Business Analyst - Claims Editing

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

This role supports the product management team across the full lifecycle of product development. This position requires a solid foundation in product management principles, intermediate analytical capabilities, and growing autonomy in managing product-related initiatives. The ideal candidate demonstrates initiative, cross-functional collaboration, and the ability to translate data into actionable insights that drive product success.

What You’ll Do:

• Define and refine product requirements and user stories with moderate independence.

• Conduct targeted market and customer research to inform feature prioritization.

• Analyze usage data and customer feedback to identify pain points and improvement areas.

• Build and maintain dashboards using tools like Power BI or Tableau to visualize product KPIs.

• Facilitate sprint planning and backlog grooming sessions with engineering and design.

• Collaborate with marketing on go-to-market planning and messaging alignment.

• Document release notes and product updates for internal and external stakeholders.

What You’ll Bring to Zelis:

• Bachelors degree and 2+ years business analyst experience

• At least 2 years working in healthcare (claims processing, corrected claims, clinical coding).

• Requires proficiency using AI tools skillfully with an understanding of how to develop/create intelligent prompts and/or agents.

• Proficiency in data analysis tools (e.g., Excel, SQL) and product management platforms (e.g., Jira, Confluence).

• Strong communication and presentation skills.

• Demonstrated ability to work independently and collaboratively in a fast-paced environment.

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.