Qureos Mentor

Zelis Healthcare

<div><div>About Us</div><div>
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 &ndash; driving real, measurable results for clients.</div><div></div><div>
Why We Do What We Do</div><div>
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.</div><div></div><div>
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&rsquo; award-winning culture.</div><div></div><div>
Position Overview</div><div></div><div>
Commitment to Diversity, Equity, Inclusion, and Belonging</div><div>
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.</div><div></div><div><br>
Equal Employment Opportunity</div><div>
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.</div><div></div><div><br>
Accessibility Support</div><div>
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 <div>talentacquisition@zelis.com</div>.</div></div>

Quality Assurance Engineer

<div><div>About Us</div><div>
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 &ndash; driving real, measurable results for clients.</div><div></div><div>
Why We Do What We Do</div><div>
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.</div><div></div><div>
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&rsquo; award-winning culture.</div><div></div><div>
Position Overview</div>
The Legal Data Analyst plays a critical role in supporting Zelis Corporate and the Legal Department by ensuring the accurate and timely processing of contract-related data. This role is responsible for maintaining the integrity of contract records within the Zelis contract management system, including verifying proper execution and performing precise data entry. The Analyst will also collaborate closely with the Legal Operations Team on ad hoc projects involving contract data, including data cleanup initiatives, reporting and analytics, system enhancements, and process optimization efforts to improve the accuracy, accessibility, and usability of contract-related information. This role will be located at the Zelis office in Hyderabad, India. If you are a self-directing, strategically thinking, and detail-oriented individual with a get-it-done attitude, come work with us!<div></div><div>
About Us</div><div></div><div><br>
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 &ndash; driving real, measurable results for clients.</div><div></div><div><br>
Why We Do What We Do</div><div></div><div><br>
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.</div><div></div><div><br>
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&rsquo; award-winning culture.</div><div></div><div><br>
Responsibilities:</div><ul><li><div>
Experience managing contract lifecycle processes, including reviewing, analyzing, tracking, and archiving agreements.</div></li><li><div>
Ability to ensure compliance with legal and regulatory requirements through accurate data entry and system updates.</div></li><li><div>
Skilled in maintaining metadata and reporting on contract status, obligations, and renewal timelines.</div></li><li><div>
Strong understanding of legal operations workflows and cross-functional collaboration with legal, procurement, and finance teams.</div></li></ul><ul><li><div>
Summarize contracts and track certain provisions in the contract management system as directed by legal department policies and procedures.</div></li></ul><div>
Skills:</div><ul><li><div>
Expert English drafting and communication skills with a strong proficiency in Microsoft Word.</div></li><li><div>
Comfortable interpreting contract language in English to ensure accurate and contextually appropriate data entry into contract management systems.</div></li><li><div>
Comfortability and experience in Microsoft Excel, ability to manipulate large sets of data.</div></li><li><div>
Proficient in data entry with high accuracy and attention to detail.</div></li><li><div>
Skilled in maintaining data integrity and performing regular audits.</div></li><li><div>
Comfortable working with confidential and sensitive information.</div></li><li><div>
Excellent organizational and time management skills.</div></li></ul><ul><li><div>
Exceptional analytical and communication skills needed for systems management.</div></li><li><div>
High degree of professional ethics and integrity.</div></li></ul><ul><li><div>
Experience following up and keeping internal stakeholders accountable for timelines.</div></li><li><div>
Proficient in using AI tools to efficiently review, analyze, and organize contracts for key terms, risks, and compliance.</div></li></ul><div>
Experiences/Background:</div><ul><li><div>
Education: 3- or 5-year Bachelor of Laws (LLB) degree.</div></li><li><div>
2&ndash;5 years of experience in data entry, systems administration, or legal operations.</div></li><li><div>
Hands-on experience with Contract Lifecycle Management (CLM) tools used by U.S.-based companies.</div></li><li><div>
Proven ability to manage large datasets with a strong focus on data accuracy and integrity.</div></li><li><div>
Experience supporting system upgrades, migrations, and enhancements within legal or operational platforms.</div></li><li><div>
Demonstrated success in creating and maintaining documentation for system processes and workflows.</div></li><li><div>
Familiarity with training team members on system usage, best practices, and process improvements.</div></li><li><div>
History of collaborating with operations and legal teams to optimize workflows and improve efficiency.</div></li><li><div>
Track record of identifying inefficiencies and recommending data or system-driven solutions.</div></li><li><div>
Paralegal certificate or similar legal operations certification preferred but not required.</div></li></ul><div>
Disclaimer</div><div>
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed</div><div></div><div>
Commitment to Diversity, Equity, Inclusion, and Belonging</div><div>
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.</div><div></div><div>
Equal Employment Opportunity</div><div>
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.</div><div></div><div>
Accessibility Support</div><div>
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 <div>talentacquisition@zelis.com</div>.</div><div></div><div>
Commitment to Diversity, Equity, Inclusion, and Belonging</div><div>
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.</div><div></div><div><br>
Equal Employment Opportunity</div><div>
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.</div><div></div><div><br>
Accessibility Support</div><div>
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 <div>talentacquisition@zelis.com</div>.</div></div>

