About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview Experienced Financial Planning and Analysis (FP&A) professional with 5+ years of expertise in financial consolidation, budgeting, forecasting, and variance analysis. Skilled in developing financial models, streamlining processes, and providing strategic insights to senior management. Proficient in Microsoft Excel, financial modeling tools, and ERP systems, with a strong understanding of US GAAP. Proven ability to collaborate with cross-functional teams and optimize financial processes, particularly in technology-focused shared services environments. Strong communication skills for presenting complex financial data and making informed business decisions. Key Responsibilities Proficient in Financial Planning and Analysis with a focus on Consolidation, bringing a wealth of experience in consolidating financial data from various entities and business units.Demonstrated expertise in building and optimizing structured processes in collaboration with key Leaders to enhance Financial Planning, Budgeting, and Reporting efficiency.In-depth understanding of Business drivers and the ability to apply this knowledge to streamline and improve Financial processes.Conduct quantitative analysis of Operational and Financial data, providing valuable insights to aid in strategic decision-making.Specialized in performing Financial Budgeting, Forecasting future cash flow, and conducting thorough variance analysis at regular intervals to ensure accurate financial projections.Collaborate with Senior Management to assist in strategic and financial decision-making, presenting key findings and recommendations through well-prepared presentations.Proven ability to work seamlessly with cross-functional teams, providing financial support for various business initiatives.Develop and maintain sophisticated financial models that contribute to informed decision-making processes.Possess a strong background in FP&A with a focus on consolidation, ensuring comprehensive financial insights for the organization's overall success.Participate in process improvement initiatives and identify opportunities to streamline processes. Required EDUCATION AND professional experience: Bachelor’s degree in Finance, Accounting, or a related field5+ years of experience in a similar roleStrong analytical skills with the ability to collect, organize and analyze significant amounts of information with attention to detail and accuracy.Excellent communication skills with the ability to present complex financial information in an understandable manner.Proficiency in Microsoft Excel, Financial Modelling tools, and working knowledge of sophisticated ERP environments. Experience with Workday Financials and/or Adaptive Insights a plusWorking knowledge of US GAAP policies and procedures.Ability to work independently as well as part of a team.Prior experience working in a Shared Services Center preferred, primarily supporting Technology.

Position Overview Zelis is a leading US-based company that operates in Healthcare Information Technology. We have established a Shared Services Center in India to provide Accounting and Financial services to our US-based operations. We are currently seeking a skilled Accountant to join our Shared Services Team in India. The successful candidate will be responsible for maintaining financial records, preparing financial reports, and ensuring compliance with accounting regulations. Key Responsibilities Maintain accurate and up-to-date Financial records for the US operations of Zelis Inc. Prepare and analyze Financial statements and reports for Management. Reconcile Accounts and ensure the accuracy of Financial data. Assist with Budgeting and Forecasting processes. Periodic Bank reconciliations and other General Ledger reconciliations. Prepare Tax returns and ensure compliance with tax regulations including Transfer pricing activities. Collaborate with other departments to ensure accurate Financial reporting and analysis. Participate in process improvement initiatives and identify opportunities to streamline accounting procedures. Provide support for internal and external audits. Ensure timely and accurate closure of the Month-end process. Support with the acquire to retire, order to cash, procure to pay, and record to report processes. Required EDUCATION AND Professional experience: Bachelor's degree in Accounting, Finance, or a related field CPA certification or equivalent preferred Minimum of 3 years of experience in the Accounting field Knowledge of US GAAP and tax regulations Proficiency in Microsoft Excel and working knowledge of sophisticated ERP environments Strong attention to detail and analytical skills Excellent communication and interpersonal skills Ability to work independently and as part of a team Prior experience working in a Shared Services Center preferred Demonstrate a strong work ethic. Work Environment Expectation to work primarily in the Zelis-India office on a regular basis Willingness to work outside of normal business hours as required to collaborate with teams outside of India Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. 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 qualified 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. Show more Show less

