Process Excellence Consultant

Join Zelis

At Zelis, we Get Stuff Done. So, let's get to it!

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.

At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.

Position Overview

This role contributes to strategic development of operational projects and programs. It performs diverse tasks requiring evaluation and judgment, and supports knowledge sharing across the team.

What You'll Do:

• Initiate and manage activities within established guidelines, ensuring compliance and quality standards.
• Troubleshoot and resolve more complex, non-routine operational problems.
• Design and develop process enhancements that increase efficiency and accuracy.
• Lead small-scale projects or segments of larger initiatives related to operational improvements.
• Review existing workflows for efficiency; recommend enhancements backed by data-driven analysis.
• Maintain and update knowledge repositories, SOPs, and process documentation for team use.
• Collaborate with peers and cross-functional partners to align deliverables and share best practices.
• Prepare detailed reports, dashboards, and presentations for internal stakeholders.
• Conduct complex data analysis and develop models to support management decisions.
• Support implementation of new operational tools and provide training or guidance to junior team members.
• Serve as a subject matter expert and technical point of contact for internal stakeholders on specific operational issues.

What You'll Bring to Zelis:

• Typically has Bach. +4 yrs; Masters +2 yrs Attends company training and regional training in area of expertise. Presents own work to members of department and external consultants and external professional meetings
• Requires proficiency using AI tools skillfully with an understanding of how to develop/create intelligent prompts and/or agents.
• Strong analytical and reporting capabilities.
• Experience in process documentation and SOP development.
• Ability to manage multiple tasks and meet deadlines.
• Familiarity with healthcare transaction systems and compliance standards.

Location and Workplace Flexibility

Zelis is headquartered in the U.S., with multiple locations across the country and in Hyderabad, India. Check out our locations to learn more about our offices. All employee work locations are based on the needs of the position and are determined by the Leadership team. In-office work and activities vary based on work and team objectives in accordance with Company policies.

While location expectations vary by role, candidates within approximately 50 miles of a U.S. office are generally preferred to support collaboration when needed. Our hybrid approach is flexible, and in-office presence is guided by team and business needs rather than a fixed weekly schedule.

Base Salary Range

$79,000.00 - $99,750.00

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.