Zelis jobs in Saint Petersburg, FL - 20 jobs

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Senior Manager of Specialty Products Operations is a critical leadership role responsible for overseeing niche operational functions tied directly to Zelis' specialty product offerings. This leader ensures exceptional operational execution across areas such as lockbox reconciliation, sworn statements, 1099 processing, ERA/EDI support, and clearinghouse operations. In addition to managing daily operations, this role partners closely with Product teams to align workflows, improve capabilities, and drive continuous enhancement of the specialty product ecosystem. The ideal candidate is a problem solver, a humble learner, and a collaborative leader who can create clarity in complex environments and elevate the experience for clients, partners, and internal teams What you'll do: Specialty Products Leadership * Lead and develop teams responsible for specialized operational services, including: * Lockbox Reconciliation Operations: Ensure timely and accurate financial reconciliations and posting activities. * Sworn Statement Support: Coordinate preparation, validation, and delivery of sworn statements in compliance with regulatory and client requirements. * 1099 Tax Services Support: Oversee tax-related transaction processing, inquiry resolution, and service cycle management. * EDI/ERA Support: Provide oversight of ERA processing, troubleshooting workflows, and operational alignment supporting product performance. * Monitor performance metrics and use data to drive quality, efficiency, and scalability. * Identifying root causes and leading continuous improvement initiatives across teams and product workflows. * Ensure compliance with internal controls, SOPs, regulatory requirements, and client expectations. * Own and manage the Purchase-to-Pay (P2P) process for the team, ensuring compliant purchasing, invoicing, and payment operations. Clearinghouse Operations & Partner Management * Serve as the primary operational liaison for clearinghouse partners, managing escalations, inquiries, and overall relationship health. * Facilitate cross-functional collaboration to resolve issues impacting transaction flow, data integrity, or service delivery. * Maintain accurate documentation of clearinghouse processes, SLAs, and escalation protocols. * Ensure strong alignment between operational needs and product strategies by engaging with Product, Technology, and Client-facing teams. Required Skills and Competencies * Experience in healthcare payment operations, revenue management, financial services, or similar operational environments. * Strong understanding of EDI transactions, particularly Electronic Remittance Advice (ERA) files. * Familiarity with lockbox operations, tax services (including 1099 processing), and sworn statement protocols preferred. Leadership & Behavioral Capabilities * Demonstrated success leading specialized operational teams and managing complex, cross-functional relationships. * Strong problem-solving skills, with the ability to bring clarity to ambiguous situations and drive structured, sustainable solutions. * Excellent communication skills with the ability to influence, collaborate, and build trust across teams. * Solutions-oriented mindset with a continuous improvement approach. * High degree of ownership, accountability, and commitment to developing people and improving processes. What you'll bring to Zelis: * Proven experience in healthcare payment operations, revenue management, or financial services. * Minimum of 8 years' experience in a customer management role required. * 5 + years' experience in a people leadership role. * Strong understanding of EDI transactions, particularly Electronic Remittance Advice (ERA) files. * Demonstrated ability to lead specialized support teams and manage cross-functional relationships. * Excellent communication, problem-solving, and organizational skills. * Familiarity with lockbox operations, tax services, and sworn statement protocols is preferred. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview We are seeking a visionary and hands-on Senior Engineer / Tech Lead to lead the design and delivery of intelligent, data-driven solutions across our Salesforce ecosystem. This role will serve as a critical design authority within the Enterprise Applications team, driving innovation through Salesforce Data Cloud, AI/ML capabilities, and the deployment of autonomous agents such as Agentforce. You will be responsible for architecting and building intelligent applications that leverage real-time and historical Salesforce data, integrate with enterprise data platforms, and apply AI to enhance automation, personalization, and decision-making. As a trusted partner to the business, you'll work closely with stakeholders to translate strategic goals into scalable, secure, and high-impact technical solutions. This role requires deep technical expertise in Salesforce, data engineering, and AI/ML, along with the ability to lead cross-functional teams and influence enterprise architecture decisions. Key Responsibilities * Design and develop intelligent solutions using Salesforce Data Cloud to unify, activate, and analyze customer data across channels. * Lead the deployment and orchestration of autonomous agents, such as Agentforce, to automate workflows, enhance user experiences, and drive operational efficiency. * Architect AI/ML-enabled features within Salesforce, including predictive analytics, intelligent routing, and generative AI applications. * Build scalable data pipelines and APIs to support real-time and batch data flows between Salesforce and other enterprise systems. * Collaborate with data scientists and analysts to operationalize models within Salesforce workflows and ensure business impact. * Own the full development lifecycle: from design and prototyping to implementation, testing, deployment, and support. * Ensure data governance, security, and compliance across all integrations and AI applications. * Establish and enforce engineering best practices, including CI/CD, testing, documentation, and performance optimization. * Mentor junior engineers and foster a culture of innovation and technical excellence. * Stay current with Salesforce platform updates, AI/ML trends, and data technologies to inform roadmap and strategy. Preferred Qualifications * 7+ years of experience in software engineering, with a strong focus on Salesforce and data-intensive applications. * Proven experience integrating Salesforce with enterprise data platforms and building AI/ML-enabled features. * Hands-on experience with Salesforce Data Cloud and agent frameworks like Agentforce. * Proficiency in Apex, Lightning Components, Salesforce APIs, and data engineering tools Experience with AI/ML platforms (e.g., Azure ML, AWS SageMaker, Einstein AI) and model deployment strategies. * Strong understanding of data architecture, governance, and security. * Excellent communication and stakeholder management skills. * Salesforce certifications and experience with Einstein AI are a plus. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $127,000.00 - $169,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview At Zelis, the Itemized Bill and Clinical Chart Dispute Reviewer role is responsible for the resolution of facility and provider disputes as they relate to itemized bill review and clinical claim reviews. They will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing guidelines as it relates to the Itemized Bill Review (IBR) product and Clinical Chart Review (CCR) product on industry standard coding guidelines and clinical policies, supporting the Office of the Chief Medical Officer in managing disputes related to claim reviews. This position will also be responsible for being a resource for the entire organization regarding IBR and CCR claims. This is a production-based role with production and quality metric goals. What you'll do: Review provider disputes for Itemized Bill Review (IBR) and Clinical Chart Review (CCR) and submit explanation of dispute rationale back to providers based on dispute findings within the designated timeframe to ensure client turnaround times are met. Accountable for daily management of claim dispute volume, adhering to client turnaround time, and department Standard Operating Procedures Serve as subject matter expert for the Expert Claim Review Team on day-to day activities including troubleshooting and review for data accuracy. Serve as a subject matter expert for content and bill reviews and provide support where needed for inquiries and research requests. Create and present education to Expert Claim Review Teams and other departments dispute findings. Research and analysis of content for bill review. Use of strong coding and industry knowledge to create and maintain bill review content, including but not limited CCR Review Guidelines and Templates, Itemized Bill Review Coding guidelines and Dispute Rationales Perform regulatory research from multiple sources to keep abreast of compliance enhancements and additional bill review opportunities. Support for client facing teams as needed relating to client inquiries related to provider disputes. Utilize the most up-to-date approved Zelis medical coding sources for bill review maintenance. Communicate and partner with CMO and members of Expert Claim Review Product and Operations teams regarding important issues and trends. Ensure adherence to quality assurance guidelines. Monitor, research, and summarize trends, coding practices, and regulatory changes. Actively contribute new ideas and support ad hoc projects, including time-sensitive requests. Ensure adherence to quality assurance guidelines. Maintain awareness of and ensure adherence to ZELIS standards regarding privacy. What you'll bring to Zelis 5+ years reviewing and/or auditing itemized bill review and clinical chart review claims preferred Current, active Outpatient Coding Certification required (such as CPC, CCS, or equivalent credentialing). Registered Nurse licensure preferred Bachelor's Degree Preferred in business, healthcare, or technology preferred. Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs Understanding of hospital coding and billing rules Clinical skills to evaluate appropriate Medical Record Coding Experience performing regulatory research from multiple sources, formulating an opinion, and presenting findings in an organized, concise manner. Background and/or understanding of the healthcare industry. Knowledge of National Medicare and Medicaid regulations. Knowledge of payer reimbursement policies. Creative problem-solving skills, leveraging insights and input from other parts of an organization. Consistently demonstrate ability to act and react swiftly to continuous challenges and changes. Excellent analytical skills with data and analytics related solutions. Excellent communication skills. Strong organization and project/process management skills. Strong initiative, self-directed and self-motivation. Good negotiation, problem solving, planning and decision-making skills. Ability to manage projects simultaneously and achieve goals. Excellent follow through, attention to detail, and time management skills. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $71,000.00 - $95,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Lead Implementation Project Manager is responsible for both partnering with the Director of Implementation and working independently/primarily autonomously to ensure smooth implementation of services for new accounts and the installation of expanded services for existing customers. Work with internal and external teams to lead activities, manage timelines and expectations on all assigned projects. What You'll Do: * Drives the initiation, planning, execution, and closeout of multiple complex projects simultaneously. * Partner with and lead internal and external business and technical teams to ensure smooth implementation of new ZELIS accounts, new products and existing accounts needing reimplementation * Direct implementation activities, including but not limited to the management of schedules, resource allocation needs and deliverables * Communicate both internally and externally around the activity and the fulfillment of all requirements per the contract with partners and clients * Collaborate with internal stakeholders to define scope of work in all stages of implementation; noting customizations, routing rules, technical requirements and other business needs identified during the implementation process * Provide project management SME expertise to other PM's and cross-functional stakeholders * Supply project planning, documentation, and cross-functional relationship solutioning to other project managers * Maneuver successfully through ambiguous situations, with no support from leadership and lead the team to an objective deliverable * Assist with the analysis of new accounts and expansions * Provide status reports via defined Zelis application as well as customized reporting as requested and identify and create customized reports per clients' requests * Investigate and develops improvements (proactively) for existing processes; develops new process; identifies new areas of opportunity consistent with strategy, proactively and facilitates the development of solutions * Responsible for creating and presenting with outstanding presentation and communication skills * Partner with Operations to stand up new client sets and/or make changes to existing clients * Partner with Sales and Account Management with implementation activities from kick off to post-production hand off * Establish and maintain standard project plans for any assigned implementation and project work * Work on complex issues requiring in-depth analysis. * Work independently and partners with internal PMO and Operations teams to ensure proper subject matter expertise is available to support implementation process by indirectly setting objectives for all internal and client resources * Provides extensive project management SME expertise to other PMs and cross-functional stakeholders. * Leads all applicable cross-functional teams during implementation process to ensure workflows and processes are defined and executable. * Interacts and collaborates with Adjudication Partners as applicable related to implementation of mutual clients * Maintain awareness of and ensure adherence to ZELIS standards regarding privacy * Domestic travel up to 45% What You'll Bring to Zelis: * Minimum of 8+ years experience in implementation or account management within healthcare. * Experience in presenting work to internal/external stakeholders and professional organizations. * Experience working with a formal PMO tool to input, synthesize and report out * Experience creating project plans, gathering requirements and adhering to project plans/timelines * Proficiency partnering and collaborating with multiple internal & external stakeholders for new vendor implementations * Knowledge of healthcare claims and claim adjudication helpful * PMP Preferred * Green Belt Preferred * Bachelor's degree helpful Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview We are proud to be a leader in the healthcare industry, selling innovative solutions and services to our clients. We offer a competitive and rewarding environment where both your sales skills and effort will drive immediate success as well as long-term career growth. The role combines high velocity sales cycles with a mix of inbound and outbound phone responsibilities to our small, medium, and large customers. We promote a strong work/life balance with a collaborative ramping period to ensure success in hitting revenue goals. What You'll Do Manage inbound sales inquiries as well as outbound leads, offering information about our solutions and services to our prospective customers, guiding them through the sales process Meet/Exceed monthly and quarterly sales targets and KPIs Build and maintain relationships with prospects and partners to ensure high levels of satisfaction and results Utilize CRM to track activities, updates customer information and report back on sales metrics Collaborate with the sales team and other departments to optimize the sales process and achieve collective goals Maintain awareness of and ensure adherence to Zelis Company Policies and Procedures Uphold the Zelis IMPACT Values What You'll Bring to Zelis 0-3 years of experience in provider enrollment, credentialing, or a related healthcare role. Proven experience in sales, with a track