Summary Design, develop and implement scalable batch/real time data pipelines (ETLs) to integrate data from a variety of sources into Data Warehouse and Data Lake Design and implement data model changes that align with warehouse dimensional modeling standards. Proficient in Data Lake, Data Warehouse Concepts and Dimensional Data Model. Responsible for maintenance and support of all database environments, design and develop data pipelines, workflow, ETL solutions on both on-prem and cloud-based environments. Design and develop SQL stored procedures, functions, views, and triggers. Design, code, test, document and troubleshoot deliverables. Collaborate with others to test and resolve issues with deliverables. Maintain awareness of and ensure adherence to Zelis standards regarding privacy. Create and maintain Design documents, Source to Target mappings, unit test cases, data seeding. Ability to perform Data Analysis and Data Quality tests and create audit for the ETLs. Perform Continuous Integration and deployment using Azure DevOps and Git. Requirements 3+ Years Microsoft BI Stack (SSIS, SSRS, SSAS) 3+ Years data engineering experience to include data analysis. 3+ years programming SQL objects (procedures, triggers, views, functions) in SQL Server. Experience optimizing SQL queries. Advanced understanding of T-SQL, indexes, stored procedures, triggers, functions, views, etc. Experience designing and implementing Data Warehouse. Working Knowledge of Azure/AWS Architecture, Data Lake Must be detail oriented. Must work under limited supervision. Must demonstrate good analytical skills as it relates to data identification and mapping and excellent oral communication skills. Must be flexible and able to multi-task and be able to work within deadlines; must be team-oriented, but also be able to work independently. Preferred Skills Experience working with an ETL tool (DBT preferred) Working Experience designing and developing Azure/AWS Data Factory Pipelines. Working understanding of Columnar MPP Cloud data warehouse using Snowflake. Working knowledge managing data in the Data Lake. Business analysis experience to analyze data to write code and drive solutions. Working knowledge of: Git, Azure DevOps, Agile, Jira and Confluence. Healthcare and/or Payment processing experience. Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. 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 qualified 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. Show more Show less

About Zelis Zelis is a leading payments company in healthcare, guiding, pricing, explaining, and paying for care on behalf of insurers and their members. We align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. Partnering with 700+ payers, supporting 4 million+ providers and 100 million members across the healthcare industry. About ZDI Zelis Data Intelligence (ZDI) is a centralized data team that partners across Zelis business units to unlock the value of data through intelligence and AI solutions. Our mission is to transform data into a strategic and competitive asset by fostering collaboration and innovation. Enable the democratization and productization of data assets to drive insights and decision-making. Develop new data and product capabilities through advanced analytics and AI-driven solutions. Collaborate closely with business units and enterprise functions to maximize the impact of data. Leverage intelligence solutions to unlock efficiency, transparency, and value across the organization Key Responsibilities Operational Management: Demonstrate ITIL process knowledge in delivering services and proficiency in service management. Manage Service Level Agreements (SLAs) to ensure high standards of service delivery. Plan and manage shifts for team members to ensure 24/7 operational support. Monitor operational performance and implement improvements as necessary. Ensure all operational processes are well-documented and adhered to. Handle Root Cause Analysis (RCA) and continuous improvements effectively Data & Platform Management Manage the collection, storage, and processing of large datasets required for various business operations. Ensure the reliability, efficiency, and security of data platforms. AI & ML Operations Support Collaborate with data scientists and machine learning engineers to develop, test, and optimize AI and ML models for various use cases. Implement monitoring tools and processes to continuously evaluate the performance of AI/ML systems. Optimize AI/ML algorithms and workflows to enhance accuracy, efficiency, and speed. API Support Oversee the development and maintenance of APIs to ensure seamless integration between systems and applications. Ensure APIs are reliable, secure, and scalable to meet business needs. Quality Assurance Support Establish, develop, and implement quality assurance strategies. Oversee testing processes, analyze data, collaborate with cross-functional teams, and drive continuous improvement initiatives. Ensure compliance with industry regulations and internal quality policies. Team Management Lead a team of data and QA engineers and support staff, providing guidance, mentorship, and support to achieve organizational objectives. Foster a collaborative and innovative team environment. Facilitate and enable onboarding, training, and upskilling of junior resources. Qualifications Bachelor’s or Master’s degree in computer science, engineering, or a related field. 5–9 years of experience in operations management, with a focus on data platforms, AI/ML operations, and API support. Strong understanding of AI technologies, machine learning, deep learning, and natural language processing. Experience in project management and agile methodologies. Hands-on experience with cloud platforms such as AWS and Azure, and data warehousing solutions like Snowflake. Understanding of programming languages such as Python, R, or Java, and experience with AI frameworks and libraries such as TensorFlow, PyTorch, or scikit-learn. Knowledge of healthcare industry regulations and compliance requirements is a plus. Strong analytical, problem-solving, and decision-making skills. Strong communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams. Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. 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 qualified 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. Show more Show less

