Process Excellence Consultant — Health Ops & AI

Zelis Healthcare, LLC; Creve Coeur (MO); Hybrid; USD 79,000 - 100,000; Full time

Benefits offered by this job

Health insurance

401k match

Flexible PTO

Life and disability insurance

Parental leave

Job summary

Zelis Healthcare, LLC is seeking a results-oriented operations professional to contribute to strategic development of operational projects and programs. You will perform diverse tasks requiring evaluation and judgment, and support knowledge sharing across the team.

You will initiate activities within guidelines, troubleshoot complex issues, design process improvements, and lead small projects while collaborating with cross-functional partners.

Qualifications

• Bachelor's degree plus 4 years of experience or Master's plus 2 years of relevant training.
• Proficiency using AI tools to develop 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.

Responsibilities

• Initiate and manage activities within established guidelines, ensuring compliance and quality standards.
• Troubleshoot and resolve 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; back recommendations with 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 to junior team members.
• Serve as a subject matter expert and technical point of contact for internal stakeholders on specific operational issues.

Skills

AI tools proficiency

Analytical skills

Reporting capabilities

Process documentation

Multitasking

Healthcare systems familiarity

Education

Bachelor's degree +4 years or Master's +2 years training

Job description

Zelis Healthcare, LLC is seeking a results-oriented operations professional to contribute to strategic development of operational projects and programs. You will perform diverse tasks requiring evaluation and judgment, and support knowledge sharing across the team.

You will initiate activities within guidelines, troubleshoot complex issues, design process improvements, and lead small projects while collaborating with cross-functional partners.