Legal Data Analyst

<div><div>About Us</div><div>
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 &ndash; driving real, measurable results for clients.</div><div></div><div>
Why We Do What We Do</div><div>
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.</div><div></div><div>
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&rsquo; award-winning culture.</div><div></div><div>
Position Overview</div>
The Junior Counsel - Contract Assistant - Sales/Commercial Transactions will be part of the Zelis Sales Legal Team and responsible for providing legal support and advice to the Zelis Sales and Client Management team. This role will work closely with senior management and Zelis Sales to draft, review and complete agreements with clients, such as health plans and self-insured plans, and strategic partnerships that Zelis has with other organizations. This role will assist with a wide variety of sales transactional matters spanning a range of regulatory and policy areas, including, but not limited to federal and state regulation of health insurers, ERISA, and HIPAA privacy and security. This role will be located at the Zelis office in Hyderabad, India and report to the Vice President&mdash;Managing Counsel, Sales and work closely with fellow Sales Legal Team members and other members of the Zelis Enterprise Legal team to provide effective, efficient, and timely legal advice to the Zelis Sales.<div></div><div>
About Us</div><div>
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 &ndash; driving real, measurable results for clients.</div><div></div><div><br>
Why We Do What We Do</div><div>
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.</div><div></div><div><br>
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&rsquo; award-winning culture.</div><div></div><div><br>
OVERVIEW:</div><div>
The Junior Counsel - Contract Assistant - Sales/Commercial Transactions will be part of the Zelis Sales Legal Team and responsible for providing legal support and advice to the Zelis Sales and Client Management team. This role will work closely with senior management and Zelis Sales to draft, review and complete agreements with clients, such as health plans and self-insured plans, and strategic partnerships that Zelis has with other organizations. This role will assist with a wide variety of sales transactional matters spanning a range of regulatory and policy areas, including, but not limited to federal and state regulation of health insurers, ERISA, and HIPAA privacy and security. This role will be located at the Zelis office in Hyderabad, India and report to the Vice President&mdash;Managing Counsel, Sales and work closely with fellow Sales Legal Team members and other members of the Zelis Enterprise Legal team to provide effective, efficient, and timely legal advice to the Zelis Sales.</div><div></div><div><br>
Responsibilities:</div><ul><li><div>
Draft, review, revise and complete a variety of sales contracts and documents, including but not limited to Amendments, Non-Disclosure Agreements, Business Associate Agreements, Master Service Agreements, Statements of Work and Notifications.</div></li><li><div>
Collaborate and assist team members with deal support, including preparing redlines, reviewing customer markups, and compiling contract packages and summaries.</div></li><li><div>
Assist with legal intake and matter management review and research to advance to next stage of process.</div></li><li><div>
Support contract-related queries and provide guidance to sales and client management.</div></li><li><div>
Analyze and advise on various contractual matters and issues.</div></li><li><div>
Collaborate with fellow Sales Legal Team members on process and procedure initiatives, such as contract template updates and management and internal playbooks, samples, and clause libraries.</div></li><li><div>
Conduct research and analysis of various legal issues.</div></li><li><div>
Maintain organized record of pending legal matters and projects and status and next steps.</div></li><li><div>
Manage and prioritize workload to meet Sales and business timing objectives.</div></li><li><div>
Escalate complex legal or business issues to senior counsel as appropriate.</div></li></ul><div></div><div><br>
Skills:</div><ul><li><div>
Expert English drafting and communication skills is a must.</div></li><li><div>
Experience in reviewing and drafting commercial contracts companies based in the United States (both US and India based contracts).</div></li><li><div>
Demonstrated accountability and keen ability to meet aggressive time frames.</div></li><li><div>
Excellent knowledge and understanding of business law and contractual obligations.</div></li><li><div>
Exceptional analytical and communication skills needed for analyzing the risk in agreement.</div></li><li><div>
High degree of professional ethics and integrity.</div></li><li><div>
Demonstrated ability to create legal defensive or proactive strategies.</div></li><li><div>
Experience working with sales teams to close transactions.</div></li><li><div>
Strong proficiency in Microsoft Word and Excel.</div></li><li><div>
Excellent time management and organizational skills.</div></li><li><div>
Excellent interpersonal communication skills.</div></li></ul><div></div><div><br>
Experiences/Background:</div><ul><li><div>
Education: 3- or 5-year Bachelor of Laws (LLB) degree.</div></li><li><div>
7 years of experience drafting/reviewing commercial contracts for a US based company.</div></li><li><div>
3+ years&rsquo; experience as a transactional attorney, with focus on drafting and negotiating agreements. Sales, Technology, Healthcare, Health plans and/or HIPAA experience is preferred.</div></li><li><div>
Experience working with sales teams to close transactions.</div></li><li><div>
Collaborative team player with a professional attitude and strong sense of discretion.</div></li><li><div>
Experience utilizing contract management systems for US based companies.</div></li><li><div>
Experience following up and keeping internal stakeholders accountable for timelines.</div></li></ul><div></div><div><br>
Disclaimer</div><div>
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.</div><div></div><div><br>
Commitment to Diversity, Equity, Inclusion, and Belonging</div><div>
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.</div><div></div><div><br>
Equal Employment Opportunity</div><div>
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.</div><div></div><div><br>
Accessibility Support</div><div>
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 <div>talentacquisition@zelis.com</div>.</div><div></div><div>
Commitment to Diversity, Equity, Inclusion, and Belonging</div><div>
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.</div><div></div><div><br>
Equal Employment Opportunity</div><div>
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.</div><div></div><div><br>
Accessibility Support</div><div>
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 <div>talentacquisition@zelis.com</div>.</div></div>

