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Manager, Provider Dispute Resolution at Zelis - ApplyBlast

Manager, Provider Dispute Resolution

Zelis

2 months ago

3.4 on Glassdoor

Remote

Full Time

Manager

0 applicants

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About this role

The Manager, Provider Dispute Resolution leads operational performance, quality, compliance, and workforce strategy for Zelis' Federal Independent Dispute Resolution and Out of Network Post Pay operations. This role drives operational excellence through data-driven decision-making, AI-enabled workflow adoption, and process optimization while ensuring exceptional service delivery. The position involves partnering with cross-functional stakeholders to improve efficiency, scalability, and customer outcomes while developing high-performing teams.

Responsibilities

Lead operational execution of Federal IDR and Out of Network Post Pay functions
Drive adoption of AI-enabled workflows and automation technologies
Develop inventory management strategies and workforce optimization techniques

Skills

About Zelis

zelis.com

Headquarters

Boston, Massachusetts, United States

Company Size

1001-5000 employees

Founded

2016

View Profile

Zelis is a healthcare financial technology company that provides a connected platform for payers, providers, and healthcare consumers. Their solutions span network optimization, claims management, price transparency, payments, and member engagement communications. Zelis serves more than 770 payers and thousands of providers nationwide, helping reduce costs and administrative burden across the healthcare financial system.