Process Excellence Lead: AI-Powered Ops & Analytics

Zelis Healthcare, LLC; Creve Coeur (MO); Hybrid; USD 70,000 - 100,000; Full time

Job summary

Zelis is modernizing the healthcare financial experience across payers, providers, and consumers. This role contributes to strategic development of operational projects and programs, performing evaluation and judgment tasks, and sharing knowledge across the team.

The position emphasizes AI tooling proficiency, data-driven problem solving, and cross-functional collaboration to improve efficiency and accuracy within the operations function. Hybrid work with usa offices supported.

Qualifications

• Bachelor’s degree with 4+ years' experience or Master’s with 2+ years.
• Proficient with AI tools and intelligent prompts.
• Strong analytical and reporting capabilities.
• Experience documenting processes and SOPs.
• 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 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.

Skills

AI tool proficiency

Analytical skills

Reporting capabilities

Process documentation

Task management

Healthcare transactions knowledge

Education

Bachelor's degree

Master's degree

Job description

Zelis is modernizing the healthcare financial experience across payers, providers, and consumers. This role contributes to strategic development of operational projects and programs, performing evaluation and judgment tasks, and sharing knowledge across the team.

The position emphasizes AI tooling proficiency, data-driven problem solving, and cross-functional collaboration to improve efficiency and accuracy within the operations function. Hybrid work with usa offices supported.