At Zelis, we Get Stuff Done. So, let’s get to it!
A Little About Us
Zelis is modernizing the healthcare financial experience for all 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 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. 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 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 Operations Manager role is a key leader of the Payer Operations & Service organization, with a strong focus on streamlining processes, leading a team to achieve the organizations goals and responsible for the service delivery for the Third-Party Administrator (TPA) Vertical. This position is responsible for overseeing and improving day-to-day operations for Payer clients, ensuring efficiency and driving overall business performance. The Operations Manager will work closely with Client Management, Sales Leadership, IT, and Service Operations, fostering collaboration across various business areas and leaders. This role involves leading and developing a team of service professionals, sharing insights, ideas, and knowledge to inspire and influence others, participating in task forces, and leading initiatives that showcase expertise and innovative thinking.What You’ll Do
Lead a team of client service professionals by providing regular training, development, feedback, and career coaching.
Manage individual and team performance to key performance measures, delivering both an exceptional service experience and operational efficiency.
Analyze and identify areas for improvement in process, systems and procedures to enhance productivity, efficiency and client satisfaction.
Implement and maintain quality control measures to ensure products and services meet established standard.
Creating effective service strategies, addressing complex and unique service issues, and ensure client satisfaction with products and services.
Engage team in problem solving and improvement efforts, creating a growth-oriented culture at all levels.
Use creativity, foresight, and judgment to design, plan, and implement initiatives that make doing business easier and add value.
Collaborate with peer leaders, project and development teams on initiatives related to Payer Services.
What You’ll Bring to Zelis
Bachelor degree preferred or at least 7 years of related experience.
1-3 years leading people, directly or indirectly, is preferred.
3+ years client facing experience strongly preferred.
3+ years service operations experience required, with experience managing service/operations workflow processes in Salesforce or Jira preferred.
Skilled in the use of Microsoft Excel and PowerPoint.
Excellent communication and interpersonal skills, both written and verbal; strong customer service and demonstrated ability to drive outcomes/results.
Goal oriented, resourceful, personally accountable and self-directed.
Demonstrated ability to proactively seek opportunities for improvement and to effectively collaborate across the organization.
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 employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.
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
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law.
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.
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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.
