Develop and maintain compliance policies that articulate our legal and contractual requirements and effectively address identified risks. Provide compliance subject matter support to cross functional stakeholders as they design and implement products, features, workflows, tools, etc. Establish a framework to handle the intake and response for external requests from our fi

Develop and oversee a framework for KYC and customer due diligence, including customer risk rating measures to ensure compliance with financial partner expectations and industry practices. Maintain and manage policies, procedures, and requirements, including annual independent assessment. Own the development and execution of risk assessments across products and customers.

The Price Optimization Platform Consolidation Program Manager is responsible for the successful delivery of strategic projects and programs utilizing disciplined project management governance in close collaboration with leadership, cross functional teams, and business partners across the organization. This position assumes end to end accountability for single or multiple

As the Director of Data Center Operations at Zelis, you will be responsible for leading the charge at the intersection of healthcare and finance IT sectors, ensuring the delivery of robust and secure infrastructure services. Your strategic initiatives will focus on the consolidation of our on premises data center infrastructure, optimizing resource utilization and standar

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

Builds and oversees a Zelis enterprise Voice of Client strategy and approach, including Executive and Advisory councils, surveys, Executive sponsor program, and holistic feedback loops Leadership engagement and alignment presents a forward looking picture of Voice of Client and translates insights into actionable recommendations Building cross functional relationships to

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

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

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 primary role of the Assistant Controller is to manage all accounting and finance related functions including, general ledger, internal and external financial reporting, A/P, and special projects for the Price Optimization division. This person is responsible for assisting with the annual audit, budgeting and forecasts, and ad hoc financial analysis. Oversee the annual

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 Client Support Specialist (CSS) serves as the primary point of contact for multiple Zelis Clients post Go Live for processing of Claims Communications, Payments, and/or ID cards. The CSS is responsible for assisting the client with the successful processing of Zelis services, performs day to day functions of managing the account, and makes decisions on how to approach

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

The Senior Event Content 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 with

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