At Zelis, we're passionate about building software that solves problems. We count on our Site Reliability Engineers (SREs) to empower our users with a rich feature set, high availability, and stellar performance level to pursue their missions. We are searching for someone who brings fresh ideas, demonstrates a unique and informed viewpoint, and enjoys collaborating with a

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

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

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

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

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

This newly created role reports to the Senior Tax Director and is an integral part of the Finance organization. It will support activities to keep Zelis in compliance with indirect tax filing and reporting requirements, including but not limited to analyzing, reviewing, and filing required returns and tracking associated due dates and payments. Essential Duties and Functi

The primary responsibility of the Segment Marketing Director is to build and execute Account Based Marketing (ABM) plans for the Regional Health Plan segment that follows a path from account selection/prioritization, contact/persona identification, and nurturing, through to conversion. To enable the ABM plans, you will build and curate content, in partnership with product

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