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview As a SOC Analyst at Zelis, you will play a critical role in maintaining the security of our clients' systems and data. You will be responsible for monitoring, analyzing, and responding to security alerts and incidents, ensuring that potential threats are identified and escalated for mitigation in a timely manner Primary Responsibilities Threat Detection: Continuously monitor security alerts and events to identify potential threats and vulnerabilities in Zelis environments. Incident Response: Investigate security incidents, including unauthorized access, malware infections, and data breaches, and take appropriate action to coordinate with NOC and SOC leads to initiate the Major Incident Management process. Key Tools M365 Defender Abnormal Email Security LogRhythm SIEM Sentinel One EDR ExtraHop Reveal NDR Experience And Qualifications To be successful in this role, you should possess the following qualifications and skills: Proven experience in a SOC Analyst role or similar cybersecurity position, with a minimum of 5 years of experience. Proficiency in using LogRhythm SIEM to monitor and analyze security events. Strong understanding of email security solutions and the ability to identify and respond to email-based threats. Experience with reviewing and analyzing network traffic i.e., through Network Detection and Response platforms, such as ExtraHop Reveal. Experience with Endpoint Detection and Response i.e., Sentinel One. Ability to read and analyze network packet captures. Excellent understanding of threat detection and incident response procedures. Strong analytical and problem-solving skills, with the ability to investigate and characterize security events effectively. Understanding of vulnerability assessment and penetration testing tools and methodologies. Strong communication and teamwork skills to collaborate with other IT and security professionals. Knowledge of security best practices, industry standards, and compliance. Ability to maintain detailed incident reports, security procedures, and documentation for compliance and future reference. Stay up to date with the latest security threats, technologies, and industry best practices to improve SOC effectiveness. Work in shifts as part of a 24/7 SOC team to ensure round-the-clock security monitoring and escalation Show more Show less

Job Description As a Senior JavaScript Developer at Zelis, you will play a pivotal role in supporting and enhancing our products built with AppSmith. You will collaborate with cross-functional teams to design, develop, and maintain robust applications that meet our internal needs. Your expertise in JavaScript and low-code development will be crucial in driving our projects to success. Key Responsibilities Develop and Maintain: Create, enhance, and maintain applications using AppSmith and JavaScript. Collaborate: Work closely with product managers, designers, and other developers to deliver high-quality solutions. Optimize: Ensure applications are optimized for performance, scalability, and maintainability. Troubleshoot: Identify and resolve issues, bugs, and performance bottlenecks in a timely manner. Innovate: Stay updated with the latest trends and best practices in JavaScript and low-code development to continuously improve our products. Mentor: Provide guidance and mentorship to junior developers, fostering a culture of learning and growth. Requirements Experience: 3-5 years of professional experience in JavaScript development. AppSmith Expertise: Proven experience with AppSmith or similar low-code platforms. Technical Skills: Strong proficiency in JavaScript, HTML, CSS, and related web technologies. Problem-Solving: Excellent analytical and problem-solving skills with a keen attention to detail. Communication: Strong verbal and written communication skills, with the ability to convey complex technical concepts to non-technical stakeholders. Team Player: Ability to work effectively in a collaborative team environment. Adaptability: Willingness to learn new technologies and adapt to changing project requirements. Preferred Qualifications Frameworks: Experience with modern JavaScript frameworks/libraries such as React, Angular, or Vue.js. Backend Knowledge: Familiarity with Python using flask or FastAPI a plus. Cloud Services: Experience with cloud platforms such as AWS, Azure (Preferred), or Google Cloud. Agile Methodologies: Understanding of Agile development practices and tools. Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. 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 qualified 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. Show more Show less

