Sr. Manager, Quality, Performance & Enablement

Responsibilities

• Quality, Performance & Enablement Function Leadership
• Own the Quality, Performance & Enablement function across Pricing Solutions, including audit, training, SOP governance, and performance improvement
• Lead and develop a team of Performance Enablement Analysts, audit specialists, and technical writers
• Establish organizational standards for quality, training, and execution across multiple products and workflows
• Drive alignment and consistency across teams, ensuring scalable and repeatable practices
• Audit Strategy, Execution & Tool Ownership
• Define and lead audit strategy across Pricing Solutions, including network audits, claims audits, and system/process audits
• Oversee execution of audits across multiple products, ensuring consistency, accuracy, and regulatory alignment
• Own the design, build, and implementation of enterprise audit tooling to support scalable audit execution and reporting
• Establish audit methodologies, scoring models, and quality standards across the organization
• Ensure centralized visibility into audit performance through dashboards and reporting
• Performance Enablement & Behavior Change
• Own the closed-loop performance improvement model (Audit → Insight → Enablement → Measurement) across Pricing Solutions
• Translate audit insights into structured uptraining programs, SOP improvements, and performance interventions
• Ensure measurable improvement in quality, productivity, and accuracy across teams
• Drive adoption of enablement programs across multiple teams and workflows
• SOP, Policy & Governance Ownership
• Define and govern SOP frameworks across Pricing Solutions, ensuring consistency, clarity, and alignment with business operations
• Establish and manage the process for policy and procedure development, maintenance, and updates
• Partner with Compliance Operations to ensure alignment with regulatory requirements and policy enforcement
• Drive standardization of workflows and documentation across the organization
• Cross-Functional Leadership & Alignment
• Partner with Product Delivery, Operations, UAT, Process Excellence, and Compliance to align quality and performance standards
• Influence cross-functional stakeholders to drive consistent execution and adoption of best practices
• Serve as the central point of coordination for quality and performance initiatives across products
• Support release readiness by ensuring training, SOPs, and quality standards are in place
• Performance Measurement & Business Impact
• Define and manage KPI

Benefits

Additional Information

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. A Little About You 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. Position Overview The Sr. Manager, Quality, Performance & Enablement is responsible for owning and leading the Quality Enablement function across Pricing Solutions, including audit, performance enablement, training, and SOP governance. This role defines and drives the end-to-end quality and performance improvement strategy across multiple products, ensuring consistent execution, regulatory alignment, and measurable business outcomes. This leader oversees audit strategy and execution across network, claims, and product workflows, and is accountable for translating audit insights into scalable performance improvements. The role also owns the development and implementation of enterprise audit tooling, enabling automation, visibility, and consistency across the organization. Operating across Product Delivery, Operations, UAT, Compliance, and Process Excellence, the Sr. Manager ensures that quality standards, policies, and enablement practices are consistently applied and drive sustained improvements in performance, accuracy, and client outcomes.

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