Zelis is pursuing an aggressive organic and non organic growth strategy focused on providing superior healthcare claim lifecycle solutions to payors, providers and individuals from pre payment through payment. As the company executes its growth strategy, Zelis is currently hiring EDI Analysts . The position will report to an EDI Manager and will work closely with managers

The Senior Full Stack Software Engineer is accountable for developing information technology enabled business solutions that are both scalable and reliable. The Senior Full Stack Software Engineer will perform their job function by executing all phases of the Software Development Lifecycle including Analysis, Design, Development, and Testing while working in a highly coll

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

s into trackable projects that deliver on Price Optimization go to market needs . Their marketing expertise will include conducting secondary research to inform campaign planning; structuring and managing marketing programs and campaigns ; developing content outlines and storylines for market awareness and customer assets; and maintaining insight driven value propositions

As the Senior Director of Payment Operations, you'll report directly to the Senior Vice President of Growth & Operations. In this role, you'll be responsible for overseeing our department's efforts in researching, resolving, and reporting Level 2+ issues related to payments. You'll need to excel in managing workload and productivity within a case/ticketed queue environmen

At Zelis, we're seeking a Network Account Manager to spearhead the management of key leased network partner relationships within an assigned portfolio. Your primary focus will be on ensuring client retention, pinpointing growth opportunities, and optimizing revenue streams. Collaborating closely with our VP and Director of Network Solutions, as well as the broader Busines

The UI Architect within the Price Optimization Architecture team, will play a pivotal role in developing groundbreaking solutions utilized by engineers in our Business Unit. The primary objective of the UI Platform is to "expedite UI Application Development," and your dedicated emphasis will be on fulfilling this mission by crafting unique software solutions created speci

The Zelis Data Intelligence team seeks a visionary, engaging, and results oriented leader who seeks a role supporting a rapid growth tech enabled healthcare company. The VP, Engineering will l ead scaling the global data and software engineering team s in managing the foundational enterprise data platform and creat ing tools and frameworks that enhance data collection and

Maintain in depth knowledge of HR systems and functions to support accurate tracking of associate information and identification of process and system efficiencies. Support configuration of Workday Core HCM, Benefits, Absence, Time Tracking, Performance, Recruiting, Talent, etc. Deep understanding of architectural concepts, issues and trends in the HR solution areas cover

At Zelis, we're looking for a skilled Technical Writer to join our team as a specialist within our Price Optimization, Claims Editing organization. As a Technical Writer, your main focus will be on creating clear and concise documentation to explain the intricacies of our claims editing processes. Responsibilities include developing and maintaining a library of documentat

The Zelis Payments Client Service Representative is part of an upbeat and caring team responsible for addressing issues or concerns from our clients related to our products and processes. Our best Client Service Representatives are super reliable, love helping people, and are great at solving problems. This team also serves as a talent pipeline into the rest of Zelis, so

Zelis is seeking a passionate and experienced Senior Active Directory Platform Engineer to lead in designing, implementing, and optimizing robust Active Directory solutions. The role involves managing user accounts, security policies, and access controls for stability and scalability. As a crucial contributor to our directory service strategy, you will drive standardizati

The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand (1) the procedures bi

The DRG Validation Nurse 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

Zelis has an opening for a Senior ASP.Net Security Engineer to move our company's software initiatives forward with their experience and skill while guiding a small team of developers to be at their best. Work with leads and managers to assist in creating technical approaches from business requirements and ensuring developers are executing the technical direction with acc