Zelis

Engineer

• Design, develop, test, and maintain enterprise-grade software applications and services using C#, Rust, and related technologies
• Develop and optimize complex SQL queries, stored procedures, and database solutions to support high-volume transaction processing
• Design and implement APIs, data integrations, and services utilizing JSON and modern integration patterns
• Analyze, develop, and support EDI transaction processing, including troubleshooting and enhancement of inbound and outbound data exchanges
• Collaborate with product owners, business analysts, and stakeholders to translate business requirements into technical solutions
• Participate in architecture discussions and contribute to long-term technical strategy and platform modernization efforts
• Ensure application performance, scalability, security, and reliability through best engineering practices
• Conduct code reviews and provide technical mentorship to software engineers and developers
• Support production environments by investigating issues, identifying root causes, and implementing corrective actions that improve system stability, reliability, and performance
• Create and maintain technical documentation, design specifications, and operational procedures
• Work closely with healthcare and benefits subject matter experts to ensure solutions align with industry standards and business requirements

Cost Engineer

Client Services Representative

• Independently lead and facilitate meetings with clients, external partners and internal teams to drive collaboration and resolve operational challenges.
• Communicate the Zelis Payer experience vision to clients and teams, ensuring alignment with organizational goals.
• Guide clients toward optimal product configuration, collaborate to align on delivery timelines and manage each interaction with a solution and service-oriented mindset.
• Serve as a technical expert, offering specialized guidance and solutions to enhance Payer Experience.
• Maintain comprehensive knowledge of Zelis offerings, production fulfillment processes, healthcare enrollment procedures, and payment optimization strategies.
• Apply technical troubleshooting skills to resolve complex issues involving client mapping and data ingestion.
• Advocate for clients across all Zelis departments, assisting with technical aspects of payments and related business needs.
• Deliver training sessions, as needed, to support client success.
• Independently manage daily casework, ensuring timely resolution and continuous progress on long-term milestones across multiple client projects.
• Oversee and update project milestones to support ongoing client success.
• Communicate proactively and thoroughly with Payers, managing the overall service experience.
• Collaborate with cross-functional teams internally and externally to design, develop, test, and deploy client change requests.
• Identify and communicate potential barriers, proposing both immediate and long-term solutions for technical changes.
• Assess business need and associated impact of client-requested work to inform prioritization.
• Analyze complex data sets and business rules to deliver actionable insights that support client objectives.
• Ensure accurate translation of complex data into client-facing materials, demonstrating deep expertise in healthcare industry practices, claims communications, payment processing, and ID card production.

Client Service Specialist

Operations

• Lead, coach, and develop a team of managers responsible for delivering exceptional operational performance and client outcomes.
• Build a high-performing, accountable culture by developing leadership capability, fostering employee engagement, and creating opportunities for growth.
• Partner with executive leadership to develop and execute operational strategies that support business objectives and long-term organizational growth.
• Drive operational excellence through continuous improvement, workflow optimization, process standardization, and scalable solutions.
• Establish and manage key performance indicators (KPIs), service level agreements (SLAs), quality metrics, productivity measures, and operational dashboards to ensure strong business performance.
• Analyze operational trends and performance data to identify opportunities for improvement and proactively address risks.
• Lead organizational change initiatives, including process redesign, technology adoption, and operational transformation efforts.
• Partner closely with Product, Technology, Sales, Finance, and Client Success to improve operational effectiveness and enhance the client experience.
• Serve as an escalation point for complex client issues, ensuring timely resolution while maintaining strong, long-term client relationships.
• Manage workforce planning, capacity planning, and resource allocation to support business growth and operational efficiency.
• Foster a culture of innovation, collaboration, accountability, and continuous improvement across the organization.

Director, Payer Client Operations

Accounts Receivable

• Lead end-to-end AR operations: billing, collections, and cash applications
• Drive cash performance: improve collections, reduce aging and bad debt
• Build and execute a roadmap for automation and process optimization across AR workflows
• Partner with IT and Workday admins to implement systems, integrations, and workflow tools that reduce manual work
• Leverage data and analytics (e.g., dashboards, BI tools) to improve leadership visibility and decision-making
• Apply predictive insights / AI-enabled approaches to prioritize collections and identify risks
• Standardize processes and strengthen controls to ensure accuracy and compliance
• Develop and coach a high-performing team; set clear goals and accountability, including resources in our Global Delivery Center located in India
• Act as a trusted partner to senior leaders and key clients on AR strategy and performance

