of Responsibilities Service requests from providers and consultants regarding issues involving claim inquiries and Client connection escalations Maintain, record, and communicate provider requests within databases Verify and maintain accurate provider demographic information for optimal re pricing Ability to interpret and implement proprietary client access limitations and

Zelis has an opening for a Senior UiPath Developer to be involved in RPA with a focus on Document Understanding. This individual will have an extensive background in spearheading projects that significantly improve operational efficiency and elevate user experiences. In this crucial role, you will lead the charge in discovering, developing, and refining automation solutio

At Zelis, t he Business Analyst Expert Claims Review (ECR) is ultimately responsible for enabling high quality user stories under our ECR product umbrella. This includes Itemized Bill Review, Clinical Chart Review, Dialysis Savings Solution and DRG Validation solutions. In this role, you will work as part of the Product team to facilitate clear and open communication betw

We're seeking an Analytics Manager for PINS (Payee Identification and Network Security) to join our team, reporting to the Senior Director. In this role, you'll lead the PINS analytics team and drive the development of a structured analytics program. Your focus will be on managing ongoing and ad hoc reporting, automation, and operational enhancements for the PINS team, en

The Project Manager, PINS (Payee Identification and Network Security) will report to the Sr Director overseeing Zelis Payments' Fraud, Risk Management, and Identity Verification organization (PINS). The PINS team centrally manages Fraud, Onboarding/Verifications, and Account Servicing for Zelis clients, addressing issues related to account takeover, business identificatio

The Senior Marketing Events Manager is an experienced and strategic event marketing professional responsible for driving the strategy and tactical execution of all facets of how we showcase Zelis content at Industry and Zelis events. This role will also be responsible for building a comprehensive communications strategy for all revenue generating events, in partnership wi

As a valued member of our Inside Sales team, the Provider Enrollment Advisor will be responsible for marketing Zelis Payments' claim payment services to small, medium and large health care providers through various channels; assist Zelis Payments in accomplishing its outreach, relationship, and revenue goals. High velocity sales cycle with a strong partnership with our Pa

Zelis is hiring a Snowflake Data Platform Architect who will be responsible for designing, implementing, and optimizing Snowflake data warehouses and related solutions for an existing Data platform. The ideal candidate will have extensive experience in data architecture, cloud computing, and Snowflake platform capabilities. The Snowflake Platform Architect will be respons

The Platform Architect will be responsible for designing, deploying and maintaining an enterprise wide platform that will be used effectively acrossmultiple internal teams and external trading partners and will ensure successful deployment of features that make it easy and motivating for healthcare consumers to find best fit care when they need it most. The ideal candidat

Ensure availability and performance of high volume system (24/7/365) Performs daily administrative tasks such as working with daily check lists and creating turnover reports. Support all operational aspects of the Zelis payment system, inclusive of monitoring the system to ensure accurate file import and export Troubleshoot files that error out and other production relate

The Inpatient DRG Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official Coding

The Senior Dental Network Recruiter embodies a proactive approach, driven by a passion for achieving results in this performance oriented role. Their primary responsibility involves securing signed contracts with dental providers listed for recruitment within the company. This entails implementing tailored recruitment strategies to meet both individual and divisional obje

At Zelis, we're seeking a Network Account Manager to spearhead the management of key leased network partner relationships within an assigned portfolio. Your primary focus will be on ensuring client retention, pinpointing growth opportunities, and optimizing revenue streams. Collaborating closely with our VP and Director of Network Solutions, as well as the broader Busines

The UI Architect within the Price Optimization Architecture team, will play a pivotal role in developing groundbreaking solutions utilized by engineers in our Business Unit. The primary objective of the UI Platform is to "expedite UI Application Development," and your dedicated emphasis will be on fulfilling this mission by crafting unique software solutions created speci

Maintain in depth knowledge of HR systems and functions to support accurate tracking of associate information and identification of process and system efficiencies. Support configuration of Workday Core HCM, Benefits, Absence, Time Tracking, Performance, Recruiting, Talent, etc. Deep understanding of architectural concepts, issues and trends in the HR solution areas cover