Process Excellence Consultant

US MO St. Louis (Corp)

US MA Boston

US FL St. Petersburg

US GA Atlanta

US NJ Morristown

Full time

JR111516

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.

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.

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

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:

• Bachelor’s degree with typically 4+ years of relevant experience, or a Master’s degree with 2+ years of relevant experience.

• Demonstrated proficiency using AI tools, including the ability to develop effective prompts and/or AI agents to support business needs and improve workflows.

• Strong analytical skills with experience developing reports, interpreting data, and communicating insights.

• Experience creating and maintaining process documentation, standard operating procedures (SOPs), and related materials.

• Strong organizational and time-management skills, with the ability to manage multiple priorities and meet deadlines.

• Familiarity with healthcare transaction systems, industry requirements, and applicable compliance standards.

• Ability to effectively present work, findings, and recommendations to internal stakeholders, external consultants, and professional audiences.

• Willingness to participate in company-sponsored and industry training to maintain and expand expertise.

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

Zelis is headquartered in the U.S., with multiple locations across the country and in Hyderabad, India. Check out our locations (https://careers.zelis.com/us/en/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 [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.

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.

Zelis maintains a transparent, fee-free recruitment process. All genuine offers originate from our Talent Acquisition team using the “@zelis.com” domain. We do not use WhatsApp or personal emails for recruitment. Forward any suspected fraud to [email protected] for prompt investigation. Thank you for staying vigilant.