Director, Accounts Receivable

Advisor

• Manage inbound sales inquiries as well as outbound leads, offering information about our solutions and services to our prospective customers, guiding them through the sales process
• Meet/Exceed monthly and quarterly sales targets and KPIs
• Build and maintain relationships with prospects and partners to ensure high levels of satisfaction and results
• Utilize CRM to track activities, updates customer information and report back on sales metrics
• Collaborate with the sales team and other departments to optimize the sales process and achieve collective goals
• Maintain awareness of and ensure adherence to Zelis Company Policies and Procedures
• Uphold the Zelis IMPACT Values

Provider Enrollment Advisor

Security Engineer

• Lead, mentor, and grow a multi-disciplinary team of engineers, architects, and analysts across IAM and data security domains both in the US and India
• Define team structure, hiring roadmap, and career development frameworks to attract and retain top security engineering talent
• Foster a culture of ownership, continuous learning, and security-first engineering
• Serve as a visible advocate for security engineering practices across engineering and product organizations
• Develop a multi-year IAM and data security roadmap aligned to business growth, M&A integration, and regulatory evolution
• Own the end-to-end IAM strategy covering workforce identity, customer identity (CIAM), privileged access management (PAM), and machine/service identity
• Architect and deliver Zero Trust access models, MFA enforcement, SSO, RBAC/ABAC policies, and identity federation across cloud and on-premises environments
• Drive adoption of modern identity standards including OAuth 2.0, OpenID Connect, SAML, SCIM, and FIDO2/WebAuthn
• Oversee privileged access governance and just-in-time access workflows for production healthcare and financial systems
• Lead the evaluation, selection, and operationalization of IAM platforms (e.g., MFA, IGA, PAM, Non Human Identity etc.)
• Develop and execute a comprehensive data security strategy spanning data classification, data loss prevention (DLP), encryption at rest and in transit, tokenization, and secrets management
• Ensure robust protection of Protected Health Information (PHI) and Personally Identifiable Financial Information (PIFI) across all data stores, pipelines, and APIs
• Lead implementation and enforcement of data access governance, including automated discovery, tagging, and lineage for sensitive data across cloud data lakes and warehouses
• Partner with data engineering and ML teams to embed privacy-by-design and security-by-design principles into data platform architectures
• Ensure IAM and data security controls satisfy HIPAA/HITECH, PCI-DSS, SOC 2 Type II, NIST 800-53, ISO 27001, and state data privacy laws
• Own the IAM and data security sections of audit readiness programs, regulatory examinations, and third-party assessments
• Define metrics, KPIs, and executive dashboards to communicate program health and risk posture to the CISO, CTO, and Board
• Partner with Legal and Privacy teams on data breach response, regulatory notifications, and privacy impact assessments
• Collaborate with Infrastructure, DevOps, and Platform Engineering to embed security controls natively into CI/CD pipelines and cloud infrastructure (IaC)
• Evaluate and manage relationships with security technology vendors, MSSPs, and industry partners
• Represent the organization in industry forums, regulatory engagements, and partner/customer security reviews

Senior Director, Identity Access Management, Data Security Engineering

Full-stack Engineer

• Lead the AIOps strategy and architecture for Zelis Price Business Unit
• Define and implement intelligent operational patterns
• Architect and scale observability capabilities across cloud and application environments
• Drive operational excellence across AWS environments
• Design and implement AIOps capabilities using AI, agents, and agentic workflows
• Lead development of agentic and multi-agent operational solutions
• Build and mature ChatOps capabilities
• Partner with SRE, Cloud Engineering, Infrastructure, Security, and Application teams
• Establish standards for operational telemetry, service-level objectives, alert quality, escalation workflows
• Drive adoption and optimization of observability tools
• Identify opportunities to apply AI to reduce manual operational effort
• Ensure AIOps solutions are implemented with strong governance, security, auditability, and operational trustworthiness
• Create playbooks, standards, reusable patterns, and operating models
• Mentor engineers and operators in modern operations practices

AIOps Lead, Software Engineering

Chief Marketing Officer

• Own the full-funnel journey infrastructure at Zelis
• Architect and operate the marketing automation systems
• Build and govern the systems, models, and measurement frameworks
• Design and operationalize dynamic, multi-channel buyer journeys
• Implement “next best action” logic
• Own the strategy, configuration, and ongoing optimization of HubSpot
• Partner with Data & Analytics and Digital Experience teams
• Own the operational connection between marketing-generated demand and sales action
• Establish and maintain journey-level measurement frameworks
• Lead and develop a high-performing team

