About Us
Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients.
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
The Business Analyst is responsible for enabling high quality business analytics solutions in an Agile context that deliver valued business outcomes and informed decisions for Zelis’ key stakeholders. The Business Analyst works as part of the Scrum team to facilitate clear and open communication between Business Owners, Development, Quality Assurance, and the Product Owner. This role provides a major contribution to enhancing Zelis’ overall capacity to meet the information technology needs of an ever-changing healthcare market. One of the core skills of a Business Analyst is requirements management (i.e. user and enabler stories). Developing stories and accurately defining the business solution begins with eliciting, understanding, and analyzing and the needs of the business. A core competency of this role is critical thinking, disciplined thinking that is clear, rational, open-minded, and informed by evidence. This person will act as liaison among Business Owners and/or Solutions Owners (i.e. Product Owner) to gather, analyze, document, communicate and validate business and system requirements and business methodologies. They will create and maintain Agile artifacts which could include but are not limited to:workflows/diagrams
user stories
enabler stories
Release Notes
User Guides
Business Analysts will always look for ways to improve the current state (“AS-IS”) by recommending a more efficient future state (“TO-BE”).
Essential Duties and Functions
Participate in relevant Agile ceremonies: Daily Stand-Ups, Backlog Grooming, Sprint Planning, Sprint Review, Sprint Retrospective.
Assist with the elaboration of the user stories and requirements, supporting team members with their work where required
Be responsible for providing multi-disciplinary teams with user stories and coaching to define the business-driven acceptance criteria and test cases. Proactively support the uplift of Agile practices and foster a culture of continual service improvement
Consult with the business and product owners to prioritize and shape the product backlog, using Agile practices for prioritization around business value
Define, implement and maintain business processes and procedures to meet business objectives. Analyze and identify opportunities for business process improvements.
Collaborate with Solution Owners and/or Product Managers when defining product release content and timeline, applying product development principles, innovative thinking and a focus around the customer or user experience
Critically evaluate information gathered from multiple sources, reconcile conflicts and decompose high-level information into details.
Create and maintain workflows, approval processes, and validation rules based on internal stakeholder requirements.
Create training materials and documentation for internal and/or external applications.
Perform a thorough gap analysis of existing to potential functionality for internal and/or external applications.
Create Release Notes as determined by Product Owner.
Perform analysis and identify gaps in functionality for system integrations.
Collaborate with the Scrum team to establish the technical vision and analyze tradeoffs between usability and performance needs.
Improves systems by studying current practices; designing modifications.
Assist in Quality Assurance (QA) and/or User Acceptance Testing (UAT) of new software or enhancements to existing software as needed.
The ability to multi-task and work on multiple assignments will be required.
This individual must also demonstrate clear and concise communication both verbally and in writing.
Experience, Qualifications, Knowledge, and Skills
Disciplined, structured and logical approach to problem solving
4+ years of experience with Business Analysis and/or Business Process Engineering
Experience in Healthcare industry preferred
Knowledge of Payment Integrity solutions (hospital billing, claims editing, reimbursement methodologies and acceptable billing practices) preferred
Knowledge of payer reimbursement policies, state and federal regulations and applicable industry standards preferred
SQL experience preferred
The ability to learn a new business and translate these needs into new products, and perform high-level troubleshooting functionality
Strong troubleshooting, analytical, and business process development skills
Experience in product development life cycle
Experience with writing business requirements, technical requirements, user stories, enabler stories, functional specifications, and/or quality assurance testing
Knowledge of SDLC methodologies including experience working in an Agile environment
Fluent with Microsoft Office Suite including Visio
Workflow diagram creation and wireframe creation
Preferred skills include formal training/certifications in Business/System analysis; familiarity with latest UI/UX design guidelines; knowledge/experience with SAFe/Agile methodologies; prototyping experience
SAFe POPM, Agilist, Teams, or Leading Safe certification
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Sedentary work - Exerting up to 10 pounds of force occasionally, and/or a negligible amount of force frequently to lift, carry, push, pull or otherwise move objects in daily work use (laptop, monitors, et. al). Sedentary work involves sitting most of the time. Use of keyboards (typing) and exposure to computer screens occurs daily. Pleasant work environment in office locations with occasional noise or dust.
While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands; reach with hands and arms; think; and talk or hear (multi-channel, two-way communication during work hours is required).
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What We Do
As a leading healthcare payments company, we price, explain and pay for care on behalf of 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.
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