31 to 37 of 37
Sort by: Date | Relevance
Zelis Healthcare, LLC
- Morristown, NJ / St. Petersburg, FL / Atlanta, GA / 1 more...
Job Responsibilities Responsible for building and running a fully functional global security operation center with teams in North America and overseas. Ensure coverage, completeness, and accuracy of tolls deployed and monitored across the enterprise Ensures that the SOC team has proper processes, resources, and tools to timely detect, analyze and respond to security incid
Posted 23 days ago
Zelis Healthcare, LLC
- Atlanta, GA / Plano, TX / Boston, MA / 3 more...
The Claims Settlement Specialist supports claim settlement with providers through post payment negotiation. The Claims Settlement Specialist will be responsible for handling provider telephone calls regarding the payment amount paid to a provider by a payor based on Zelis data points. During this call, the Claims Settlement Specialist must understand (1) the procedures bi
Posted 23 days ago
Zelis Healthcare, LLC
- Morristown, NJ / Plano, TX / Boston, MA / 3 more...
The DRG Validation Nurse 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
Posted 23 days ago
Zelis Healthcare, LLC
- Morristown, NJ / Plano, TX / Boston, MA / 2 more...
The Certified Edit Dispute Resolution Analyst will be responsible for researching and auditing medical records for complex, diverse, multi specialty provider claims to identify and determine appropriately coded billed services when compared to the Zelis Claim Edits Product. The Certified Edit Dispute Resolution Analyst demonstrates an understanding of Zelis edits as an in
Posted 23 days ago
Zelis Healthcare, LLC
- Morristown, NJ / St. Louis, MO / Boston, MA / 2 more...
The primary responsibility of the Segment Marketing Director is to build and execute Account Based Marketing (ABM) plans for the Regional Health Plan segment that follows a path from account selection/prioritization, contact/persona identification, and nurturing, through to conversion. To enable the ABM plans, you will build and curate content, in partnership with product
Posted 28 days ago
Zelis Healthcare, LLC
- St. Petersburg, FL / Atlanta, GA / Plano, TX
The Senior Member Advocate is a vital role in ensuring service excellence to Zelis clients and their members. The Senior Member Advocate is proficient in and supports all Preservice Outreach, Balance Bill Resolution, and No Surprises Act assignment categories. This position requires the ability to act independently within the scope of assigned duties and responsibilities
Posted 28 days ago
Zelis Healthcare, LLC
- Morristown, NJ / St. Louis, MO / Boston, MA / 2 more...
Create annual strategic marketing plans to grow Provider Payments business Provide product based, strategic guidance for key marketing decisions. Use competitive intelligence as well as commercial goals to define a strategic roadmap that can address key business challenges and help Zelis win. Develop and manage product's value proposition and asset catalog, and align thos
Posted 29 days ago
Email this Job to Yourself or a Friend
Indicates required fields