Senior Manager, Specialty Support and Clearinghouse Operations

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.

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

The Senior Manager of Specialty Support & Clearinghouse Operations is a leadership position responsible for overseeing niche operational support functions and managing strategic clearinghouse relationships. This role ensures the effective execution of specialized services while serving as the primary operational point of contact for clearinghouse partners, facilitating issue resolution and continuous improvement.

What you'll do :

Specialty Services Management

Lead and manage a focused teams responsible for :

Sworn Statement Support : Coordinate the preparation and validation of sworn statements in compliance with regulatory and client requirements.

1099 Tax Services Support : Supervise the processing and support of Tax-related transactions and inquiries.

EDI Support : 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.

Owns and manages the Purchase-to-Pay (P2P) process for the team, ensuring efficient and compliant purchasing, invoicing, and payment operations aligned with departmental goals.

Clearinghouse Operations Management

Act as the primary operational liaison for clearinghouse partners, managing escalations, inquiries, and relationship health.

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).

Partner with internal stakeholders to ensure alignment and responsiveness to clearinghouse needs.

What you'll bring to Zelis :

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.

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

We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.

Base Salary Range

$105,000.00 - $140,000.00

At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.

Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.

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 TalentAcquisition@zelis.com .

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.