Business Operations Specialist

At Zelis, we Get Stuff Done. So, let’s 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.

At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.

  

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 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.

Position Overview

The Business Operations Specialist plays a central role in how the Zelis Implementation team operates, governs work, manages operational risk, and scales effectively. This role owns and improves the team’s operational governance rhythms, reporting processes, ticket oversight, initiative tracking, and AI-enabled workflows that help leadership make informed decisions and keep the organization aligned around shared priorities.

Position Overview 

The Business Operations Specialist plays a central role in how the Zelis Implementation team operates, governs work, manages operational risk, and scales effectively. This role owns and improves the team’s operational governance rhythms, reporting processes, ticket oversight, initiative tracking, and AI-enabled workflows that help leadership make informed decisions and keep the organization aligned around shared priorities. 

The primary duty of this role is to evaluate operational data, assess risk across initiatives and systems, determine what requires escalation or leadership attention, and recommend practical improvements to strengthen team execution. Operating independently within established priorities, this person exercises judgment on what to act on, what to monitor, and what to bring to leadership — without requiring step-by-step direction. This role requires independent judgment, cross-functional coordination, analytical thinking, and a continuous improvement mindset. Success comes from the ability to identify operational risk before it surfaces as a problem, distinguish meaningful signals from routine activity, and provide decision support to Implementation leadership in a fast-moving environment. 

Key Responsibilities 

Operational Governance & Decision Support 

• Own the Implementation team’s operational governance rhythm, ensuring leadership and team members are aligned around the right priorities, risks, decisions, and follow-up actions. 

• Evaluate operational data, reporting inputs, initiative updates, ticket trends, and team activity indicators to identify risks, dependencies, gaps, or issues requiring leadership attention. 

• Determine which operational issues require escalation, continued monitoring, or independent follow-up based on business impact, urgency, and potential risk to Implementation execution. 

• Prepare leadership-ready summaries, status updates, and decision-support materials that clearly communicate key risks, open decisions, progress, trends, and recommended actions. 

• Recommend and implement improvements to governance routines, reporting processes, escalation paths, communication practices, and recurring operating cadences as team needs evolve. 

Product & IT Ticket Oversight 

• Design, build, and own the Implementation team’s ticket oversight program across Product and IT systems — establishing the framework, monitoring criteria, escalation thresholds, and reporting cadences from the ground up, then driving ongoing execution, refinement, and leadership visibility as the program matures. 

• Evaluate IT support ticket dashboards on a recurring basis, assessing patterns and stress indicators such as elevated critical volume, aging unassigned tickets, threshold breaches, recurring themes, or other signals of operational risk. 

• Monitor implementation-impacting Product development tickets in Jira, maintaining visibility into the open queue and identifying items that may affect implementation timelines, client readiness, operational stability, or team execution. 

• Facilitate recurring prioritization discussions with Implementation leadership by preparing relevant analysis, surfacing newly identified risks, capturing decisions, and driving follow-through on next steps. 

• Partner with leadership to refine escalation thresholds, monitoring criteria, reporting views, and coverage areas as team needs and system capabilities evolve. 

Initiative Tracking & Team Enablement 

• Own the team’s internal initiative tracking process, ensuring current visibility into initiative status, owners, timelines, dependencies, risks, and upcoming decision points. 

• Assess initiative health ahead of review cycles, identify workstreams at risk of falling behind, and surface prioritization recommendations or follow-up actions to leadership. 

• Proactively engage initiative owners to gather updates, clarify risks, identify blockers, and ensure leadership has an accurate view of progress and areas requiring attention. 

• Own the operational structure and ongoing effectiveness of the team’s Confluence and SharePoint spaces, ensuring information is organized, current, accessible, and aligned to team operating needs. 

• Identify gaps in existing documentation, process resources, onboarding materials, or team knowledge repositories, and recommend improvements to strengthen consistency and scalability. 

• Serve as a resource to team members on operational processes, tools, and documentation practices — providing guidance on established workflows and helping others navigate team systems effectively. 

AI-Enabled Operations & Continuous Improvement 

• Own and improve the Implementation team’s AI-assisted workflows, including reporting automation, documentation generation, administrative task support, and other processes that improve operational efficiency. 

• Proactively identify opportunities to apply AI tools such as Claude, ChatGPT, or equivalent technologies to streamline recurring coordination, reporting, communication, documentation, and governance tasks. 

• Develop, document, and refine new AI-enabled workflows as team needs evolve, partnering with leadership to evaluate effectiveness, manage responsible use, and scale successful approaches. 

• Recommend enhancements to existing workflows, templates, reporting methods, and documentation practices to reduce manual effort and improve consistency, accuracy, and speed. 

Operational Continuity & Team Support 

• Maintain the operational infrastructure that keeps the Implementation team running smoothly — including meeting cadence, calendar management, time-off and go-live visibility, report distribution, onboarding coordination, and event logistics — exercising judgment on how these processes are structured, sequenced, and improved over time. 

• Identify inefficiencies or gaps in recurring operational processes and recommend adjustments that improve consistency, reduce manual effort, and better support team and leadership needs. 

Education / Experience 

• Bachelor’s degree preferred; a focus in Business, Operations, Communications, Information Systems, or a related field is preferred. 

• 3–5 years of experience in an operations, business operations, program support, implementation support, project coordination, or comparable role in a fast-paced professional services, technology, or healthcare environment. 

• Demonstrated experience managing multiple concurrent workstreams with a high degree of organization, reliability, and independent follow-through. 

• Experience interpreting operational data, identifying risks or trends, and making sound judgment calls about what to act on, what to track, and what to escalate. 

• Strong written communication skills, with the ability to produce clear, professional-quality summaries, reports, status updates, and team-facing communications. 

• Proficiency with tools such as Jira, Confluence, Smartsheet, SharePoint, and Microsoft Office. 

• Hands-on experience using AI tools, such as Claude, ChatGPT, or similar technologies, to support work tasks; demonstrated comfort integrating AI into day-to-day operations is required. 

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

Zelis is headquartered in the U.S., with multiple locations across the country and in Hyderabad, India. Check out our locations to learn more about our offices. All employee work locations are based on the needs of the position and are determined by the Leadership team. In-office work and activities vary based on work and team objectives in accordance with Company policies.

While location expectations vary by role, candidates within approximately 50 miles of a U.S. office are generally preferred to support collaboration when needed. Our hybrid approach is flexible, and in-office presence is guided by team and business needs rather than a fixed weekly schedule.

  

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 don’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. 

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 [email protected]. 

  

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.