Junior Counsel - Contract Assistant - Sales/Commercial Transactions

<div><div>About Us</div><div>
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 &ndash; driving real, measurable results for clients.</div><div></div><div>
Why We Do What We Do</div><div>
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.</div><div></div><div>
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&rsquo; award-winning culture.</div><div></div><div>
Position Overview</div><div></div><ul><li>
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</li><li>
Design and implement data model changes that align with warehouse dimensional modeling standards.</li><li>
Proficient in Data Lake, Data Warehouse Concepts and Dimensional Data Model.</li><li>
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.</li><li>
Design and develop SQL stored procedures, functions, views, and triggers.</li><li>
Design, code, test, document and troubleshoot deliverables.</li><li>
Collaborate with others to test and resolve issues with deliverables.</li><li>
Maintain awareness of and ensure adherence to Zelis standards regarding privacy.</li><li>
Create and maintain design documents, source to target mappings, unit test cases, data seeding.</li><li>
Ability to perform data analysis and data quality tests and create audit for the ETLs.</li><li>
Perform continuous integration and deployment using Azure DevOps and Git.</li></ul><div></div><div>
Requirements:</div><ul><li>
2+ years working with a cloud-based ETL tool (DBT preferred).</li><li>
5+ years Microsoft ETL experience with SSIS.</li><li>
5+ Years data engineering experience to include data analysis.</li><li>
3+ years programming SQL objects (procedures, triggers, views, functions) in SQL Server.</li><li>
3+ years of experience optimizing SQL queries.</li></ul><ul><li>
Advanced understanding of T-SQL, indexes, stored procedures, triggers, functions, views, etc.</li><li>
3+ Years designing and implementing dimensional Data Warehouse.</li><li>
Working Knowledge of Azure/AWS Architecture, Data Lake</li><li>
2+ Years of experience using source control software, such as, Git and Azure DevOps, etc.</li><li>
2+ years of experience working with a reporting software, such as, SSRS, Power BI, etc.</li></ul><div></div><div>
Preferred Skills:</div><ul><li>
1+ years designing and developing Azure Data Factory Pipelines.</li><li>
1+ years of Cloud data warehouse experience using Snowflake.</li><li>
2+ Years of experience working with a ticketing system, such as Jira.</li><li>
Business analysis experience to analyze data to write code and drive solutions.</li><li>
Working knowledge of Agile and Confluence.</li><li>
Healthcare and/or Payment processing experience.</li></ul><div></div><div>
Independence/ Accountability:</div><ul><li>
Must be detail oriented.</li><li>
Requires minimal daily supervision.</li><li>
Should be team-oriented and be able to collaborate across teams.</li><li>
Receives detailed instruction on new assignments and determines next steps with guidance.</li><li>
Regularly reviews goals and objectives with supervisor.</li><li>
Demonstrates competence in relevant job responsibilities which allows for increasing level of independence.</li><li>
Ability to manage and prioritize multiple tasks.</li><li>
Ability to work under pressure and meet deadlines.</li></ul><div></div><div>
Problem Solving:</div><ul><li>
Must demonstrate good analytical skills as it relates to data identification and mapping and excellent oral communication skills.</li><li>
Makes logical suggestions of likely causes of problems and independently suggests solutions.</li><li>
Excellent organizational skills are required to prioritize responsibilities, thus completing work in a timely fashion.</li><li>
Outstanding ability to multiplex tasks as required.</li><li>
Excellent project management and/or business analysis skills.</li><li>
Attention to detail and concern for impact is essential.</li></ul><div></div><div>
Commitment to Diversity, Equity, Inclusion, and Belonging</div><div>
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.</div><div></div><div><br>
Equal Employment Opportunity</div><div>
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.</div><div></div><div><br>
Accessibility Support</div><div>
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 <div>talentacquisition@zelis.com</div>.</div></div>

