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

Responsible for building and running a fully functional application security and testing with teams in North America and overseas. Ensure security is baked into the application development lifecycle using Waterfall and Agile methodologies. Establish security architecture practices to assess the security risk and develop security patterns. Build an application security fun

Job Responsibilities Responsible for building and running a fully functional global security operation center with teams in North America and overseas. Ensure coverage, completeness, and accuracy of tolls deployed and monitored across the enterprise Ensures that the SOC team has proper processes, resources, and tools to timely detect, analyze and respond to security incid

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

The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

The Senior Member Advocate is a vital role in ensuring service excellence to Zelis clients and their members. The Senior Member Advocate is proficient in and supports all Preservice Outreach, Balance Bill Resolution, and No Surprises Act assignment categories. This position requires the ability to act independently within the scope of assigned duties and responsibilities