record of achieving or exceeding sales targets Excellent communication skills, both verbal and written Strong discovery, negotiation and objection handling skills over the phone Well-built organizational skills as well as resourcefulness and consistency Ability to thrive is a fast-paced, competitive environment Industry healthcare and/or provider office workflow knowledge (preferred not required) Coachability and willingness to learn are a must! Highly motivated Individual Basic computer skills to include, operating in multiple tabs and systems, teams, outlook, basic Windows operating systems (Word, Excel) Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Sr Kubernetes Engineer is a hands-on technical role responsible for designing, building, and operating Zelis' Kubernetes platform(s). This role is central to our cloud modernization efforts and requires deep experience running Kubernetes in production. You will act as the technical authority for Kubernetes, directly contributing to platform architecture, security, reliability, developer experience, and cost optimization. The role is expected to be highly hands-on, including implementation and operational support. The position also offers a future path into people management for those who are interested, though it may remain a primarily technical role. You will partner closely with engineering, security, and infrastructure teams to deliver a secure, scalable, and reliable Kubernetes platform. Key Responsibilities Platform Ownership & Strategy * Architect and operationalize a Kubernetes platform(s) on AWS supporting multi-account, multi-region deployments aligned with AWS Well-Architected principles. * Define platform capabilities including compute autoscaling, pod networking, network policies, load balancing, and storage drivers. * Define paved path container standards and support consumption of those standards. * Lead platform roadmap development and cross-functional alignment with architecture, security, FinOps, and product engineering. Operational Responsibilities * Operating System, Kubelet, CRI & AMI Configuration: Define and own lifecycle management, patching, and performance tuning of worker nodes. * Worker Node Scaling: Design and manage autoscaling groups, node pools, and lifecycle automation. * VPC Configuration: Architect secure and scalable VPCs, subnets, route tables, NAT gateways, and security groups. * EKS Cluster Configuration: Manage cluster-level settings including version upgrades, endpoint access, audit logging, and control plane integrations. * Add-ons Management: Deploy and maintain cluster add-ons such as CoreDNS, kube-proxy, metrics server, and custom controllers. * Policies & Governance: Define and enforce RBAC, network policies, pod security standards, and IAM roles for service accounts. * Quotas & Budgets: Implement resource quotas, tagging strategies, and budget controls to support chargeback models and cost transparency. ️ Operational Excellence * Drive standardization in tooling, automation, patching, and observability across Kubernetes clusters. * Own SLAs, SLOs, incident response playbooks, and platform reliability engineering practices. Developer Enablement * Develop templates and automation to empower developers to build and run Kubernetes platform(s). * Build and maintain reusable service catalog products, CDK with Python, and CI/CD pipelines to support self-service infrastructure provisioning. * Champion developer experience through clear interfaces, documentation, and onboarding support. Cross-Functional Collaboration * Partner with architecture, security, FinOps, DevOps, and product teams to align platform capabilities with business outcomes. * Influence enterprise-wide infrastructure strategy through technical leadership and thought partnership. Qualifications * 10+ years of experience in cloud-native infrastructure, with deep expertise in Kubernetes (e.g., Native, Amazon EKS and Amazon ECS). * Proven track record of designing and operating production-grade Kubernetes platforms in multi-account AWS environments. * Strong proficiency in infrastructure-as-code (CDK with Python), AWS DevOps native CI/CD tooling, and observability stacks (e.g. CloudWatch). * Experience implementing security controls, RBAC, and compliance frameworks (e.g., CIS Benchmarks). * Demonstrated ability to influence technical direction across multiple teams and domains. Preferred Experience * Familiarity with GitOps workflows, and container security. * Exposure to platform engineering and internal developer platforms. * Experience with Azure Kubernetes Service (AKS), Azure Container Apps, Azure Container Instances (ACI), and Azure App Service for Containers is a plus. * Experience in regulated industries (e.g., healthcare, finance) is a plus. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $139,000.00 - $186,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Verification Specialist will assist providers in completing registration and enrollment requirements for direct deposits. This position will work a Monday - Friday shift, from 11:30am - 8:00pm EST. You must be located 50 miles from a Zelis office location. Zelis locations: St Petersburg, FL St Louis, MO Plano, TX Morristown, NJ Boston, MA Shift: 11:30 am - 8:00 pm EST What You'll Do Verify registration and enrollment requests and forms contain all necessary and appropriate information. Review daily reports and data entry forms to identify accounts that need maintenance or verification. Contact clients by phone to collect information needed to verify or update their accounts. Respond to basic questions, by phone or secure mail messages, about specific Zelis products and services. Troubleshoot and resolve customer issues in a professional and timely manner. Adhere to Zelis Payments standards and policies to ensure client privacy. What You'll Bring to Zelis Excellent customer service and soft skills. Strong communication skills, both written and verbal. Attention to detail and good analytical skills. Computer proficiency and technical aptitude. Ability to adapt to change and respond effectively in a fast paced and deadline focused environment. Ability to prioritize tasks to meet deadlines and work within defined SLA's. Ability to utilize MS Office Suite products. Ability to sit for extended periods of time. A standard business environment with moderate noise levels and minimal distractions. Ability to lift and move approximately thirty (30) pounds on a non-routine basis. Associate degree/two years of college, or equivalent work experience, preferred. Thorough knowledge of company and departmental policies and procedures of Zelis optional. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview We are seeking a strategic and experienced Director of Privacy with diverse leadership in Privacy within the Healthcare and/or Financial Services industries. The Director of Privacy will oversee the organization's privacy initiatives, ensuring compliance with relevant laws and regulations, and safeguarding sensitive data. This role involves privacy incident management, policy development, and cross-functional collaboration to maintain and enhance privacy standards. What You'll Do * Lead the development and execution of privacy strategies that ensure organizational compliance and sustainability. * Ensure adherence with applicable privacy laws and regulations, including HIPAA, CCPA, and other pertinent standards * Continuously update and improve privacy policies and procedures to ensure compliance with evolving practices, regulatory requirements, and industry standards. * Conduct thorough risk assessments to identify and mitigate privacy risks across all business operations and functions, implementing proactive measures to safeguard sensitive information. * Design and execute comprehensive privacy training programs and workshops for employees at all levels, fostering a robust culture of privacy awareness and best practices. * Handle all aspects privacy incident response, ensuring timely and effective reporting, remediation, and communication with stakeholders. * Collaborate with internal and external stakeholders, including legal, IT, and business units, to proactively address privacy concerns, implement solutions, and promote cross-functional alignment on privacy matters. What You'll Bring to Zelis * A Bachelor's degree in Business Administration, Technology, Healthcare, or a related field is essential; an advanced degree is highly preferred * A minimum of 10 years of hands-on experience in privacy, data protection, or compliance roles, including at least 5 years in a leadership capacity. This experience should demonstrate the capability to manage extensive privacy programs and handle intricate privacy challenges effectively. * Deep knowledge of privacy laws, regulations, and industry standards is crucial * Exceptional analytical, problem-solving, and decision-making capabilities to navigate the complex landscape of privacy risks and incidents. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $169,000.00 - $225,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Implementation Specialist plays a crucial role in supporting the Implementation Team in delivering effective solutions for healthcare payer clients. This position involves collaborating closely with team members to understand client data and requirements for print fulfillment. The specialist is responsible for configuring the Zelis system to ensure the successful composition and processing of various services, including the delivery of Explanation of Benefits, letters, checks, and ID cards, through both paper and electronic channels. Key responsibilities include assisting in system configuration, identifying and resolving barriers to product implementation, and contributing to team efforts under the guidance of the Manager of Implementation. The ideal candidate will possess an understanding of the customer implementation process, strong problem-solving skills and a commitment to enhancing client satisfaction through effective training and support initiatives. What you will do: Provide software-related custom integration and product implementation support with the goal of successfully moving new Zelis customers to live production status. Apply technology and Zelis product knowledge to address client needs. Learn about the client's technical system, software and current process for print and electronic communications or enrollment materials. Communicate regularly with clients which may include requirements gathering, providing regular status updates and facilitating conference calls. Develop and manage the implementation project plan utilized to track and accomplish project activities. Gather client requirements by collecting current information about client's print and employer groups. Redesign former client communications or enrollment materials using Zelis base format. Keep the Manager informed of activities, alerting of any issues promptly. Customization of the explanation of benefits and checks or ID cards using Zelis standard processes Manage multiple client implementations at a time by utilizing time management skills and task prioritization. Manage ramp up to achieve 100% of customers business on Zelis. Potential client visits, with some travel required. Complete responsibilities with high ethical behavior Follows established HIPAA, Compliance & Security policies. What you will bring: BS or BA degree preferred, Computer Science, Engineering, or other technical degree a plus. 2-3 years in Healthcare Industry experience Previous Customer Service experience Knowledge of healthcare claims communication process, as well as printing aspects of claims communications documents or enrollment materials is a plus. Knowledge of data normalization and integrity with the ability to troubleshoot data transformation workflows Experience working on implementation timelines and managing client rollouts. Ability to communicate technical details to non-technical stakeholders and to translate between client business requirements and technical execution. Strong documentation habits (e.g., mapping documents, implementation guides) Strong cross-functional communication skills to work with product managers, dev teams, and client IT staff. Familiarity with Jira, Confluence, Salesforce, Smartsheet, or similar tools Proficiency with computer and applicable software packages, including Microsoft Office products - Outlook, Word, Excel, Internet and E-mail What makes you stand out Understanding X12 (especially 837/835), custom flat and XML file formats Familiarity with APIs, batch file transfers (SFTP), and integration platforms Ability to map client data formats to internal system schemas. Prior experience leading projects SQL Database experience Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Treasury Manager will be an integral part of expanding a best-in-class Treasury department with a focus on cash forecasting, bank fees, deposit coverage, risk management, management reporting, SOX Controls, and strategic projects. Work with banking partners to implement best in class services. This position requires a highly motivated self-starter who is a quick learner and be hands on with daily cash management oversight, cash forecasting, modeling, and treasury cash functions. You will have the opportunity to evaluate and improve on processes and work on new initiatives and integrations. The successful candidate should be comfortable with balancing multiple competing priorities with targeted opportunity for management promotability. The Zelis Treasury department offers a fast-moving, team-focused, dynamic environment that provides many meaningful opportunities for developing your financial, analytical, and treasury skillset as you help craft the success of Zelis Payments Division. What You'll Do Work with Treasury Operations and FP&A team to oversee and forecast product volume and cash balances. Daily payment activity exceeds $250 million. Responsible for service revenue forecasting including annual plan and quarterly reforecasting. Support management of custodial banking structure. Responsible for establishing cash forecasting goals and KPIs. Develop best-in-class policies, procedures, and controls related to cash activities to comply with internal and external auditing standards. Work cross-functionally and establish strong working relationships with Treasury Operations, Accounting, Financial Planning & Analysis, and Payments Compliance departments. Manage quarterly forecasts, annual plan, and long-range planning for service revenue and banking fees. Bank fee analysis, metrics reporting, and product costing. Responsible for bank compliance reporting and monitoring of compliance deliverables. Work collaboratively within company to identify and implement process improvements and efficiencies. Supports the development and maintenance of various financial institutional relationships. Drive best-in-class financial processes and controls to conform to SOX compliance. Provide supporting documentation and input for treasury related accounting accruals, audits, and special requests. Performs other duties as assigned. What You'll Bring to Zelis Bachelor's Degree in Accounting, Finance, or related field preferred. Master's degree is a plus. Certified Treasury Professional certification preferred. 3-5 years of experience in Treasury, Finance, or Accounting with sufficient experience in cash forecasting and treasury operations; banking operations knowledge helpful. Strong attention to detail and accuracy, with strong organizational skills and the ability to successfully manage multiple competing priorities and responsibilities independently. Intermediate knowledge of bank account structure, services, and pricing Good forecasting and presentation skills. Team player with ability to work effectively with other departments teams, lead project initiatives, and build effective relationships across company. Strong analytical and mathematical skills with the ability to think analytical and critically. Hands-on and self-directed. Experience in cultivating relationships within and outside of the organization, and exerting influence to meet functional objectives. Excellent written and interpersonal communication skills, emphasis on writing, and comprehension, to effectively communicate and interact across all functions and levels. Experience managing staff and nurturing talent. Strong technology software skills: MS Excel (Pivots, VLookup, etc). Comfortable and flexible with multiple priorities in an ever-changing, growth environment. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Senior C# .Net Backend Software Engineer will focus on developing information technology-enabled business solutions that are both scalable and reliable. The Senior Software Engineer will perform and execute all phases of the Software Development Lifecycle including Analysis, Design, Development, and Testing while working in a highly collaborative team environment. Join our team as a Senior C# .Net Backend Software Engineer, where you'll help lead initiatives for continuous improvement, mentor junior engineers, and drive strategies that enhance overall team performance. Position is remote but you must be located within 50 miles of a Zelis location. Zelis locations: * Boston, MA * Morristown, NJ * Atlanta, GA * St Petersburg, FL * Plano, TX * St Louis, MO What You'll do: * Design, develop, and maintain software applications and systems using best practices and industry standards. * Write clean, efficient, and well-documented code. * Participate in code reviews to ensure code quality and adherence to coding standards. * Work closely with product management, quality assurance, and operations teams to understand requirements and deliver high-quality software solutions. * Communicate effectively with team members and stakeholders to provide updates on project progress and address any issues or concerns. * Participate in team meetings, including daily stand-ups, sprint planning, and retrospectives. * Identify and troubleshoot software defects and issues. * Perform root cause analysis and implement solutions to resolve problems. * Continuously improve software performance, reliability, and scalability. * Develop and execute unit tests, integration tests, and automated tests to ensure software quality. * Collaborate with the quality assurance team to identify and resolve defects. * Ensure that software meets functional and non-functional requirements. * Stay current with industry trends, technologies, and best practices in software engineering. * Contribute to the continuous improvement of development processes, tools, and methodologies. * Mentor and support junior engineers, providing guidance and sharing knowledge. What You'll bring to Zelis: Required Experience: * 5+ years software development experience. * Must have C# & .Net development experience. * SQL: Stored procedures, triggers, indexes, and views. * AI - Co-Pilot, ChatGPT, or similar AI platform. * Must have experience and understanding of software development principles, design patterns, and best practices. * Experience with version control systems (e.g., Git). Preferred/Helpful Experience: * Backend: JavaScript, Java, Python or Spring experience helpful. * Front end: Blazor, Angular, or React experience helpful. * Knowledge of NoSQL, WCF, Azure/AWS experience a plus. * Excellent problem-solving and debugging skills. * Knowledge of Agile and Scrum methodologies. * Relevant certifications in software development or related fields are a plus (e.g., AWS Certified Developer, Microsoft Certified: Azure Developer Associate). * SQL: Stored procedures, triggers, indexes, and views. * AI - Co-Pilot, ChatGPT, or similar AI platform. * Must have experience and understanding of software development principles, design patterns, and best practices. * Experience with version control systems (e.g., Git). Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $115,000.00 - $153,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Fraud Manager, Payee Identification and Network Security will report to the Sr. Director that leads Zelis Payments' Fraud and Identity Verification organization (known within Zelis as PINS). As the Fraud Manager, you will be responsible for overseeing fraud detection strategies, leading complex investigations, and enhancing fraud mitigation frameworks to protect the integrity of our payments and provider network. This role will manage a team that investigate suspicious activity and authenticate users on the Zelis payments network by ensuring that these resources are effectively prioritizing their work, removing roadblocks, and maintaining protocols and standard operating procedures. This leader will be highly analytical and proficient in database queries / analysis and can be hands-on in network monitoring activity. Additionally, you must be a skilled communicator with an executive presence, who is able to lead conversations with clients and summarize the teams' activities to leadership. What You'll Do Lead the design and implementation of fraud prevention strategies for payment transaction, ACH enrollment, and provider verification. Oversee fraud investigations, root cause analyses, and escalations, ensuring timely and accurate resolution to mitigate loss. Steps in to resolve elevated issues brought forth by the PINS team; for example, escalations brought by the client services team, requests from partner banks or vendor partners. Analyze fraud patterns and operational data to identify emerging threats, recommend mitigations, working with relevant teams to support change. Effectively oversees the day-to-day operations and activities of the Fraud team; manages productivity and prioritization, helps overcome roadblocks, and monitors progress against team goals and effectively holds frequent 1-on-1's. Cultivate a team of Fraud Analysts and Investigators, providing informal feedback on an ongoing basis and formal feedback in the annual performance review process to identify and develop talent. Writes and maintains PINS-related Policies and Standard Operating Procedures (SOPs), including protocols to investigate suspicious activities; ensures Payments policies and SOPs are aligned with Enterprise Fraud. Ensures alignment across stakeholders for PINS functions (e.g., robust communications process throughout the investigation of a Suspicious Activity, periodic readouts on performance of the Zelis Payments network). A strong sense of accountability and the ability to while working collaboratively across multiple departments supporting projects and initiatives driven by adjacent teams (e.g., Product, IT, Payment Operations, Legal) to enhance fraud prevention processes. Ability to influence others as well as being able to communicate effectively to all stakeholders involved in fraud and suspicious activity events including Legal, Compliance, IT, Product and effected parties (outside stakeholders). Support the development of metrics, reporting and Key Risk Indicators through dashboards, visualizations as well as supporting the development and integration of automations to improve manual processes, improve operating processes and reduce/eliminate gaps. What You'll Bring to Zelis 6+ Years of experience in fraud prevention, investigations, or risk management - preferably in payments, fintech, or healthcare. Proven expertise in fraud detection tools, behavioral analytics, and case management systems. Experience developing fraud rule logic and collaborating with product, engineering, and analytics teams. Knowledge of the principles, processes, procedures, and trends of fraud and fraud prevention. Proven track record of success in leading teams. For example, increased leadership responsibility of departments, people and projects. Strong analytical skills and ability to interpret large data sets to drive insights and decision-making. Exceptional communication and stakeholder managements skills; able to influence across levels presenting findings to executive and leadership teams and maintaining composure in high stakes situations. Sensitivity to confidentiality, demonstrated ability to adhere to Zelis Payments standards regarding privacy. Experience working with behavioral biometrics, device fingerprinting, or other advanced fraud detection technologies. Experience scaling fraud operations or building out programs in a fast-growth or start-up environment. SQL skills/experience is a plus. Relevant certifications a plus (i.e. CFE). Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview At Zelis, the Itemized Bill and Clinical Chart Dispute Reviewer role is responsible for the resolution of facility and provider disputes as they relate to itemized bill review and clinical claim reviews. They will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing guidelines as it relates to the Itemized Bill Review (IBR) product and Clinical Chart Review (CCR) product on industry standard coding guidelines and clinical policies, supporting the Office of the Chief Medical Officer in managing disputes related to claim reviews. This position will also be responsible for being a resource for the entire organization regarding IBR and CCR claims. This is a production-based role with production and quality metric goals. What you'll do: * Review provider disputes for Itemized Bill Review (IBR) and Clinical Chart Review (CCR) and submit explanation of dispute rationale back to providers based on dispute findings within the designated timeframe to ensure client turnaround times are met. * Accountable for daily management of claim dispute volume, adhering to client turnaround time, and department Standard Operating Procedures * Serve as subject matter expert for the Expert Claim Review Team on day-to day activities including troubleshooting and review for data accuracy. * Serve as a subject matter expert for content and bill reviews and provide support where needed for inquiries and research requests. * Create and present education to Expert Claim Review Teams and other departments dispute findings. * Research and analysis of content for bill review. * Use of strong coding and industry knowledge to create and maintain bill review content, including but not limited CCR Review Guidelines and Templates, Itemized Bill Review Coding guidelines and Dispute Rationales * Perform regulatory research from multiple sources to keep abreast of compliance enhancements and additional bill review opportunities. * Support for client facing teams as needed relating to client inquiries related to provider disputes. * Utilize the most up-to-date approved Zelis medical coding sources for bill review maintenance. * Communicate and partner with CMO and members of Expert Claim Review Product and Operations teams regarding important issues and trends. * Ensure adherence to quality assurance guidelines. * Monitor, research, and summarize trends, coding practices, and regulatory changes. * Actively contribute new ideas and support ad hoc projects, including time-sensitive requests. * Ensure adherence to quality assurance guidelines. * Maintain awareness of and ensure adherence to ZELIS standards regarding privacy. What you'll bring to Zelis * 5+ years reviewing and/or auditing itemized bill review and clinical chart review claims preferred * Current, active Outpatient Coding Certification required (such as CPC, CCS, or equivalent credentialing). * Registered Nurse licensure preferred * Bachelor's Degree Preferred in business, healthcare, or technology preferred. * Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers * Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs * Understanding of hospital coding and billing rules * Clinical skills to evaluate appropriate Medical Record Coding * Experience performing regulatory research from multiple sources, formulating an opinion, and presenting findings in an organized, concise manner. * Background and/or understanding of the healthcare industry. * Knowledge of National Medicare and Medicaid regulations. * Knowledge of payer reimbursement policies. * Creative problem-solving skills, leveraging insights and input from other parts of an organization. * Consistently demonstrate ability to act and react swiftly to continuous challenges and changes. * Excellent analytical skills with data and analytics related solutions. * Excellent communication skills. * Strong organization and project/process management skills. * Strong initiative, self-directed and self-motivation. * Good negotiation, problem solving, planning and decision-making skills. * Ability to manage projects simultaneously and achieve goals. * Excellent follow through, attention to detail, and time management skills. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $71,000.00 - $95,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview We are proud to be a leader in the healthcare industry, selling innovative solutions and services to our clients. We offer a competitive and rewarding environment where both your sales skills and effort will drive immediate success as well as long-term career growth. The role combines high velocity sales cycles with a mix of inbound and outbound phone responsibilities to our small, medium, and large customers. We promote a strong work/life balance with a collaborative ramping period to ensure success in hitting revenue goals. What You'll Do * Manage inbound sales inquiries as well as outbound leads, offering information about our solutions and services to our prospective customers, guiding them through the sales process * Meet/Exceed monthly and quarterly sales targets and KPIs * Build and maintain relationships with prospects and partners to ensure high levels of satisfaction and results * Utilize CRM to track activities, updates customer information and report back on sales metrics * Collaborate with the sales team and other departments to optimize the sales process and achieve collective goals * Maintain awareness of and ensure adherence to Zelis Company Policies and Procedures * Uphold the Zelis IMPACT Values What You'll Bring to Zelis * 0-3 years of experience in provider enrollment, credentialing, or a related healthcare role. * Proven experience in sales, with a track record of achieving or exceeding sales targets * Excellent communication skills, both verbal and written * Strong discovery, negotiation and objection handling skills over the phone * Well-built organizational skills as well as resourcefulness and consistency * Ability to thrive is a fast-paced, competitive environment * Industry healthcare and/or provider office workflow knowledge (preferred not required) * Coachability and willingness to learn are a must! * Highly motivated Individual * Basic computer skills to include, operating in multiple tabs and systems, teams, outlook, basic Windows operating systems (Word, Excel) Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview As the Marketing Process Optimization Manager, you will play a critical role in optimizing departmental processes and supporting the operational backbone of our marketing team. You will ensure our tools, workflows, and vendor relationships are running smoothly and efficiently, while also driving adoption of new technologies and best practices. This role requires a proactive, detail-oriented individual who thrives in a collaborative environment and is passionate about operational excellence. MarTech: Partner with internal Marketing stakeholders to implement tools aligned with strategic marketing goals, while maintaining detailed documentation of capabilities, integrations, and AI features to ensure full utilization and informed decision-making. Webinar Management: Oversee the administration and optimization of the marketing webinar platform, ensuring full utilization of its capabilities by the team while supporting event setup and logistical requirements and occasionally hosting webinars. Process & Project Management: Partner on the development and implementation of efficient marketing processes by identifying bottlenecks, designing feedback loops, and driving scalable improvements. Collaborate with teams to understand workflow needs, how to instill Agentic AI and refine cross-functional operations, while serving as the primary administrator of the project management platform-promoting adoption, AI integration, and seamless data flow to enhance team productivity and collaboration. Vendor Management: Maintain Marketing's centralized database of vendors-tracking capabilities, contracts, renewal timelines, and costs-in collaboration with the Marketing Operations Manager, while also supporting the evaluation and onboarding of new partners to meet evolving business needs. Consultative Support & Enablement: Serve as a strategic partner to the Marketing team by guiding them in the effective use of tools, processes, and AI workflows; deliver training to drive adoption and impact, while documenting workflows and insights to scale best practices across the team. Special Projects: Manage and coordinate the internal marketing newsletter by curating content updates, maintaining the subscriber list, and