zelis
Website:
zelis.com
Job details:
About Us
Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.
At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.
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
Quality Assurance - Support Specialist supports client implementations at Zelis by combining healthcare industry knowledge, Zelis product expertise, configuration accuracy, and quality control. The position is responsible for configuring and reviewing payer communication documents and member ID cards, ensuring deliverables meet production standards before clients begin User Acceptance Testing (UAT).
Key responsibilities include managing and tracking implementation tasks through Jira, prioritizing work based on client Go-Live dates and revenue impact, collaborating with Implementation teams on process improvements, and maintaining strict attention to detail when setting up client configurations. The role also requires adherence to HIPAA, Compliance, Security, and departmental policies.
The ideal candidate has a BS/BA in a technical field, 1–3 years of quality control experience, and 3+ years of healthcare industry experience. Knowledge of healthcare claims communications, enrollment materials, document printing processes, web-based applications, and project management tools is important.
In simple terms: This is a healthcare implementation/configuration and quality assurance role focused on accurately setting up client communication products, validating them before UAT, managing implementation work through Jira, and helping ensure successful and timely client go-lives.
Job Description
Key Responsibilities
Apply technology and Zelis product knowledge to assist with addressing client needs.
Design payer communication documents and ID cards.
Accurately inspect finished products to meet production standards before client begins User Acceptance Testing.
Utilize Jira for creating & monitoring tasks and keeping team members informed of progress of assigned tasks.
Maintain strong attention to detail to accurately setup client configurations.
Collaborate with Implementation Team on internal enhancements for efficiencies and cost saving opportunities.
Prioritize assigned tasks based on Go Live Date and revenue, with assistance from
Manager of Implementation.
Follows established HIPAA, Compliance & Security policies, department policies, procedures, work instructions and safety and environmental guidelines.
Required Qualifications
BS or BA degree in Computer Science, Engineering, or other technical degree.
1-3 years’ experience in a quality control environment.
3+ years’ experience working in the Healthcare Industry.
Knowledge of healthcare claims communication process, as well as printing aspects of claims communications documents or enrollment materials.
Ability to understand and utilize web-based applications for project management and client business to business applications.
As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience
and more affordable, transparent care for all. We partner with more than 700 payers,
including the top
5 national health plans, BCBS insurers, regional health plans, TPAs
and self
insured employers, over 4 million providers, and 100 million members,
enabli
ng the healthcare industry to pay for care, with care. Zelis brings adaptive
technology, a deeply ingrained service culture, and a comprehensive navigation
through adjudication and payment platform to manage the complete payment
process.
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.
Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability and require reasonable accommodation with any part of the application and/or interview process, please email talentacquisition@zelis.com.
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