Zelis
Director, Itemized Bill Review
US FL St · Director
Sponsorship not specifiedDetected 23 days ago
Machine LearningComplianceAccessibilityProduct StrategyPerformance ManagementHIPAALeadershipCollaborationPublic Speaking
About the role
- At Zelis, AI is woven into the fabric of how we work.
- 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.
Responsibilities
- Own the strategic direction, growth, and performance of the Itemized Bill Review solution across all clients and lines of business.
- Develop and execute multi-year business plans that support organizational growth, client value, operational scalability, and product innovation.
- Establish, monitor, and report on key performance indicators (KPIs) and operational, financial, quality, and client performance metrics, utilizing data-driven insights to identify opportunities, mitigate risks, and drive achievement of strategic and operational goals.
- Partner with executive leadership to identify new savings opportunities, growth initiatives, and competitive differentiation strategies.
- Partner with Product, Technology, and Analytics teams to modernize IBR workflows and improve scalability, productivity, coding accuracy, and savings capture.
- Drive the development of technology-enabled review methodologies that reduce manual effort while maintaining quality and compliance standards.
- Lead and develop a globally distributed team across the United States and India, ensuring operational consistency, workforce planning, talent development, and scalability.
- Establish performance management frameworks, quality standards, and operational governance processes that support business growth.
- Drive continuous improvement initiatives that improve productivity, savings outcomes, quality performance, and turnaround times.
- Ensure effective resource allocation and organizational structures to support strategic priorities and future growth.
Requirements
- Current coding certification required (CPC, CCS, RHIT, RHIA, or equivalent).
- 5+ years of progressive leadership experience leading managers, supervisors, or large operational teams.
- Demonstrated experience leading operational transformation, automation, AI-enabled initiatives, or technology modernization efforts.
- A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication.
Nice to have
- Experience leading globally distributed teams.
- Experience influencing product strategy, technology investments, and operational transformation programs.
Benefits
- 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.
- This role partners closely with Product, Technology, Analytics, Operations, Sales, Client Management, and Implementation leadership to define and execute the long-term vision for IBR.
- The role translates reimbursement trends, coding updates, market demands, and client needs into strategic initiatives that strengthen the IBR value proposition and support enterprise growth objectives.
Company info
- Operational Leadership & Global Team Management
- At Zelis, we Get Stuff Done.
- A Little About Us
Equal opportunity
- Zelis is proud to be an equal opportunity employer.
- All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
- We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role.
- We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.
Visa & Work Authorization
- Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.
This listing is sourced directly from Zelis's careers page and normalized into a canonical job model.