With Zelis, an EDI Analyst collects and stores data related to healthcare claim reimbursements, market research, logistics, linguistics, or other behaviors. They bring technical expertise to ensure the quality and accuracy of that data, then process, design and present it in ways to help people, businesses, and organizations make better decisions. Key Responsibilities Eva

The Inpatient DRG Reviewer will be primarily responsible for conducting post service, pre payment and post pay comprehensive inpatient DRG reviews based on industry standard inpatient coding guidelines and rules, evidence based clinical criteria plan, and policy exclusions. Conduct reviews on inpatient DRG claims as they compare with medical records ICD 10 Official Coding

At Zelis, we're seeking a Network Account Manager to spearhead the management of key leased network partner relationships within an assigned portfolio. Your primary focus will be on ensuring client retention, pinpointing growth opportunities, and optimizing revenue streams. Collaborating closely with our VP and Director of Network Solutions, as well as the broader Busines

The UI Architect within the Price Optimization Architecture team, will play a pivotal role in developing groundbreaking solutions utilized by engineers in our Business Unit. The primary objective of the UI Platform is to "expedite UI Application Development," and your dedicated emphasis will be on fulfilling this mission by crafting unique software solutions created speci

The Zelis Data Intelligence team seeks a visionary, engaging, and results oriented leader who seeks a role supporting a rapid growth tech enabled healthcare company. The VP, Engineering will l ead scaling the global data and software engineering team s in managing the foundational enterprise data platform and creat ing tools and frameworks that enhance data collection and