Key Responsibilities Prioritize and manage complex executive calendars, resolving scheduling conflicts and ensuring optimal time utilization. Coordinate and schedule meetings, conferences, and other engagements with a focus on efficiency and strategic priorities. Manage travel arrangements, including booking flights, accommodations, and ground transportation, while staying within budget constraints. Provide budget support for travel and expense activities, ensuring compliance with financial guidelines. Handle confidential information and sensitive communications with the utmost discretion. Maintain confidentiality in all matters related to executives and the organization. Contribute to the planning of both virtual and in person meetings, training and events; coordinating logistics and providing support. Collaborate with other team members to ensure successful execution of special initiatives. Support the planning & organization of company meetings, events, and all associated logistics. Foster a collaborative environment and share best practices to enhance overall team performance. Prepare and review reports and presentations for senior management, ensuring accuracy and alignment with organizational standards. Assist in creating compelling materials that effectively communicate key messages. Required Experience 5-8 years’ experience as an Executive Assistant Experience supporting senior executives in Technology Exceptional organizational and prioritization skills. Strong attention to detail and the ability to handle multiple tasks simultaneously. Excellent written and verbal communication skills. Proficiency in calendar management tools, travel booking systems, and Microsoft Office Suite. Ability to work with confidential information and maintain an elevated level of professionalism. Previous experience in budget support and project coordination is a plus. Flexibility to match East Coast US hours (8am-4pm EST at least 4 days a week) Preferred Experience Experience in Technology industry Experience with Global companies Zelis is modernizing the healthcare financial experience by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients. 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 qualified 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. Show more Show less

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview Associate lead- Training Collaborate with the US Training Team to deliver facilitated learning related to our business unit • Partner with PGLS team and Product Owners to deliver specialized training sessions focused on product learning, enhancements• Drive Learning interventions as per the schedule and ensure to own the responsibility end to end Role Objectives: Using our materials, deliver impactful learning experiences for new and existing Zelis associates in our Price Optimization business unit. Support and enhance an engaged and impactful associate learning community for both orientation related learning and continuing education. Collaborate on associate training activities including assessment, planning, implementation, evaluation, and revision of department training programs to address learning needs. This is an individual contributor role for the Price Global Learning Services team. Key Responsibilities: Collaborate with the US Training Team to deliver facilitated learning related to our business unit, claims management systems and suite or services and product solutions. Collaborate with team and business stakeholders to develop and maintain a globally accessible catalog of training materials such as handbooks, demonstration models, multimedia visual aids, computer tutorials, and reference workshops. Partner with PGLS team and Product Owners to deliver specialized training sessions focused on product learning, enhancements, workflow changes and continuing education learning based on departmental needs. Collaborate with department leaders and subject matter experts to identify training needs, gaps in operational knowledge, and areas for improvement across the Price Optimization business unit. Conduct engaging onboarding training sessions to educate new employees on product functionality, internal processes, and skill development. Assist with the onboarding process for new hires, providing comprehensive training and support to ensure a smooth transition into their roles. Serve as a resource for ongoing training and development initiatives, staying up to date on industry trends, software updates, and best practices. Collaborate with cross-functional teams to address training-related issues, provide ongoing support, and promote a culture of continuous learning within the organization. Drive Learning interventions as per the schedule and ensure to own the responsibility end to end. Managing learning data, publishing timely reports and Dashboards. Collaborate and partnering with Zelis india Learning team in centralizing all the learning interventions Qualifications: Required: 2- 3 years of training experience in a professional setting within healthcare industry. Desired: Bachelors or equivalent degree (human resources, education, psychology) Desired: Industry-related training preferred for large-scale service teams in contact center or data processing. Desired: Experience with content management, learning management systems required (i.e., Articulate Rise 360, Adobe Captivate, Power Point, WorkDay) Desired: Experience with Salesforce case management, Atlassian Jira & Confluence. Required: Strong organizational and time management skills Required: Written and verbal communication skills, active listening Required: Strong presentation and virtual meeting facilitation experience Desired: Intermediate Office 365 application skills (Word, Excel, PowerPoint, SharePoint, Forms)