Sr Engineer - Data Engineering

<div><div>About Us</div><div>
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 &ndash; driving real, measurable results for clients.</div><div></div><div>
Why We Do What We Do</div><div>
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.</div><div></div><div>
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&rsquo; award-winning culture.</div><div></div><div>
Position Overview</div><div></div><div><div>
Job Description</div></div><div><div><div><div><div><div><div><div><div><div>
Zelis is looking for a Senior Data Scientist who will collaborate with our analytics and data engineering teams to collect, analyze, and derive insights from company, client, and publicly available data. The ideal candidate must have strong experience in data mining/data analysis/predictive modeling, using a variety of data tools, building, and implementing models, supervised and unsupervised learning, NLP, feature reduction, cluster analysis and creating/running simulations. They must be comfortable working with a wide range of stakeholders and functional teams.</div><div>
Essential Duties and Functions</div><ul><li><div>
Understand the business objective and directly participate in the delivery of data science solutions to solve business problems.</div></li><li><div>
Extract and analyze data: assessing quality, profiling, cleansing, exploratory data analysis and the transformation of large and complex datasets to be utilized for developing the statistical models.</div></li><li><div>
Design and develop different statistical modeling techniques such as regression, classification models, anomaly detection models, clustering models, deep learning models and feature reduction etc. to derive actionable insights.</div></li><li><div>
Build, test, validate models through various relevant methodologies, error metrics and calibration techniques.</div></li><li><div>
Validate the post-production model performance and calculate the ROI</div></li><li><div>
Work with cloud analytic platforms on AWS/ Azure using PySpark, Sagemaker, Snowflake, Azure Synapse Analytics, etc.</div></li><li><div>
Perform multiple tasks and deal with changing deadline requirements. This includes knowing when to escalate issues. Maintain a focused, flexible, organized, proactive and positive behavior and approach.</div></li><li><div>
Monitor the projects of Junior Data Scientists, and mentor and provide them guidance when needed.</div></li><li><div>
Proactively provide recommendations to the business based on the insights derived from data science modeling techniques to resolve business problems.</div></li><li><div>
Communicate data science models&rsquo; complex results and the insights to the non-technical audiences.</div></li><li><div>
Interact with cross-functional technical teams and multiple business stakeholders to support integration of data science solutions into the business processes.</div></li></ul><div></div><div>
Experience, Qualifications, Knowledge, and Skills</div><ul><li><div>
Advanced degree in data science, statistics, computer science, or equivalent with a background in statistics.</div></li><li><div>
Experience with healthcare and/or insurance data is a plus.</div></li><li><div>
Proficiency in SQL, Python/R, NLP and LLM</div></li><li><div>
3-5 years of relevant work experience including 5 years of experience in developing algorithms using data science technologies to evaluate data scenarios and future outcomes.</div></li><li><div>
Competent in machine learning principles and techniques.</div></li><li><div>
Experience with cloud-based data and AI solutions.</div></li><li><div>
Familiarity with collaboration environments (e.g. Jupyter notebooks,gitlab ,github etc)</div></li></ul></div></div></div></div></div></div></div></div></div><div></div><div>
Commitment to Diversity, Equity, Inclusion, and Belonging</div><div>
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.</div><div></div><div><br>
Equal Employment Opportunity</div><div>
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.</div><div></div><div><br>
Accessibility Support</div><div>
