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

The Price Optimization Platform Consolidation Program Manager is responsible for the successful delivery of strategic projects and programs utilizing disciplined project management governance in close collaboration with leadership, cross functional teams, and business partners across the organization. This position assumes end to end accountability for single or multiple

Zelis has an opening for a Senior UiPath Developer to be involved in RPA with a focus on Document Understanding. This individual will have an extensive background in spearheading projects that significantly improve operational efficiency and elevate user experiences. In this crucial role, you will lead the charge in discovering, developing, and refining automation solutio

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

The Strategic Client Manager (SCM) will serve as primary point of contact for Zelis client s for their assigned book of business . The SCM will manage a strategic book of business comprised of vertically aligned clients and will drive growth for Business Units by achieving annual revenue targets , ensuring client retention, fostering growth with additional products and se

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

We are currently seeking an experienced Director of Accounts Receivable to support Price Optimization Business Unit. The Director of Accounts Receivable will provide overall accounts receivable leadership for the Business Unit, including and not limited to overseeing a team of approximately 15 associates, providing strategic finance direction, process simplification, and

SmartShopper Program Management (40%) Serve as the CPM for employers that buy SmartShopper through their carrier Develop client strategies and engagement programs to maximize employer savings through evaluation of data. Build, promote and implement targeted campaign strategies that improve consumer activation, shopping and conversion rates by analyzing company demographic

The Document Retrieval Specialist is responsible for contacting healthcare providers to request and obtain billing documents and processes document request cancellations. Key Responsibilities Assisting the nursing staff in the medical claim audit process by contacting healthcare providers to request and obtain billing documents via fax, mail & e mail for claims processing

Strategic Client Management Manage relationships with customers within the National Markets sector. Develop a comprehensive account strategy for expanding the range and quantity of services for each customer across the Zelis product portfolio. Prepares and presents Quarterly Reviews with customers including goals, initiatives, trends, financial impact, value and ROI. Ensu

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