Senior Manager, Specialty Support and Clearinghouse Operations

Position Overview

What you'll do:

Specialty Services Management  

• Lead and manage a focused teams responsible for:  

• Lockbox Reconciliation Operations: Oversee daily reconciliation activities, ensuring accuracy and timeliness in financial postings.  

• 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. 

Base Salary Range

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 [email protected]. 

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.