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Operations Analyst, DRG

Zelis Healthcare LLC


Position Overview: • The Operations Analyst will provide daily operational support to the Expert Claims Review team, including the itemized bill review and DRG validation teams. • Responsibilities include reporting, claims management, analysis, client savings identification, digitized...


Fraud Insights Analyst

Zelis Healthcare LLC


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 of our employee's work locations are based on the needs of the position and...


Payee Service Representative

Zelis Healthcare LLC

  • US - MA - Boston

  • July 1, 2024


Position Overview: • The Payee Service Representative supports the delivery of payments to payees on behalf of Zelis Payer clients, spanning registration, verification, and customer support activities. • Key Responsibilities: • Respond to basic questions, by phone or secure mail...


People & Culture Technology Partner Workday

Zelis Healthcare LLC


As a P&C Technology Partner, you will play a vital role to support maintenance and accuracy of associate data, system configuration, operation, and optimization in various areas of Workday including HCM, Benefits, Absence, Time Tracking, Performance, Recruiting, Talent in the fulfillment of...


Globalization Program Manager - Payments Optimization

Zelis Healthcare


Location and Workplace FlexibilityWe 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 of our employee's work locations are based on the needs of the position and...


People & Culture Technology Partner Workday

Zelis Healthcare LLC


As a P&C Technology Partner, you will play a vital role to support maintenance and accuracy of associate data, system configuration, operation, and optimization in various areas of Workday including HCM, Benefits, Absence, Time Tracking, Performance, Recruiting, Talent in the fulfillment of...


People & Culture Technology Partner Workday

Zelis Healthcare LLC


As a P&C Technology Partner, you will play a vital role to support maintenance and accuracy of associate data, system configuration, operation, and optimization in various areas of Workday including HCM, Benefits, Absence, Time Tracking, Performance, Recruiting, Talent in the fulfillment of...


Director, Payments Compliance Oversight Lead

Zelis Healthcare


OVERVIEW: • We are seeking a Director, Payments Compliance Lead to enhance and drive our regulatory compliance management program in the payments business. • This role will be a key contributor in the company's focus on enhancing our regulatory compliance program and strengthening...


Member Advocate

Zelis Healthcare

  • US - MA - Boston

  • July 21, 2024


Position Overview At Zelis, theMember Advocate is a vital role in ensuring service excellence to Zelis clients and their members. • The Member Advocate is proficient in and supports all Preservice Outreach, assignment categories. • This position requires the ability to act independently, to...


Manager Out of Network Post Pay Solutions

Zelis Healthcare LLC


Position Overview • The Manager, Out of Network Post Pay Solutions will be responsible for the training, mentoring and overall supervision of Claims Settlement team members. • This is inclusive of monitoring daily workflows/volumes and production, allocating resources to ensure timeliness...