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 <div>talentacquisition@zelis.com</div>.</div></div>

Data Scientist

<div><div><div>At Zelis, we Get Stuff Done. So, let&rsquo;s get to it!</div></div><div></div><div><div><br>
A Little About Us</div></div><div><div>
Zelis is modernizing the healthcare financial experience 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 &ndash; driving real, measurable results for clients.</div></div><div></div><div><div><br>
A Little About You</div></div><div><div>
You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.</div></div><div></div><div>
Position Overview</div>
Job Summary:<br>
This position requires an incumbent to analyze healthcare reimbursement contracts and load contract terms between payers and providers in an accurate and timely manner using proprietary software. This position reports to the Manager of Contract Configuration and will collaborate with the programming and development teams in the creation and vetting of calculation methods, database loads, or changes. This position is an internal resource to staff and clients and as such is expected to respond to client issues and cases in a timely manner.<div></div><div>
Duties and Responsibilities:</div><ul><li>
Set up basic contract loads: simple single case agreements (SCAs), basic % of billed charges (BCs), basic % of Medicare, general carve-out codes and basic fee schedule set up.</li><li>
Interpret complex contract terms, analyze reimbursement methodologies, and rate structures (e.g., DRG, APC, CPT/HCPCS, ICD-10).</li><li>
Load, maintain, and audit client contracts within the adjudication system.</li><li>
Validate and test contract configurations for claims pricing accuracy.</li><li>
Maintain fee schedule in contract databases and apply annual escalators for client auto renewals.</li><li>
Link contracts to payer products, update and maintain provider groups within client databases to ensure seamless claims routing.</li><li>
Handles confidential material on a regular basis and is responsible for protecting the confidentiality of such information within the established guidelines of Company and law. (HIPAA Compliance)</li></ul><div></div><div>
Skills and Abilities:</div><div>
Bachelor&rsquo;s Degree or equivalent work experience in Healthcare Revenue Cycle Management/Contracting field</div><div>
Microsoft product proficiency. Must be an intermediate to expert user of Excel</div><div>
Posses strong analytical and math skills</div><ul><li>
Self Motivated and Detail Oriented</li><li>
Effective written and verbal skills, communicate effectively &amp; expresses ideas clearly and succinctly.</li><li>
Develops Self: Seeks opportunities for continuous learning. Modifies behavior in response to feedback. Knows personal strengths and weaknesses and demonstrates ownership for personal development.</li><li>
Drives for Results: Delivers high quality work and attains results. Demonstrates personal drive and pushes self and others for results and quality work. Responds appropriately to urgent situations.</li><li>
Plans and Organizes Effectively: Prioritizes the importance of tasks and goals. Manages time efficiently to accomplish priorities and overcome obstacles.</li><li>
Displays Adaptability: Performs well in high pressure or stressful situations. Works effectively when direction is unclear or rapidly changing. Demonstrates persistence in the face of obstacles.</li></ul><div></div><div><i>
Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.</i></div><div></div><div>
Location and Workplace Flexibility</div><div>
We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.</div><div></div><div><br>
Equal Employment Opportunity<br>
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.<br>
<br>
We welcome applicants from all backgrounds and encourage you to apply even if you don&rsquo;t meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.</div><div></div><div><br>
Accessibility Support<br>
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 <div>TalentAcquisition@zelis.com</div>.</div><div></div><div><br>
Disclaimer</div><div><i>
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.</i></div></div>

