Zelis is a New Jersey-based healthcare and financial technology company that offers solutions including claims cost management and payments optimization.
At Zelis, we are driven by a singular mission: to modernize healthcare payments through innovative technology solutions. Our team, built by experts in the field, constantly pushes the boundaries to unlock value and evolve with our clients. We prioritize visibility, fostering partnerships that extend and adapt as our clients' needs change. Role Overview. We are seeking a seasoned Sales Executive for our Insights & Empowerment team with generalist ...
Position Overview. The Manager, Out of Network Post Pay Solutions will be responsible for the leadership and continuous development of the ONN post pay team. As the team leader, the Manager will be accountable for exceeding departmental business objectives to drive best in class claim settlement while collaborating with cross functional partners to support our Out of network and Reference Based Pricing products. Essential Duties and Functions. Ma...
As the Principal Response Investigator within the Cyber Defense organization, you will work with a team of highly technical security professionals focused on the continued enhancement of enterprise capabilities tied to responding to cyber security incidents. You will bring strategic vision and technical capability to the team to further enhance and develop the cyber incident response program. You will work on extremely complex problems in which a...
The Marketing Events Manager is an experienced event marketing professional who is responsible for supporting the strategic planning and execution of segment specific events and association memberships, with a specific focus on industry events, tradeshows and sponsorships. In this role, the successful candidate will be strategic, data driven and deliver exceptional execution of event activations. They will also possess a client-centric and relati...
Internal Communications Manager (Remote). At Zelis, the Internal Marketing Team fosters an interconnected associate community guided by a well-integrated, steady sense of purpose. We are consistently and effectively sharing company updates, leading organizational change management, guiding digital content strategy, evolving our communications channels, and elevating corporate giving and community connections - all while keeping the associate expe...
Position Overview. The Network Services Advisor will have responsibility for management of designated leased network partner relationships within an assigned book of business with clear goals on retention, identifying growth opportunity and revenue optimization. Will work with VP and Director, Network Solutions as well as the Business to deliver best-in-class service and provide proactive solutions to maintain positive network relationships. Key ...
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 records QA, and in-depth knowledge of client contractual parameters. What You’ll Do. Managing the screening and distribution processes of Expert Claim Review Claims sup...
Position Overview. The Medicare Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product team to further the company’s goals by researching, analyzing, documenting, and communicating rules, regulations, and procedures pertaining to public and private Medicare/Medicare Advantage payment systems. This position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including institution...
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 records QA, and in-depth knowledge of client contractual parameters. What You’ll Do. Managing the screening and distribution processes of Expert Claim Review Claims sup...
Position Overview. The Medicare Regulatory Pricer Analyst will collaborate with the Zelis Regulatory Pricer Product team to further the company’s goals by researching, analyzing, documenting, and communicating rules, regulations, and procedures pertaining to public and private Medicare/Medicare Advantage payment systems. This position requires an in-depth knowledge of healthcare pricing/reimbursement processes and procedures including institution...