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Show more Show less

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview Associate lead- Training Collaborate with the US Training Team to deliver facilitated learning related to our business unit Partner with PGLS team and Product Owners to deliver specialized training sessions focused on product learning, enhancements Drive Learning interventions as per the schedule and ensure to own the responsibility end to end Role Objectives Using our materials, deliver impactful learning experiences for new and existing Zelis associates in our Price Optimization business unit. Support and enhance an engaged and impactful associate learning community for both orientation related learning and continuing education. Collaborate on associate training activities including assessment, planning, implementation, evaluation, and revision of department training programs to address learning needs. This is an individual contributor role for the Price Global Learning Services team. Key Responsibilities Collaborate with the US Training Team to deliver facilitated learning related to our business unit, claims management systems and suite or services and product solutions. Collaborate with team and business stakeholders to develop and maintain a globally accessible catalog of training materials such as handbooks, demonstration models, multimedia visual aids, computer tutorials, and reference workshops. Partner with PGLS team and Product Owners to deliver specialized training sessions focused on product learning, enhancements, workflow changes and continuing education learning based on departmental needs. Collaborate with department leaders and subject matter experts to identify training needs, gaps in operational knowledge, and areas for improvement across the Price Optimization business unit. Conduct engaging onboarding training sessions to educate new employees on product functionality, internal processes, and skill development. Assist with the onboarding process for new hires, providing comprehensive training and support to ensure a smooth transition into their roles. Serve as a resource for ongoing training and development initiatives, staying up to date on industry trends, software updates, and best practices. Collaborate with cross-functional teams to address training-related issues, provide ongoing support, and promote a culture of continuous learning within the organization. Drive Learning interventions as per the schedule and ensure to own the responsibility end to end. Managing learning data, publishing timely reports and Dashboards. Collaborate and partnering with Zelis india Learning team in centralizing all the learning interventions Qualifications Required: 2- 3 years of training experience in a professional setting within healthcare industry. Desired: Bachelors or equivalent degree (human resources, education, psychology) Desired: Industry-related training preferred for large-scale service teams in contact center or data processing. Desired: Experience with content management, learning management systems required (i.e., Articulate Rise 360, Adobe Captivate, Power Point, WorkDay) Desired: Experience with Salesforce case management, Atlassian Jira & Confluence. Required: Strong organizational and time management skills Required: Written and verbal communication skills, active listening Required: Strong presentation and virtual meeting facilitation experience Desired: Intermediate Office 365 application skills (Word, Excel, PowerPoint, SharePoint, Forms) Show more Show less