Director, Demand Generation Marketing

Director

• Lead a team focused on managing a strategic book of business
• Drive growth for Business Units by achieving annual revenue targets
• Ensure client retention and foster growth with additional products and services
• Develop and nurture critical internal and external relationships
• Manage revenue for assigned team and clients
• Establish regular cadence for review of budgets, forecasts, and product utilization
• Ensure team goals for client renewals & retention are achieved or surpassed
• Enable team to drive revenue growth through existing product optimization
• Manage client fee requests/create opportunities and solutions
• Collaborate within the business to provide OneZelis opportunities
• Ensure team is abreast of regulatory environment and its impact on clients
• Measure high-quality service delivery and client satisfaction metrics

Director, Client Management

Analyst

• Analyze healthcare reimbursement contracts and load contract terms accurately and timely
• Collaborate with programming and development teams for calculation methods
• Respond to client issues and cases in a timely manner
• Set up basic contract loads
• Interpret complex contract terms
• Validate and test contract configurations for claims pricing accuracy
• Maintain fee schedule and annual escalators for client auto renewals

Contract Analyst I

Risk

• Responsible for improving operational visibility, governance alignment, and release-health reporting across enterprise delivery systems
• Partner across Engineering, QA, Release Management, SRE/Incident Management, Platform Operations, and Operational Support
• Focus on operational telemetry synthesis, release-health reporting, and continuous delivery optimization
• Help standardize release-health reporting and operational readiness visibility
• Facilitate operational reviews focused on systemic improvement

Release Health & Delivery Governance Manager

Security Operations

• Manages security operations tasks independently and contributes to the design and implementation of security controls.
• Investigates and mitigates security incidents across the organization.
• Handles hands-on technical work like forensics and incident analysis.
• Supports the team by sharing knowledge, improving processes, and helping shape how we respond to threats.
• Triage alerts, investigate suspicious activity, lead incident response steps, and coordinate containment and recovery efforts.
• Make sure logs and security data are gathered, cleaned, and organized for effective analysis.
• Examine systems, files, logs, and network data to understand security events.
• Mentor newer analysts and assist team members with technical guidance.

Senior Security Operations Center (SOC) Analyst

Data Engineer

• Support and maintain the mission-critical Cost Roll process by ensuring accurate aggregation of healthcare claims data and precise matching of claims to provider demographic data.
• Maintain and monitor data workflows that aggregate healthcare claims data for the Cost Roll process.
• Validate and reconcile claims and provider demographic data to ensure accurate provider matching and data quality.
• Investigate, troubleshoot, and resolve data issues that could impact financial, clinical, and provider management systems.
• Perform data validation, quality checks, and operational support activities to ensure clean and reliable datasets.
• Collaborate with stakeholders to support ongoing data processing, reporting, and operational reliability initiatives.

Data Analyst

• Operate within daily operational data to monitor performance, identify inefficiencies, and surface actionable insights
• Develop, refine, and own KPIs that measure performance across operational workflows, with a strong focus on Pricing Solutions processes
• Establish leading indicators to proactively identify risks, bottlenecks, and performance gaps
• Partner with operations leadership to align KPIs with business objectives and drive accountability
• Develop a deep understanding of end-to-end operational workflows, particularly within Pricing Solutions processes
• Identify breakdowns, inefficiencies, and variation in performance across workflows
• Conduct root cause analysis to diagnose systemic issues impacting cost, quality, and throughput
• Partner with operations teams to design, test, and implement process improvements in real time
• Support continuous improvement efforts using data-driven insights
• Build and maintain dashboards and reporting tools that support daily operational decision-making
• Ensure data is accurate, consistent, and accessible across operational reporting
• Translate complex data into clear, actionable insights for both frontline teams and leadership
• Evolve reporting from descriptive to diagnostic (and where possible, predictive) analytics
• Drive standardization of performance reporting across teams
• Act as a liaison between operations, data/technology teams, and leadership

Cost Engineer

Client Service Specialist

Director, Payer Client Operations

Director, Accounts Receivable

Provider Enrollment Advisor

Senior Director, Identity Access Management, Data Security Engineering

AIOps Lead, Software Engineering

Director, Demand Generation Marketing

Director, Client Management

Director, Accounts Receivable

Contract Analyst I

Release Health & Delivery Governance Manager

Senior Security Operations Center (SOC) Analyst

Data Engineer

Senior Process, Data Analyst