delivering monthly engagement reports, while also leading quarterly education sessions to reinforce Marketing Operations processes and promote team-wide alignment. Additional projects as assigned. What You'll Bring: Experience 7+ years in marketing operations, project management, or a related field 5+ years administering cross-functional marketing or technology projects Skills & Capabilities Strong analytical skills with the ability to turn data into actionable insights Excellent project management and organizational abilities Proficiency in MS Office, project management platforms, and MarTech tools Detail-oriented with the ability to manage multiple priorities and deadlines Effective communicator and collaborator with strong interpersonal skills Deep expertise in stakeholder management, change management, and cross-functional alignment Education & Certifications Bachelor's degree in Marketing, Business, or a related field (preferred) Formal training or certification in project management (e.g., PMP, Agile, etc.) is a strong plus Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $127,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Manager of Payee (Provider) Communications Operations is responsible for the seamless, consistent, and results-driven execution of communications to Zelis Payments' Payee (Provider) customers. He/she will be focused on establishing standards for collateral, continuously improving processes and policies that determine when and how Zelis communicates to Payees, and optimizing tooling (including technical ability to analyze, update, and query databases via SQL, management platforms execute email campaigns). The objective will be to will drive a consistent Zelis experience, provide professional and timely messaging that supports business needs, and ensure internal coordination, including a Payer Communication counterpart and the General Manager of the Provider network. What you'll do: * Develop and implement a communications strategy that aligns with the organization's goals and enhances Payee (Provider) experience * Standardizing processes so communications are timely, consistent, and on brand. Create documentation and training so that stakeholders are aware of Zelis' policies on Payee Communications * Support for execution of communications campaigns (e.g., updating user-facing portals, implementing email communication, print production) * Analytics capabilities to support, maintain, and query our Payee database * Support product development, AI, and automation/self-service initiatives to ensure alignment with Payee Communication strategy * Coordinate real-time communications during outages, emergencies, or critical events, ensuring alignment and updates across key stakeholders * Act as "Voice of the Payee" and review marketing/communication materials to ensure clarity and consistency in messaging * Create internal communications and talking points to support client-facing teams with messaging and elevate the overall client experience. * Respond or help to build responses to Payee client questions and requests in certain situations. Some of these situations may be sensitive and require close coordination with internal legal, compliance, and executive stakeholders * Identify and address client needs and pain points (e.g., voice of the Payee in externally facing training documentation) * Collaborate with Marketing, Sales, and BU leadership to create campaigns around impactful initiatives and ensure alignment of messaging. * Monitor and analyze communications effectiveness and responses to continually improve content and applicability. What you'll bring to Zelis: * Bachelor's degree or equivalent experience required * 5+ years of experience in communications operations, preferably in technology or a modern, fast-paced corporate environment. * Ability to query databases, including SQL, for marketing analytics * Strong writing, formatting, and editing skills. Ability to take complex situations and describe or explain them to non-technical audiences. * Proficiency in Microsoft applications for communications. Proven visual design skills, including adapting content across various platforms. * Strong project management and organizational skills. * Strong relationship building, emotional intelligence and influencing. * Ability to handle multiple priorities, and to interact with various audiences and organizations. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview At Zelis, the DRG Clinical Dispute Reviewer role is responsible for the resolution of facility and provider disputes as they relate to DRG validation. They will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing, analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office of the Chief Medical Officer in managing disputes related to clinical claim reviews. This position is a production-based role with production and quality metric goals. What you'll do: Review provider disputes for DRG Coding and Clinical Validation (MS and APR) Review and submit explanation of dispute rationale back to providers based on dispute findings within the designated timeframe to ensure client turnaround times are met. Accountable for daily management of claim dispute volume, adhering to client turnaround time, and department Standard Operating Procedures Serve as subject matter expert for the Expert Claim Review Team on day-to-day activities including troubleshooting and review for data accuracy. Serve as a subject matter expert for content and bill reviews and provide support where needed for inquiries and research requests. Create and present education to Expert Claim Review Teams and other departments dispute findings. Research and analysis of content for DRG reviews. Use of strong coding and industry knowledge to create and maintain claim review content, including but not limited to DRG Reviewer Rationales, DRG Clinical Validation Policies and Dispute Rationales Perform regulatory research from multiple sources to keep abreast of compliance enhancements and additional bill review opportunities. Support for client facing teams as needed relating to client inquiries related to provider disputes. Utilize the most up-to-date approved Zelis medical coding sources for claim review maintenance. Communicate and partner with CMO and members of Expert Claim Review Product and Operations teams regarding important issues and trends. Ensure adherence to quality assurance guidelines. Monitor, research, and summarize trends, coding practices, and regulatory changes. Actively contribute new ideas and support ad hoc projects, including time-sensitive requests. Ensure adherence to quality assurance guidelines. Maintain awareness of and ensure adherence to ZELIS standards regarding privacy. What you'll bring to Zelis: 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred Current, active Inpatient Coding Certification required (ie. CCS, CIC,RHIA, RHIT, CPC or equivalent credentialing). Registered Nurse licensure preferred Bachelor's Degree Preferred in business, healthcare, or technology preferred. Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs Understanding of hospital coding and billing rules Clinical skills to evaluate appropriate Medical Record Coding Experience performing regulatory research from multiple sources, formulating an opinion, and presenting findings in an organized, concise manner. Background and/or understanding of the healthcare industry. Knowledge of National Medicare and Medicaid regulations. Knowledge of payer reimbursement policies. Creative problem-solving skills, leveraging insights and input from other parts of an organization. Consistently demonstrate ability to act and react swiftly to continuous challenges and changes. Excellent analytical skills with data and analytics related solutions. Excellent communication skills. Strong organization and project/process management skills. Strong initiative, self-directed and self-motivation. Good negotiation, problem solving, planning and decision-making skills. Ability to manage projects simultaneously and achieve goals. Excellent follow through, attention to detail, and time management skills. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $127,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Senior Manager of Specialty Products Operations is a critical leadership role responsible for overseeing niche operational functions tied directly to Zelis' specialty product offerings. This leader ensures exceptional operational execution across areas such as lockbox reconciliation, sworn statements, 1099 processing, ERA/EDI support, and clearinghouse operations. In addition to managing daily operations, this role partners closely with Product teams to align workflows, improve capabilities, and drive continuous enhancement of the specialty product ecosystem. The ideal candidate is a problem solver, a humble learner, and a collaborative leader who can create clarity in complex environments and elevate the experience for clients, partners, and internal teams What you'll do: Specialty Products Leadership Lead and develop teams responsible for specialized operational services, including: Lockbox Reconciliation Operations: Ensure timely and accurate financial reconciliations and posting activities. Sworn Statement Support: Coordinate preparation, validation, and delivery of sworn statements in compliance with regulatory and client requirements. 1099 Tax Services Support: Oversee tax-related transaction processing, inquiry resolution, and service cycle management. EDI/ERA Support: Provide oversight of ERA processing, troubleshooting workflows, and operational alignment supporting product performance. Monitor performance metrics and use data to drive quality, efficiency, and scalability. Identifying root causes and leading continuous improvement initiatives across teams and product workflows. Ensure compliance with internal controls, SOPs, regulatory requirements, and client expectations. Own and manage the Purchase-to-Pay (P2P) process for the team, ensuring compliant purchasing, invoicing, and payment operations. Clearinghouse Operations & Partner Management Serve as the primary operational liaison for clearinghouse partners, managing escalations, inquiries, and overall relationship health. Facilitate cross-functional collaboration to resolve issues impacting transaction flow, data integrity, or service delivery. Maintain accurate documentation of clearinghouse processes, SLAs, and escalation protocols. Ensure strong alignment between operational needs and product strategies by engaging with Product, Technology, and Client-facing teams. Required Skills and Competencies Experience in healthcare payment operations, revenue management, financial services, or similar operational environments. Strong understanding of EDI transactions, particularly Electronic Remittance Advice (ERA) files. Familiarity with lockbox operations, tax services (including 1099 processing), and sworn statement protocols preferred. Leadership & Behavioral Capabilities Demonstrated success leading specialized operational teams and managing complex, cross-functional relationships. Strong problem-solving skills, with the ability to bring clarity to ambiguous situations and drive structured, sustainable solutions. Excellent communication skills with the ability to influence, collaborate, and build trust across teams. Solutions-oriented mindset with a continuous improvement approach. High degree of ownership, accountability, and commitment to developing people and improving processes. What you'll bring to Zelis: Proven experience in healthcare payment operations, revenue management, or financial services. Minimum of 8 years' experience in a customer management role required. 5 + years' experience in a people leadership role. Strong understanding of EDI transactions, particularly Electronic Remittance Advice (ERA) files. Demonstrated ability to lead specialized support teams and manage cross-functional relationships. Excellent communication, problem-solving, and organizational skills. Familiarity with lockbox operations, tax services, and sworn statement protocols is preferred. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts - driving real, measurable results for clients. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview At Zelis, the DRG Clinical Dispute Reviewer role is responsible for the resolution of facility and provider disputes as they relate to DRG validation. They will be responsible for reviewing facility inpatient and outpatient claims for Health Plans and TPA's to ensure adherence to proper coding and billing, analyzing inpatient DRG claims based on industry standard inpatient coding guidelines, and supporting the Office of the Chief Medical Officer in managing disputes related to clinical claim reviews. This position is a production-based role with production and quality metric goals. What you'll do: * Review provider disputes for DRG Coding and Clinical Validation (MS and APR) * Review and submit explanation of dispute rationale back to providers based on dispute findings within the designated timeframe to ensure client turnaround times are met. * Accountable for daily management of claim dispute volume, adhering to client turnaround time, and department Standard Operating Procedures * Serve as subject matter expert for the Expert Claim Review Team on day-to-day activities including troubleshooting and review for data accuracy. * Serve as a subject matter expert for content and bill reviews and provide support where needed for inquiries and research requests. * Create and present education to Expert Claim Review Teams and other departments dispute findings. * Research and analysis of content for DRG reviews. * Use of strong coding and industry knowledge to create and maintain claim review content, including but not limited to DRG Reviewer Rationales, DRG Clinical Validation Policies and Dispute Rationales * Perform regulatory research from multiple sources to keep abreast of compliance enhancements and additional bill review opportunities. * Support for client facing teams as needed relating to client inquiries related to provider disputes. * Utilize the most up-to-date approved Zelis medical coding sources for claim review maintenance. * Communicate and partner with CMO and members of Expert Claim Review Product and Operations teams regarding important issues and trends. * Ensure adherence to quality assurance guidelines. * Monitor, research, and summarize trends, coding practices, and regulatory changes. * Actively contribute new ideas and support ad hoc projects, including time-sensitive requests. * Ensure adherence to quality assurance guidelines. * Maintain awareness of and ensure adherence to ZELIS standards regarding privacy. What you'll bring to Zelis: * 5+ years reviewing and/or auditing ICD-10 CM, MS-DRG and APR-DRG claims preferred * Current, active Inpatient Coding Certification required (ie. CCS, CIC,RHIA, RHIT, CPC or equivalent credentialing). * Registered Nurse licensure preferred * Bachelor's Degree Preferred in business, healthcare, or technology preferred. * Solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers * Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs * Understanding of hospital coding and billing rules * Clinical skills to evaluate appropriate Medical Record Coding * Experience performing regulatory research from multiple sources, formulating an opinion, and presenting findings in an organized, concise manner. * Background and/or understanding of the healthcare industry. * Knowledge of National Medicare and Medicaid regulations. * Knowledge of payer reimbursement policies. * Creative problem-solving skills, leveraging insights and input from other parts of an organization. * Consistently demonstrate ability to act and react swiftly to continuous challenges and changes. * Excellent analytical skills with data and analytics related solutions. * Excellent communication skills. * Strong organization and project/process management skills. * Strong initiative, self-directed and self-motivation. * Good negotiation, problem solving, planning and decision-making skills. * Ability to manage projects simultaneously and achieve goals. * Excellent follow through, attention to detail, and time management skills. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. Base Salary Range $95,000.00 - $127,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage. Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email ***************************. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.