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview Job Title: QA / ETL Tester Responsibilities: ETL Testing: Develop and implement comprehensive test plans and strategies for ETL processes, ensuring data accuracy, consistency, and completeness in the data warehouse. Data Validation: Validate data at various stages of the ETL process, including data extraction, transformation, and loading, to ensure the integrity of the data warehouse. Test Automation: Design, develop, and maintain automated test scripts and frameworks to streamline testing processes and enhance efficiency. Regression Testing: Conduct thorough regression testing to identify and mitigate any potential issues or bugs introduced during the development process. Performance Testing: Perform performance testing to assess the responsiveness, scalability, and stability of ETL processes and data pipelines, collaborating with the development team to optimize performance. Collaboration: Work closely with data engineers, data analysts, and other stakeholders to understand project requirements, identify potential risks, and provide QA insights throughout the development lifecycle. Documentation: Create detailed test cases, test reports, and documentation to facilitate effective communication and knowledge sharing within the team. Data Warehouse Concepts: Apply knowledge of dimensional modeling and data warehouse concepts, such as star schemas, snowflakes, dimensions, and facts, in the testing process. Sign-offs: Ensure all sign-offs on deliverables (overall test strategy, test plan, test cases) and that testing meets governance requirements. Quality Assurance: Ensure the quality of work and the work of the entire development team. Data Analysis: Write and execute queries to validate data and troubleshoot erroneous results, logging defects, and working with the development team to resolve software-related defects. Technical Skills: ETL Tools: Experience with ETL tools and frameworks, preferably with Azure Data Factory and DBT. Cloud Platforms: Proficiency in using Snowflake for data warehousing. API Testing: Experience with API testing tools such as Postman, SoapUI, or similar. SQL and Scripting: Proficiency in SQL and scripting for data validation and test case data comparison. Automation: Experience in test automation using tools like Selenium WebDriver, pytest, or similar. Agile/Scrum: Understanding of Agile/Scrum development principles. Data Integration: Knowledge of data integration techniques and best practices. Requirements: Bachelor's degree in Computer Science, Engineering, or a related field. 5-8 years of experience in quality assurance, with a focus on ETL and data warehousing. Strong proficiency in SQL and experience with data warehousing concepts. Experience with cloud data platforms, preferably Snowflake. Familiarity with ETL tools like Azure Data Factory and DBT. Knowledge of software testing best practices, methodologies, and tools. Excellent analytical and problem-solving skills, with the ability to troubleshoot complex issues and provide effective solutions. Strong communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams and stakeholders. Experience or familiarity with healthcare domain concepts and regulations is a plus.

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview Job Title: QA / ETL Tester Responsibilities ETL Testing: Develop and implement comprehensive test plans and strategies for ETL processes, ensuring data accuracy, consistency, and completeness in the data warehouse. Data Validation: Validate data at various stages of the ETL process, including data extraction, transformation, and loading, to ensure the integrity of the data warehouse. Test Automation: Design, develop, and maintain automated test scripts and frameworks to streamline testing processes and enhance efficiency. Regression Testing: Conduct thorough regression testing to identify and mitigate any potential issues or bugs introduced during the development process. Performance Testing: Perform performance testing to assess the responsiveness, scalability, and stability of ETL processes and data pipelines, collaborating with the development team to optimize performance. Collaboration: Work closely with data engineers, data analysts, and other stakeholders to understand project requirements, identify potential risks, and provide QA insights throughout the development lifecycle. Documentation: Create detailed test cases, test reports, and documentation to facilitate effective communication and knowledge sharing within the team. Data Warehouse Concepts: Apply knowledge of dimensional modeling and data warehouse concepts, such as star schemas, snowflakes, dimensions, and facts, in the testing process. Sign-offs: Ensure all sign-offs on deliverables (overall test strategy, test plan, test cases) and that testing meets governance requirements. Quality Assurance: Ensure the quality of work and the work of the entire development team. Data Analysis: Write and execute queries to validate data and troubleshoot erroneous results, logging defects, and working with the development team to resolve software-related defects. Technical Skills ETL Tools: Experience with ETL tools and frameworks, preferably with Azure Data Factory and DBT. Cloud Platforms: Proficiency in using Snowflake for data warehousing. API Testing: Experience with API testing tools such as Postman, SoapUI, or similar. SQL and Scripting: Proficiency in SQL and scripting for data validation and test case data comparison. Automation: Experience in test automation using tools like Selenium WebDriver, pytest, or similar. Agile/Scrum: Understanding of Agile/Scrum development principles. Data Integration: Knowledge of data integration techniques and best practices. Requirements Bachelor's degree in Computer Science, Engineering, or a related field. 5-8 years of experience in quality assurance, with a focus on ETL and data warehousing. Strong proficiency in SQL and experience with data warehousing concepts. Experience with cloud data platforms, preferably Snowflake. Familiarity with ETL tools like Azure Data Factory and DBT. Knowledge of software testing best practices, methodologies, and tools. Excellent analytical and problem-solving skills, with the ability to troubleshoot complex issues and provide effective solutions. Strong communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams and stakeholders. Experience or familiarity with healthcare domain concepts and regulations is a plus. Show more Show less

