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s o Risk identification and mitigation strategies such as volume decreases, service gaps, changes in client relationships and key advocates. Escalates to key leadership partners and e xecutes on risk mitigation strategies as agreed upon. o Drive s r evenue growth through existing product optimization ; understand s and communicate s Zelis' key differentiators, product stra
Posted Today
Zelis Healthcare, LLC
- Morristown, NJ / Bedminster, NJ
Build High level technical design both for Streaming and batch processing systems Design and build reusable components, frameworks and libraries at scale to support analytics data products Perform POCs on new technology, architecture patterns Design and implement product features in collaboration with business and Technology stakeholders Anticipate, identify, and solve is
Posted Today
Zelis Healthcare, LLC
- Atlanta, GA / St. Petersburg, FL / Morristown, NJ
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
Posted 1 day ago
Zelis Healthcare, LLC
- Morristown, NJ / St. Louis, MO / Boston, MA / 2 more...
Zelis is a leading healthcare IT company dedicated to modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. We are seeking a motivated and detail oriented legal intern to join our legal department for the summer 2024. This internship offers a unique o
Posted 1 day ago
Zelis Healthcare, LLC
- Walnut Shade, MO / Boston, MA / St. Petersburg, FL / 2 more...
Zelis is pursuing an aggressive organic and non organic growth strategy focused on providing superior healthcare claim lifecycle solutions to payors, providers and individuals from pre payment through payment. As the company executes its growth strategy, Zelis is currently hiring EDI Analysts . The position will report to an EDI Manager and will work closely with managers
Posted 2 days ago
Summary The Client Success Manager will work independently and effectively to manage highly complex health plan clients, ensure their satisfaction and will be responsible for overseeing the project management of client release upgrades from initiation, planning, and execution. Responsible for meeting the specified objectives and requirements set by the client and to posit
Posted 2 days ago
Zelis Healthcare, LLC
- St. Petersburg, FL / Boston, MA / Atlanta, GA / 1 more...
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
Posted 2 days ago
Zelis Healthcare, LLC
- Plano, TX / St. Petersburg, FL / Atlanta, GA / 3 more...
The Platform Architect will be responsible for designing, deploying and maintaining an enterprise wide platform that will be used effectively acrossmultiple internal teams and external trading partners and will ensure successful deployment of features that make it easy and motivating for healthcare consumers to find best fit care when they need it most. The ideal candidat
Posted 2 days ago
Zelis Healthcare, LLC
- St. Petersburg, FL / Plano, TX / Boston, MA / 3 more...
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
Posted 2 days ago
Zelis Healthcare, LLC
- Morristown, NJ / Plano, TX / Boston, MA / 3 more...
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
Posted 3 days ago
The VP, Payor Sales is responsible for growing Zelis' Propel and SmartShopper health plan footprint. Focused on prospecting, selling, creating performance designs in Propel and closing contracts negotiating final terms. While subject to change as needed, the geographic focus of this role will be national with a heavy focus on government lines of business. Essential Duties
Posted 3 days ago
Zelis Healthcare, LLC
- St. Louis, MO / St. Petersburg, FL / Atlanta, GA / 2 more...
The Software Engineer Intern position will participate in a small production support developer group in which personal contribution and ambition are highly valued and encouraged. Duties & Responsibilities Work within an agile scrum team in a collaborative, fast paced environment. Collaborate with assigned mentor to solve production support issues. Perform maintenance, sup
Posted 3 days ago
Zelis Healthcare, LLC
- Bedminster, NJ / Boston, MA / St. Petersburg, FL / 3 more...
We are seeking an energetic and motivated graphic designer who can translate marketing objectives into creative strategies, concepts, illustrations, and designs. The graphic designer will be responsible for producing and managing a wide variety of projects from collateral developments, expressive illustrations, and tradeshow booths to advertising campaigns, as well as dig
Posted 3 days ago
Zelis Healthcare, LLC
- Morristown, NJ / St. Louis, MO / Plano, TX / 4 more...
Build High level technical design both for Streaming and batch processing systems Design and build reusable components, frameworks and libraries at scale to support analytics data products Perform POCs on new technology, architecture patterns Design and implement product features in collaboration with business and Technology stakeholders Anticipate, identify, and solve is
Posted 3 days ago
Zelis Healthcare, LLC
- Morristown, NJ / Boston, MA / St. Petersburg, FL / 1 more...
We are seeking an experienced and highly skilled leader of Identity and Access Management to lead our IAM team. The Director of IAM Engineering will play a critical role in designing, implementing, and maintaining our organization's IAM strategies, policies, and systems. This position requires strong leadership abilities, technical expertise, and a deep understanding of s
Posted 3 days ago
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