Ops Analyst, DRG

Zelis

Operations Analyst at Zelis providing daily operational support for Expert Claims Review team. Managing claims processes, ensuring client performance, and onboarding new team members with healthcare focus.

Posted 5/20/2026full-timeSt. Petersburg • Florida, Massachusetts, Montana, Texas • 🇺🇸 United StatesJuniorMid-Level💰 $54,000 - $68,400 per yearWebsite

About the role

Key responsibilities & impact

Provide daily operational support to the Expert Claims Review team
Managing the screening and distribution processes of Expert Claim Review Claims
Assist with training and onboarding of new team members
Monitor new client claims post-implementation to ensure high performance per client requirements
Thoroughly understand all ECR clients, business processes, inventory management, file processes, and financial recovery tracking
Accountable for the deployment of resources for the management of daily claims screening, distribution, and referral processes

Requirements

What you’ll need

High School Diploma required
Associate degree preferred
2+ years of experience within the healthcare industry preferred
Solid written & verbal communication skills
Strong prioritizing & organizational skills
Excellent typing/data entry skills
Experience in claim processing, medical billing, or related a plus
Strong working knowledge of Microsoft Office suite as well as Adobe Acrobat

Benefits

Comp & perks

401k plan with employer match
Flexible paid time off
Holidays
Parental leaves
Life and disability insurance
Health benefits including medical, dental, vision, and prescription drug coverage

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

claim processingmedical billingdata entry

Soft Skills

written communicationverbal communicationprioritizingorganizational skills

Certifications

High School DiplomaAssociate degree