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

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 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

The Zelis Data Intelligence team seeks a visionary, engaging, and results oriented leader who seeks a role supporting a rapid growth tech enabled healthcare company. The VP, Engineering will l ead scaling the global data and software engineering team s in managing the foundational enterprise data platform and creat ing tools and frameworks that enhance data collection and

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

At Zelis, we're looking for a skilled Technical Writer to join our team as a specialist within our Price Optimization, Claims Editing organization. As a Technical Writer, your main focus will be on creating clear and concise documentation to explain the intricacies of our claims editing processes. Responsibilities include developing and maintaining a library of documentat

Zelis is seeking a passionate and experienced Senior Active Directory Platform Engineer to lead in designing, implementing, and optimizing robust Active Directory solutions. The role involves managing user accounts, security policies, and access controls for stability and scalability. As a crucial contributor to our directory service strategy, you will drive standardizati

The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand (1) the procedures bi

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

The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in

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

Create annual strategic marketing plans to grow Provider Payments business Provide product based, strategic guidance for key marketing decisions. Use competitive intelligence as well as commercial goals to define a strategic roadmap that can address key business challenges and help Zelis win. Develop and manage product's value proposition and asset catalog, and align thos