of Responsibilities Service requests from providers and consultants regarding issues involving claim inquiries and Client connection escalations Maintain, record, and communicate provider requests within databases Verify and maintain accurate provider demographic information for optimal re pricing Ability to interpret and implement proprietary client access limitations and

At Zelis, t he Business Analyst Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation solutions. In this role, you will work as part of the Product team to facilitate clear and open communication betw

We're seeking an Analytics Manager for PINS (Payee Identification and Network Security) to join our team, reporting to the Senior Director. In this role, you'll lead the PINS analytics team and drive the development of a structured analytics program. Your focus will be on managing ongoing and ad hoc reporting, automation, and operational enhancements for the PINS team, en

The Project Manager, PINS (Payee Identification and Network Security) will report to the Sr Director overseeing Zelis Payments' Fraud, Risk Management, and Identity Verification organization (PINS). The PINS team centrally manages Fraud, Onboarding/Verifications, and Account Servicing for Zelis clients, addressing issues related to account takeover, business identificatio

Zelis is a leading healthcare IT company dedicated to modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. We are seeking a motivated and detail oriented legal intern to join our legal department for the summer 2024. This internship offers a unique o

Builds and oversees a Zelis enterprise Voice of Client strategy and approach, including Executive and Advisory councils, surveys, Executive sponsor program, and holistic feedback loops Leadership engagement and alignment presents a forward looking picture of Voice of Client and translates insights into actionable recommendations Building cross functional relationships to

s Flexibility to work in a fast paced environment along with a positive, can do attitude to get things done A data driven approach to recruitment and delivery , as well as extreme attention to detail Passion for talent pipelining, as well as a keen interest in building diverse candidate pools. Familiarity with technology and systems, including Workday, Microsoft Office Sui

The Senior Marketing Events Manager is an experienced and strategic event marketing professional responsible for driving the strategy and tactical execution of all facets of how we showcase Zelis content at Industry and Zelis events. This role will also be responsible for building a comprehensive communications strategy for all revenue generating events, in partnership wi

As a valued member of our Inside Sales team, the Provider Enrollment Advisor will be responsible for marketing Zelis Payments' claim payment services to small, medium and large health care providers through various channels; assist Zelis Payments in accomplishing its outreach, relationship, and revenue goals. High velocity sales cycle with a strong partnership with our Pa

Zelis is hiring a Snowflake Data Platform Architect who will be responsible for designing, implementing, and optimizing Snowflake data warehouses and related solutions for an existing Data platform. The ideal candidate will have extensive experience in data architecture, cloud computing, and Snowflake platform capabilities. The Snowflake Platform Architect will be respons

The Art Director is responsible for overseeing and managing the strategy and execution of creative projects, ensuring the output of designers aligns with the Zelis brand identity and meets the highest standards of creativity and innovation. They will collaborate with the Brand and Content team, Marketing Leadership, and other stakeholders within Zelis to develop and execu

Ensure availability and performance of high volume system (24/7/365) Performs daily administrative tasks such as working with daily check lists and creating turnover reports. Support all operational aspects of the Zelis payment system, inclusive of monitoring the system to ensure accurate file import and export Troubleshoot files that error out and other production relate

We are seeking an experienced and highly skilled leader of Identity and Access Management to lead our IAM team. The Director of IAM Engineering will play a critical role in designing, implementing, and maintaining our organization's IAM strategies, policies, and systems. This position requires strong leadership abilities, technical expertise, and a deep understanding of s

With Zelis, an EDI Analyst collects and stores data related to healthcare claim reimbursements, market research, logistics, linguistics, or other behaviors. They bring technical expertise to ensure the quality and accuracy of that data, then process, design and present it in ways to help people, businesses, and organizations make better decisions. Key Responsibilities Eva

The Inpatient DRG Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official Coding