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

The Zelis CCS Division is investing heavily in continuing our transformation into a tech forward provider in this growing marketplace. We are looking for Azure Devops Engineer with proven HANDS ON experience in administering Azure DevOps. As an Azure DevOps Engineer, you will identify end to end DevOps solutions, and leverage best practices & patterns in partnering with m

We are seeking a highly motivated and detail oriented Sr FP&A Analyst to join our Finance team and play a key role in Corporate Finance planning and reporting activities. The Sr FP&A Analyst will collaborate with cross functional teams to analyze financial data, provide insights, and contribute to strategic decision making processes. This role requires a strong analytical

The Zelis Data Intelligence team seeks a visionary, engaging, and results oriented leader to join a rapid growth tech enabled healthcare company. The VP, Data Innovation and Intelligence will evangelize and foster a culture of data and analytics innovation across the organization that leverages our Zelis data assets to enhance our existing products or create new value poo

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

As a Data Architect, you will lead the Claims Cost Solutions (CCS) team in the Architecture and Management of CCS database assets and serve as the primary Data Architect for all projects and tasks. The CCS Data Architect will communicate and work collaboratively with internal application developers, database administrators and project stakeholders for project work, suppor

At Zelis, we're passionate about building software that solves problems. We count on our Site Reliability Engineers (SREs) to empower our users with a rich feature set, high availability, and stellar performance level to pursue their missions. We are searching for someone who brings fresh ideas, demonstrates a unique and informed viewpoint, and enjoys collaborating with a

The Strategic Client Manager (SCM) will serve as primary point of contact for Zelis client s for their assigned book of business . The SCM will manage a strategic book of business comprised of vertically aligned clients and will drive growth for Business Units by achieving annual revenue targets , ensuring client retention, fostering growth with additional products and se

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

The Strategic Client Manager (SCM) will serve as primary point of contact for Zelis client s for their assigned book of business . The SCM will manage a strategic book of business comprised of vertically aligned clients and will drive growth for Business Units by achieving annual revenue targets , ensuring client retention, fostering growth with additional products and se

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