At Zelis we Get Stuff Done. So lets get to it!
A Little About Us
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 driving real measurable results for clients.
A Little About You
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 youve learned along the way. You are more than just your resume; you are a reflection of your achievements the knowledge youve gained and the personal interests that shape who you are.
Position Overview
The Senior Manager of Specialty Support & Clearinghouse Operations is a leadership position responsible for overseeing niche operational support functions and managing strategic clearinghouse relationships. This role ensures the effective execution of specialized services while serving as the primary operational point of contact for clearinghouse partners facilitating issue resolution and continuous improvement.What youll do:
Specialty Services Management
Lead and manage a focused teams responsible for:
Lockbox Reconciliation Operations: Oversee daily reconciliation activities ensuring accuracy and timeliness in financial postings.
Sworn Statement Support: Coordinate the preparation and validation of sworn statements in compliance with regulatory and client requirements.
1099 Tax Services Support: Supervise the processing and support of Tax-related transactions and inquiries.
EDI Support: Provide operational oversight for electronic remittance advice (ERA) processing and troubleshooting.
Monitor performance metrics identify process improvement opportunities and implement best practices across specialty service areas.
Ensure compliance with internal controls Standard Operating Procedures (SOP) regulatory standards and client expectations.
Owns and manages the Purchase-to-Pay (P2P) process for the team ensuring efficient and compliant purchasing invoicing and payment operations aligned with departmental goals.
Clearinghouse Operations Management
Act as the primary operational liaison for clearinghouse partners managing escalations inquiries and relationship health.
Facilitate cross-functional collaboration to resolve clearinghouse-related issues impacting transaction flow data integrity or service delivery.
Maintain documentation of clearinghouse processes escalation protocols and service-level agreements (SLAs).
Partner with internal stakeholders to ensure alignment and responsiveness to clearinghouse needs.
What youll bring to Zelis:
Proven experience in healthcare payment operations revenue management or financial services.
Minimum of 8 years experience in a customer management role required.
5 years experience in a people leadership role.
Strong understanding of EDI transactions particularly Electronic Remittance Advice (ERA) files.
Demonstrated ability to lead specialized support teams and manage cross-functional relationships.
Excellent communication problem-solving and organizational skills.
Familiarity with lockbox operations tax services and sworn statement protocols is preferred.
Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.
Location and Workplace Flexibility
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 employees work locations are based on the needs of the position and determined by the Leadership -office work and activities if applicable vary based on the work and team objectives in accordance with Company policies.
Base Salary Range
$105000.00 - $140000.00At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors including experience education qualifications as well as job-related and industry-related knowledge and skills etc. Base pay is just one part of our Total Rewards package which may also include discretionary bonus plans commissions or other incentives depending on the role.
Zelis full-time associates are eligible for a highly competitive benefits package as well which demonstrates our commitment to our employees health well-being and financial protection. The US-based benefits include a 401k plan with employer match flexible paid time off holidays parental leaves life and disability insurance and health benefits including medical dental vision and prescription drug coverage.
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.
We welcome applicants from all backgrounds and encourage you to apply even if you dont 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.
Accessibility Support
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 .
Disclaimer
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.
Required Experience:
Senior Manager
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