About Us
Zelis is modernizing the healthcare financial experience in the United States (U.S.) 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.
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
Zelis Price Optimization Implementation Services is seeking to hire a Business Reporting and Process Analyst. This blended role is responsible for enabling high quality business analytics solutions and to identify ways to improve the departments’ workflow, policies and methodologies; all with the goal to deliver valued business outcomes and lead to informed decisions for Zelis’ key stakeholders as well as Implementation Services departmental leadership. The Business Reporting and Process Analyst works as a part of the Price Optimization Implementation Services team. The new role will report to Sr. Manager, Implementation and will be an individual contributor positioned in Zelis’ Hyderabad, India office.
KEY RESPONSIBILITIES
- Supports standing and ad hoc reporting requests and responsible for the data integrity for the Implementations team.
- Interact with all areas of Price including, but not limited to Client Services, Service Operations, Implementation Services, Adjudication Partnership, Learning Services, and Product Management to adequately gather and execute Implementations reporting.
- Gather reporting requirements for Implementations and document the “as is” processes for gathering, reviewing, synthesizing and presenting reportable data; this require coordination between cross-functional teams (including but not limited to the Power BI team, Product Owners and General Managers.
- Gather and analyze critical business process and reporting details and propose recommendations based upon the data gathered and current and future state departmental needs.
- Translate departmental requirements into actionable measurement and deliver reporting tools and process documentation that are clearer, more detailed and more complete; this could involve a translation of existing requirements along with the determination and development of new requirements.
- Serve a key participative role in the future, “to be” development efforts; recommend efficiencies in reporting and processes that could include, but not limited to, reporting cadence, data capture, data presentation, process modification, technology enhancements, efficiency measurements, etc.,
- Collaborate with Implementations leadership to determine areas of upstream and/or downstream impact that may cause variances in reporting or processes.
- Provide verbatim commentary on data to identify trends, positive or negative, along with evidentiary data supporting and/or explaining these trends including influence from collaborating departments within or outside of Implementations.
- Communicate reporting and process discrepancies to leadership and to encourage internal problem-solving and overall alignment.
- Collaborate with reporting and/or process counterpart to ensure process and reporting alignment through the Implementations areas.
- Review processes on a regular and timely basis to determine whether they are up-to-date with internal Zelis and external industry standards.
- Develop a communication strategy and/or cadence to help inform the leading indicators of trends or potential issues by developing baseline measurements and identifying where there is a deviation.
- Ensure that all reporting complies with state and federally mandated legislation relevant to our business (e.g., HIPAA and other data protection requirements).
- Collaboration to ensure that any needed learning resources are properly generated and that potential reporting changes align with QA conditions while also compiling data to inform associate performance metrics to generate KPI measurements.
- Embrace an environment of continuous improvement and innovation within the Implementations area.
REQUIRED EXPERIENCE / SKILLS
- Bachelor’s Degree in Business, Statistics, Mathematics, Economics, Accounting or Finance or a related field.
- 4+ years of experience in data analysis, reporting or business intelligence.
- Advanced proficiency in Microsoft Excel, Microsoft Access, SQL, SmartSheet, Microsoft Access, Microsoft Visio, Lucidchart and other data and process capture tools.
- Ability to work with large data sets and analyze complex data.
- Excellent communication and presentation skills.
- Strong attention to detail and accuracy.
- Experience with data visualization tools such as PowerBI and SSRS leading to advanced charts, graphs and other visual data expressions.
- Proficient understanding of statistical analysis and modeling.
- Knowledge of database design and data warehousing principles.
- Ability to work independently and to self-prioritize workload, meet deadlines, and adjust to unforeseen circumstances requiring an expedited response.
- Ability to collaborate and interact between teams; along adapting to varying management styles and approaches.
- Ability to understand the core roles & responsibilities of each department; and how individual departments interact with other areas and how they can each impact the others’ processes.
- Demonstrated acumen for summarizing data and providing commentary at a variety of levels including executive summaries.
- Experience in a fast-paced, deadline-driven environment while demonstrating superior organizational and time management skills.
- Strong command of spoken and written English.
- Experience working in agile development environments including JIRA.
- Ability to prioritize and manage multiple concurrent projects.
PREFERRED EXPERIENCE / SKILLS
- Experience in the healthcare technology industry
- Experience in a client services, client support, client experience.
- Experience with data visualization tool, Power BI.
WORK ENVIRONMENT
- A standard work week exists but with the understanding that additional time/effort outside of the usual parameters can/will occur based upon the overall needs of the integration, where deadlines exist and when necessary due to the needs of the integration team.
- A standard business environment exists with moderate noise levels.
- Ability to sit for extended periods of time.
- Ability to work US east coast hours consistently is mandatory.
- Demonstrate adherence to Zelis’ workspace privacy guidelines and requirements.
Commitment to Diversity, Equity, Inclusion, and Belonging
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.
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.
Accessibility Support
We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability and require reasonable accommodation with any part of the application and/or interview process, please email [email protected].