The Data Entry Specialist role is responsible for entering in data from medical claim forms into in house databases and other electronic record keeping systems. Key Responsibilities Accurately enter medical claim forms (HCFA 1500/UB 04) into the in house database and vendor web tools Serve as a back up for scanning and provider service intake processes Perform other relat

The Warehouse/Material Handler's job is to receive incoming shipments and properly log and maintain documentation. Prepare outgoing shipments and properly log and maintain shipping documentation. Pull materials upon production needs and deliver to staging area. Prepare and record outgoing mail shipments daily and locate to the outgoing mail area when completed while produ

Title Director, Software Engineering Duties Lead a global delivery team with end to end accountability and responsibility for developing and maintaining new and innovative products to support the continued growth of Zelis. Ensure that best in class software development practices and procedures are used to develop products including (1) adherence to robust architectural pa

The Globalization Program Manager, Payments Optimization is responsible for the successful delivery of the globalization roadmap in accordance with long range plan (LRP) commitments and associated value targets. This highly strategic and visible initiative requires the leading of multiple business and technology workstreams running in parallel, utilizing disciplined proje

Act as a Subject Matter Expert liaison between the teams; partner with one or more Product Owners on key initiatives and prioritization efforts Gather requirements/acceptance criteria for RPA initiatives centered around the automation of business processes Prioritize and manage multiple concurrent projects Provide documentation for system/process updates and existing syst

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

Develop and maintain compliance policies that articulate our legal and contractual requirements and effectively address identified risks. Provide compliance subject matter support to cross functional stakeholders as they design and implement products, features, workflows, tools, etc. Establish a framework to handle the intake and response for external requests from our fi

Develop and oversee a framework for KYC and customer due diligence, including customer risk rating measures to ensure compliance with financial partner expectations and industry practices. Maintain and manage policies, procedures, and requirements, including annual independent assessment. Own the development and execution of risk assessments across products and customers.

The Public Relations Director manages the flow of communication between Zelis and the media and manages the creation of marketing messages that positively raise the public image of Zelis. They work with the Brand and Content team, Marketing Leadership, and various subject matter experts within Zelis to create and control the public narrative around the Zelis brand, ensuri

As the Director of Data Center Operations at Zelis, you will be responsible for leading the charge at the intersection of healthcare and finance IT sectors, ensuring the delivery of robust and secure infrastructure services. Your strategic initiatives will focus on the consolidation of our on premises data center infrastructure, optimizing resource utilization and standar

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

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