that. Thus About the