The primary job responsibility will be service calls and tickets associated with provider-level access to Zelis' products.

The Representative will be tasked with inbound and outbound business-to-business healthcare provider validation and troubleshooting for Provider access-related challenges, such as Multi-Factor Authentication, Passwords, Security Questions, and Admin changes.

The Representative should be a skilled communicator who can articulate processes with clients and be constantly aware of risk.

Responsibilities :

• Verify that change requests, such as Administrator changes and / or security question changes by clients, adhere to established standards.
• Routinely monitors existing accounts and relationships for potential risk exposure to the company and assists leadership in mitigating losses.
• Understand the scope of the services Zelis provides its clients and the threat landscape that may disrupt these services.
• Flags account needing additional information or further review
• Ability to navigate multiple servicing systems for account reviews and client support
• Ability to prioritize tasks to meet deadlines
• It helps to continually define user access policies, standards, roles, and procedures for security, efficiency, and scalability.

Through data gathering and analytics, it also identifies and manages risk, payment, and operations across all components of the customer lifecycle.

• Additional primary duties will be assigned as required.

Experiences / Background :

• Highly analytical and comfortable working within defined SLA's
• Ability to understand and communicate new processes, ability to adapt to change, and respond effectively in a fast-paced and deadline-focused environment
• Proficiency with MS Office Programs, specifically Word, Excel, and Outlook
• Demonstrated commitment to continuous learning via training and self-study, especially in areas related to security and risk.

Excellent verbal communication

• Experienced in reporting and documentation
• Outstanding grammar and writing skills
• Strong telephone and customer service skills
• Experience with tools like JIRA, Jira Service Desk, Atlassian Access, and Confluence is preferred.
• Demonstrated experience with IT controls design and implementation and or troubleshooting is preferred
• High School Diploma, associate degree in Cybersecurity, Information Systems, or Computer Science are preferred
• 1 to 3 years of experience in fraud / risk, information security, or IT is preferred

As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members.

We're Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all.

We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care.

Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.

Commitment to Diversity, Equity,Inclusion, and Belonging

At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work.

We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

Equal Employment Opportunity

Zelis is proud to be an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.

Accessibility Support

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and / or interview process, please email TalentAcquisition@zelis.com

SCAM ALERT : There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams.

This site is secure, and any applications made here are with our legitimate partner. If you're contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare.

We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.

Last updated : 2024-07-10