Manager overseeing specialty support and clearinghouse operations at Zelis. Leading operational teams and ensuring compliance with financial transactions and partnerships.
Responsibilities
Lead and manage a focused teams responsible for Lockbox Reconciliation Operations
Oversee daily reconciliation activities, ensuring accuracy and timeliness in financial postings
Coordinate the preparation and validation of sworn statements in compliance with regulatory and client requirements
Supervise the processing and support of Tax-related transactions and inquiries
Provide operational oversight for electronic remittance advice (ERA) processing and troubleshooting
Monitor performance metrics, identify process improvement opportunities, and implement best practices across specialty service areas
Ensure compliance with internal controls, Standard Operating Procedures (SOP) regulatory standards, and client expectations
Own and manage the Purchase-to-Pay (P2P) process for the team
Act as the primary operational liaison for clearinghouse partners
Facilitate cross-functional collaboration to resolve clearinghouse-related issues impacting transaction flow, data integrity, or service delivery
Maintain documentation of clearinghouse processes, escalation protocols, and service-level agreements (SLAs)
Requirements
Proven experience in healthcare payment operations, revenue management, or financial services
Minimum of 8 years' experience in a customer management role required
5 + years' experience in a people leadership role
Strong understanding of EDI transactions, particularly Electronic Remittance Advice (ERA) files
Demonstrated ability to lead specialized support teams and manage cross-functional relationships
Excellent communication, problem-solving, and organizational skills
Familiarity with lockbox operations, tax services, and sworn statement protocols is preferred
Benefits
401k plan with employer match
Flexible paid time off
Holidays
Parental leaves
Life and disability insurance
Health benefits including medical, dental, vision, and prescription drug coverage
Job title
Manager, Specialty Support and Clearinghouse Operations
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