Zelis is pursuing an aggressive organic and non organic growth strategy focused on providing superior healthcare claim lifecycle solutions to payors, providers and individuals from pre payment through payment. As the company executes its growth strategy, Zelis is currently hiring EDI Analysts . The position will report to an EDI Manager and will work closely with managers

Summary The Client Success Manager will work independently and effectively to manage highly complex health plan clients, ensure their satisfaction and will be responsible for overseeing the project management of client release upgrades from initiation, planning, and execution. Responsible for meeting the specified objectives and requirements set by the client and to posit

With Zelis, an EDI Analyst collects and stores data related to healthcare claim reimbursements, market research, logistics, linguistics, or other behaviors. They bring technical expertise to ensure the quality and accuracy of that data, then process, design and present it in ways to help people, businesses, and organizations make better decisions. Key Responsibilities Eva

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

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

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 VP, Payor Sales is responsible for growing Zelis' Propel and SmartShopper health plan footprint. Focused on prospecting, selling, creating performance designs in Propel and closing contracts negotiating final terms. While subject to change as needed, the geographic focus of this role will be national with a heavy focus on government lines of business. Essential Duties

The Software Engineer Intern position will participate in a small production support developer group in which personal contribution and ambition are highly valued and encouraged. Duties & Responsibilities Work within an agile scrum team in a collaborative, fast paced environment. Collaborate with assigned mentor to solve production support issues. Perform maintenance, sup

We are seeking an energetic and motivated graphic designer who can translate marketing objectives into creative strategies, concepts, illustrations, and designs. The graphic designer will be responsible for producing and managing a wide variety of projects from collateral developments, expressive illustrations, and tradeshow booths to advertising campaigns, as well as dig

Build High level technical design both for Streaming and batch processing systems Design and build reusable components, frameworks and libraries at scale to support analytics data products Perform POCs on new technology, architecture patterns Design and implement product features in collaboration with business and Technology stakeholders Anticipate, identify, and solve is

We are seeking an experienced and highly skilled leader of Identity and Access Management to lead our IAM team. The Director of IAM Engineering will play a critical role in designing, implementing, and maintaining our organization's IAM strategies, policies, and systems. This position requires strong leadership abilities, technical expertise, and a deep understanding of s

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

Work within an agile scrum team in a collaborative, fast paced environment. Develop, test and debug solutions for assigned enhancement projects. Perform maintenance, support, and fix bugs in existing code. Communicate with internal and external peers as well as leadership to demonstrate progress and provide feedback about challenges encountered on assigned projects. Updat

The Director, Dental Recruitment, Network Solutions is responsible for the overall strategy and development of the Zelis dental network providers (current and prospective) in an effort to increase the savings achieved for Zelis clients for existing and new products. This role cultivates the organization's overall direct contracted PPO assets to support multiple products a

As a valued member of our Inside Sales team, you will be responsible for marketing Zelis Payments' claim payment services to small and medium health care providers through various channels; assist Zelis Payments in accomplishing its outreach, relationship, and revenue goals. RESPONSIBILITIES Actively promotes, via phone and other channels, Zelis Payments services to healt