Contract Analyst I

<div><div>About Us</div><div>
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 &ndash; driving real, measurable results for clients.</div><div></div><div>
Why We Do What We Do</div><div>
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.</div><div></div><div>
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&rsquo; award-winning culture.</div><div></div><div>
Position Overview</div>
The Buyer is responsible for executing end-to-end procurement activities including requisition approvals, vendor selection, contract management, and commercial negotiations. This role involves floating RFQs/RFPs, analyzing rate cards, managing REQ-PO cycles, and ensuring compliance with procurement policies and statutory regulations. The Buyer collaborates with cross-functional teams to support operational needs, maintain accurate reporting on contracts and purchases, and drive cost optimization. Strong teamwork, attention to detail, and stakeholder management are essential for success in this role.<div></div><ul><li><div>
Review and approve purchase requisitions (REQ) in alignment with budget and policy.</div></li><li><div>
Convert approved requisitions into Purchase Orders (PO) and ensure timely issuance.</div></li><li><div>
Float RFQs (Request for Quotations) and RFPs (Request for Proposals) to qualified vendors.</div></li><li><div>
Conduct rate card analysis to benchmark pricing and optimize cost.</div></li><li><div>
Draft, review, and manage procurement contracts ensuring legal and commercial compliance.</div></li><li><div>
Negotiate commercial terms including payment schedules, delivery timelines, and penalties.</div></li><li><div>
Maintain contract repository and ensure timely renewals and amendments.</div></li><div></div><li><div>
Generate and analyze reports on REQ-PO cycle time, contract status, and vendor performance.</div></li><li><div>
Track savings, cost avoidance, and procurement KPIs.</div></li><li><div>
Present procurement dashboards to management for strategic decision-making.</div></li><div></div><li><div>
Ensure adherence to internal procurement policies and statutory regulations (e.g., GST, MSME norms).</div></li><li><div>
Support internal and external audits with documentation and process transparency.</div></li><div></div><li><div>
Work closely with cross-functional teams including Finance, Legal, Operations, and IT.</div></li><li><div>
Participate in procurement planning and budgeting exercises.</div></li><li><div>
Support team initiatives and contribute to continuous improvement projects.</div></li></ul><div></div><div>
Commitment to Diversity, Equity, Inclusion, and Belonging</div><div>
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.</div><div></div><div><br>
Equal Employment Opportunity</div><div>
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.</div><div></div><div><br>
Accessibility Support</div><div>
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 <div>talentacquisition@zelis.com</div>.</div></div>

Buyer

Join Zelis Healthcare and explore 7   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.