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

1 Maintains and updates the provider, fee schedule, facility rate and/or enrollment databases. 2 .Audits and tests demographic and/or fee schedule data imports. 3. Resolves any discrepancies that may arise through problem solving and interaction with other departments.

Summary of Responsibilities

· Audits and tests demographic and/or fee schedule imports based on work queue assignment.

· Process network and directly contracted demographic conversions.

· Maintain fee schedule crosswalk and network specific base tables used in the demographic conversion process.

· Researches and resolves issues regarding provider data, fee schedules and facility rates originating from various departments and conversion audits.

· Provides on-going database cleanup through various reports, research and phone calls.

· Other duties may be assigned as needed.

Competencies

· Knowledge of MS Office and related applications.

· Demonstrates the ability to learn and utilize Zelis proprietary systems.

· Manage data received in various formats from various sources.

· Proficient knowledge of MS Access and Excel.

· Proficient knowledge of relational databases.

· Familiar with claims repricing logic and provider matching.

Summary of Qualifications

· Bachelor’s Degree with two (2) or three (3) years related experience and/or training or equivalent combination of education and experience

· Detail oriented with strong written and oral communication.

· Excellent analytic and problem-solving skills.

· Proficient with MS Office (Word, Excel and Access), Outlook and Internet, FTP sites and downloading of files.

work environment

• Possesses detail-orientation as well as strong written and oral communication skills.

• Demonstrates self-motivation and the ability to work independently and as a team.

• Demonstrates ability to handle, balance and prioritize workload from various service units and individuals in a fast-paced environment.

• Ability to deal with problems involving a few concrete variables in standardized situations.

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.