Operational Management:
ITIL Process knowledge in delivering services and Proficiency in Service Management.
Manage Service Level Agreements (SLAs) to ensure high standards of service delivery.
Plan and manage shifts for team members to ensure 24/7 operational support.
Monitor operational performance and implement improvements as necessary.
Ensure all operational processes are well documented and adhered to.
Experienced in handling RCA and continuous improvements.
Data & Platform Management:
Manage the collection, storage, and processing of large datasets required for various business operations.
Ensure the reliability, efficiency, and security of data platforms.
AI & ML Operations Support:
Collaborate with data scientists and machine learning engineers to develop, test, and optimize AI and ML models for various use cases.
Implement monitoring tools and processes to evaluate the performance of AI/ML systems continuously.
Optimize AI/ML algorithms and workflows to enhance accuracy, efficiency, and speed.
API Support:
Oversee the development and maintenance of APIs to ensure seamless integration between systems and applications.
Ensure APIs are reliable, secure, and scalable to meet business needs.
Solution Design and Deployment:
Support the design, development, and deployment of technology solutions to address business challenges.
Work on projects involving predictive analytics, machine learning models, and other advanced technologies.
Ensure collaboration on solutions to ensure they are integrated into existing workflows and business processes.
Team Management:
Lead a team of engineers and support staff, providing guidance, mentorship, and support to achieve organizational objectives.
Foster a collaborative and innovative team environment.
Qualifications:
Bachelor’s or Master’s degree in computer science, engineering, or a related field.
5–9 years of experience in operations management, with a focus on data platforms, AI/ML operations, and API support.
Strong understanding of AI technologies, machine learning, deep learning, and natural language processing.
Experience in project management and agile methodologies.
Hands-on experience with cloud platforms such as AWS and Azure and data warehousing solutions like Snowflake.
Understanding of programming languages such as Python, R, or Java, and experience with AI frameworks and libraries such as TensorFlow, PyTorch, or scikit-learn.
Knowledge of healthcare industry regulations and compliance requirements is a plus.
Strong analytical, problem-solving, and decision-making skills.
Strong communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams.
Zelis is modernizing the healthcare financial experience 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.
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.
We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.
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].
SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.
Top Skills
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.