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview The Certified Claim Editing Resolution Analyst II will be responsible for reviewing and researching medical records for complex, multi-specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Claim Editing Resolution Analyst II is responsible for processing, validating, routing, and responding to mid-level complex incoming Client and Provider corrected claims, disputes and inquires. Research medical records for complex and multi-specialty provider claims with the objective of determining appropriately coded billed services when compared to the Zelis Claim Edits Product and to maintain the editing product integrity Review and resolve complex inquiries up to identified targeted edit savings on corrected claims, disputes and edit validation as a team resource to retain savings. Identify any update information on the corrected claims, disputes and edit validation submitted by Clients and Providers to ensure any updates to coding, pricing, and any other data fields in system. Contributes towards the daily identification and retention of additional Client savings in high volume claim environment driving monthly, quarterly additional revenue gains for Zelis. Monitor turnaround time to ensure timely processing of claims in accordance with Client’s Service Level Agreement (SLA) to ensure compliance and prevent negative financial impact. Act as a resource to identify edit discrepancies based on coding guidelines and Zelis processes to make recommendations for the modifications to the Operations and Product teams. Communicate and collaborate with internal colleagues to obtain and provide the appropriate content for Client and Provider inquiries Consistently demonstrate knowledge and understanding of Zelis Editing Product by utilizing current edit logic and coding guidelines to apply to the Claims Editing review determination Utilize industry standard tools and coding guidelines (including but not limited to AMA, CMS, and Zelis Internal Manuals) PROFESSIONAL EXPERIENCE: 3+ years of relevant experience or equivalent combination of education & work within healthcare payer or provider. Certified coder (CCS, CCS-P or CPC), or RN, LPN with coding certification is required. Knowledge of healthcare reimbursement policies, state and federal regulations and applicable industry standards. Knowledge of correct coding and industry standard claim adjudication guidelines and policies. Ability to translate coding and adjudication guidelines, policies, and references into edit policies and rules. Excellent verbal & written communication skills with project management experience Proficient in Microsoft Office suite (Word, Excel, Power Point etc.) EDUCATION: Current active CPC or CCS or equivalent credentials required Associate degree preferred

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview Job Posting Title Job Posting Title Senior Lead Engineer Job Description Summary Job Description Summary The Lead Engineer, AWS, is responsible for leading the design, implementation, and maintenance of cloud infrastructure and services on Amazon Web Services (AWS). This role requires a deep understanding of AWS services, cloud architecture, and best practices to ensure the delivery of reliable, scalable, and secure cloud solutions. The Lead Engineer will work closely with cross-functional teams, including developers, DevOps, and security, to support the organization's cloud strategy and objectives. Job Description Job Description Key Responsibilities Design and implement scalable, resilient, and secure cloud architectures using AWS services. Develop and maintain architectural blueprints and technical documentation. Leverage IaaC processes using tools like AWS CloudFormation, Terraform, and Ansible. Implement CI/CD pipelines to streamline application deployments. Leverage GenAI tools (copilot) for code reviews, adherence to best practices and standards. Stay current with the latest AWS services, features, and best practices. Qualifications Bachelor's degree in Computer Science, Information Technology, or a related field. Minimum of 8-12 years of experience in cloud engineering, with a focus on AWS. Proficiency in AWS services, including EC2, S3, RDS, Lambda, VPC, IAM, CloudFormation etc. Strong scripting and programming skills (e.g., Python, Bash, JavaScript). Certifications AWS Certified Solutions Architect, AWS Certified DevOps Engineer, or other relevant AWS certifications are highly desirable. Experience with containerization and orchestration technologies (e.g., Docker, Kubernetes). DevSecOps practices and tools.

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview We are seeking a Full Stack Developer with 5+ years of hands-on experience in Angular and .NET Core/.NET 6+ to join our team. Strong experience with Angular (10 and above) including RxJS, NgRx (preferred), and Angular Material. Proficiency in C#, ASP.NET Core, .NET 6+, Entity Framework Core. Experience in REST API development and integration. Knowledge of SQL Server and writing optimized queries/stored procedures. Hands-on with HTML5, CSS3, SCSS, JavaScript, TypeScript. Familiarity with Git, CI/CD pipelines, and deployment tools. Strong understanding of software development lifecycle (SDLC) and Agile methodologies.

