Zelis
Senior Manager, Specialty Support and Clearinghouse Operations
Zelis, Boston, Massachusetts, us, 02298
Senior Manager, Specialty Support and Clearinghouse Operations
Join the team as a Senior Manager, Specialty Support and Clearinghouse Operations at Zelis, a modernizing force in healthcare financial experience.
A Little About Us Zelis serves more than 750 payers, including the top five national health plans, regional plans, TPAs, and millions of providers and consumers. We 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. Your diverse experiences, community involvement, and lessons learned shape a reputation beyond your resume.
Position Overview The Senior Manager of Specialty Support & Clearinghouse Operations is a leadership role overseeing niche operational support functions and managing strategic clearinghouse relationships. You will serve 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 focused teams responsible for Sworn Statement, 1099 Tax, and EDI support.
Coordinate the preparation and validation of sworn statements in compliance with regulatory and client requirements.
Supervise the processing 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.
Ensure compliance with internal controls, SOPs, regulatory standards, and client expectations.
Own and manage the Purchase‑to‑Pay (P2P) process for the team, ensuring efficient and compliant purchasing, invoicing, and payment operations.
Clearinghouse Operations Management
Act as the primary 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
Proven experience in healthcare payment operations, revenue management, or financial services.
Minimum 8 years in a customer management role.
5 + years 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 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; work locations are based on the needs of the position and determined by leadership.
Base Salary Range $105,000 – $140,000.
Zelis is committed to fair and equitable compensation packages. Additional incentives may include discretionary bonus plans, commissions, or other opportunities.
Benefits US‑based full‑time associates are eligible for a competitive benefits package: 401(k) match, flexible PTO, holidays, parental leave, life and disability insurance, and medical, dental, vision, and prescription drug coverage.
Equal Employment Opportunity Zelis is a proud equal‑opportunity employer. All qualified applicants receive consideration without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity, or any other protected characteristic.
Accessibility Support If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation during the application or interview process, email TalentAcquisition@zelis.com.
The above statements describe the general nature and level of work performed by the role. They are not an exhaustive list of all responsibilities, duties, or skills required. Personnel may be required to perform duties outside their normal responsibilities from time to time.
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A Little About Us Zelis serves more than 750 payers, including the top five national health plans, regional plans, TPAs, and millions of providers and consumers. We 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. Your diverse experiences, community involvement, and lessons learned shape a reputation beyond your resume.
Position Overview The Senior Manager of Specialty Support & Clearinghouse Operations is a leadership role overseeing niche operational support functions and managing strategic clearinghouse relationships. You will serve 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 focused teams responsible for Sworn Statement, 1099 Tax, and EDI support.
Coordinate the preparation and validation of sworn statements in compliance with regulatory and client requirements.
Supervise the processing 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.
Ensure compliance with internal controls, SOPs, regulatory standards, and client expectations.
Own and manage the Purchase‑to‑Pay (P2P) process for the team, ensuring efficient and compliant purchasing, invoicing, and payment operations.
Clearinghouse Operations Management
Act as the primary 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
Proven experience in healthcare payment operations, revenue management, or financial services.
Minimum 8 years in a customer management role.
5 + years 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 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; work locations are based on the needs of the position and determined by leadership.
Base Salary Range $105,000 – $140,000.
Zelis is committed to fair and equitable compensation packages. Additional incentives may include discretionary bonus plans, commissions, or other opportunities.
Benefits US‑based full‑time associates are eligible for a competitive benefits package: 401(k) match, flexible PTO, holidays, parental leave, life and disability insurance, and medical, dental, vision, and prescription drug coverage.
Equal Employment Opportunity Zelis is a proud equal‑opportunity employer. All qualified applicants receive consideration without regard to race, color, religion, age, sex, national origin, disability status, genetics, veteran status, sexual orientation, gender identity, or any other protected characteristic.
Accessibility Support If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation during the application or interview process, email TalentAcquisition@zelis.com.
The above statements describe the general nature and level of work performed by the role. They are not an exhaustive list of all responsibilities, duties, or skills required. Personnel may be required to perform duties outside their normal responsibilities from time to time.
#J-18808-Ljbffr