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Zelis Healthcare, LLC
- Plano, TX / St. Petersburg, FL / Atlanta, GA / 3 more...
The Platform Architect will be responsible for designing, deploying and maintaining an enterprise wide platform that will be used effectively acrossmultiple internal teams and external trading partners and will ensure successful deployment of features that make it easy and motivating for healthcare consumers to find best fit care when they need it most. The ideal candidat
Posted 1 day ago
Zelis Healthcare, LLC
- St. Petersburg, FL / Plano, TX / Boston, MA / 3 more...
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
Posted 1 day ago
Zelis Healthcare, LLC
- Morristown, NJ / Plano, TX / Boston, MA / 3 more...
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
Posted 2 days ago
Zelis Healthcare, LLC
- St. Louis, MO / St. Petersburg, FL / Atlanta, GA / 2 more...
The Software Engineer Intern position will participate in a small production support developer group in which personal contribution and ambition are highly valued and encouraged. Duties & Responsibilities Work within an agile scrum team in a collaborative, fast paced environment. Collaborate with assigned mentor to solve production support issues. Perform maintenance, sup
Posted 2 days ago
Zelis Healthcare, LLC
- Bedminster, NJ / Boston, MA / St. Petersburg, FL / 3 more...
We are seeking an energetic and motivated graphic designer who can translate marketing objectives into creative strategies, concepts, illustrations, and designs. The graphic designer will be responsible for producing and managing a wide variety of projects from collateral developments, expressive illustrations, and tradeshow booths to advertising campaigns, as well as dig
Posted 2 days ago
Zelis Healthcare, LLC
- Morristown, NJ / St. Louis, MO / Plano, TX / 4 more...
Build High level technical design both for Streaming and batch processing systems Design and build reusable components, frameworks and libraries at scale to support analytics data products Perform POCs on new technology, architecture patterns Design and implement product features in collaboration with business and Technology stakeholders Anticipate, identify, and solve is
Posted 2 days ago
Zelis Healthcare, LLC
- St. Petersburg, FL / St. Louis, MO / Boston, MA / 3 more...
The Senior Dental Network Recruiter embodies a proactive approach, driven by a passion for achieving results in this performance oriented role. Their primary responsibility involves securing signed contracts with dental providers listed for recruitment within the company. This entails implementing tailored recruitment strategies to meet both individual and divisional obje
Posted 2 days ago
Zelis Healthcare, LLC
- St. Louis, MO / Plano, TX / Boston, MA / 3 more...
Work within an agile scrum team in a collaborative, fast paced environment. Develop, test and debug solutions for assigned enhancement projects. Perform maintenance, support, and fix bugs in existing code. Communicate with internal and external peers as well as leadership to demonstrate progress and provide feedback about challenges encountered on assigned projects. Updat
Posted 5 days ago
Zelis Healthcare, LLC
- St. Petersburg, FL / St. Louis, MO / Boston, MA / 3 more...
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
Posted 8 days ago
Zelis Healthcare, LLC
- Atlanta, GA / St. Louis, MO / Boston, MA / 3 more...
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
Posted 8 days ago
Zelis Healthcare, LLC
- Morristown, NJ / St. Louis, MO / Boston, MA / 4 more...
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
Posted 8 days ago
Zelis Healthcare, LLC
- Morristown, NJ / St. Louis, MO / Plano, TX / 3 more...
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
Posted 12 days ago
Zelis Healthcare, LLC
- Boston, MA / St. Louis, MO / St. Petersburg, FL / 3 more...
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
Posted 12 days ago
Zelis Healthcare, LLC
- St. Petersburg, FL / Plano, TX / Boston, MA / 3 more...
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
Posted 13 days ago
Zelis Healthcare, LLC
- Atlanta, GA / St. Louis, MO / Plano, TX / 3 more...
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
Posted 14 days ago
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