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Show more Show less

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Position Overview The Nurse Reviewer will be primarily responsible for conducting post-service, pre-payment in-depth claim reviews based on accepted medical necessity guidelines, billing and coding rules, plan policy exclusions, and clinical or payment errors/overpayments. Conduct review of facility and outpatient bills as it compares with medical records and coverage policies. Conduct prompt claim review to support internal inventory management to achieve greatest possible savings for clients. Key Responsibilities Review itemized bill for medical appropriateness and billing inconsistencies by performing a line by line clinical review of claim. Complete preliminary review of itemized bill and request medical records as needed to verify audit findings. Document all aspect of audits including uploading all provider communications, clinical and/or financial research. Submit Explanation of Audit to providers based on audit findings and secure a corrected claim or Letter of Agreement based on audit findings and financial benchmarks. Research new/ unfamiliar surgical procedures as needed via web, and other research tools provided and recommend claims for Peer Review. Research specialty items including high-cost pharmaceutical and implants products utilizing all applicable tools and software, for medical appropriateness. Accountable for daily management of assigned claims, maintain claim report adhering to client turnaround time, and department Standard Operating Procedures. Prepare audit summaries as required based on audit results or by client request. Maintain personal production and savings quota. Recommend new methods to improve departmental procedures. Maintain awareness of and ensure adherence to Zelis standards regarding privacy. Job Requirements Technical Skills / Knowledge: Demonstrates solid understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers. Proficiency in training techniques aimed at conveying subject matter expertise and scaling staff to maximize savings and revenue. Computer proficiency and technical aptitude with the ability to utilize clinical resources like EncoderPro, Micromedex, Clinical Pharmacology, Milliman Care Guidelines/Interqual. Ability to navigate several webpages at one time and utilize other audit software and tools like MS Office Suite. Thorough knowledge of company and departmental policies and procedures. Independence/ Accountability Maintain personal production and savings quota Requires minimal daily supervision Regularly reviews goals and objectives with supervisor Achieve personal production goals and savings quotas Ability to follow detailed instructions on new assignments Accountable to day to day tasks Professional manner and respect the confidentiality of administrative matters and files Ability to manage and prioritize multiple tasks Ability to work under pressure and meet deadlines Problem Solving Makes logical suggestions as to likely causes of problems and independently recommends solutions Excellent organizational skills are required to prioritize responsibilities, thus completing work in a timely fashion Outstanding ability to multiplex tasks as required Excellent project management skills Attention to detail and concern for impact is essential Excellent communication and presentation skills to effectively interface with the entire staff, and external representatives from the business, financial, legal and scientific communities. Professional Experience RN required Payment and/or Revenue Integrity experience preferred. Experience and working knowledge of Health Insurance, Medicare guidelines and various healthcare programs. Demonstrates expert understanding of audit techniques, identification of revenue opportunities and financial negotiation with providers. 3-5 years of auditing, claims, review and/or billing experience with a health care organization required Understanding of hospital coding and billing rules. Demonstrates solid understanding of audit techniques. Excellent written and verbal communication skills. Highly organized with attention to detail. Working knowledge of Health Insurance, Medicare guidelines and various healthcare programs. Clinical skills to evaluate appropriate Medical Record Coding. Leadership Activities Provides guidance to lower level personnel. Regularly attends meetings and leads training sessions. Must be proactive to ensure proper follow up and completion of projects. Must maintain a professional demeanor in sensitive situations. Assists other departments as necessary. Communication Skills Must work well with others. Effectively communicate with others by giving and receiving feedback. Communicates ideas and information clearly. Must have excellent communication and presentation skills to effectively interface with the entire staff, and external representatives from the business, financial, legal and scientific communities. Show more Show less

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Show more Show less

About Us Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients. Why We Do What We Do In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system. Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. Show more Show less