Job Information
Zelis Senior Carrier Relations Specialist-1 in United States
S u mma r y of R e s p o n s i b i l iti es
New Source Data Collection Efforts
Work with internal team to understand project requirements
Initiate and continue outreach with health plans until data is collected to the client’s specifications
Work with health plan to obtain the appropriate files and business rules to support client requirements
Maintain and provide frequent data collection updates to Operations team
Log and validate health plan data business rules
Facilitate communications with health plan regarding new data files
Work with internal and external teams regarding escalated data collection efforts
Documentation
Document and maintain procedures related the data collection process
Ensure health plan business rules are accurately documented and maintained
Collaboration
Provide escalation for Data Collection Efforts
Drive requests outside of standard data needs
Work closely with client-facing teams
Support FTP client/health plan accounts
Act as a mentor to team members
S u mma r y of Qu al i f i ca ti o n s
Technical Skills:
Ability to read, interpret, and verify data from multiple formats.
In-depth knowledge of data retrieval and storage systems.
Experience with JIRA, Confluence, data management systems, MS Office Suite
Soft Skills:
Excellent communication and report-writing skills.
Strong analytical and problem-solving abilities.
Experience with end-user training and support
EDUCATION / EXPERIENCE
Associate or bachelor’ degree in information management, data analytics, computer science, or a related field.
3+ years of experience in healthcare industry or data analytics industry preferred.
work environment
A standard work week exists but with the understanding that additional time/effort outside of the usual parameters can/will occur based upon the overall needs of the integration, where deadlines exist and when necessary due to the needs of the integration team.
A standard business environment exists with moderate noise levels.
Ability to lift and move approximately thirty (30) pounds on a non-routine basis.
Ability to sit for extended periods of time.
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, enabling 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 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 encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.
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 TalentAcquisition@zelis.com
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As the leading healthcare payments company, we price, pay and explain care for payers, providers, and healthcare consumers. Zelis was founded on a belief there is a better way to determine the cost of a healthcare claim, manage payment-related data, and make the payment because more affordable and transparent care is good for all of us. We partner with over 700 payers, 1.5 million providers, and millions of members -- enabling the healthcare industry to pay for care, with care.Zelis brings adaptive technology, a deeply ingrained service culture, and an integrated pre-payment through payments platform to manage the complete payment process.