Hybrid Manager, Specialty Support and Clearinghouse Operations

Posted 2 months ago

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About the role

  • Manager overseeing specialty support and clearinghouse operations at Zelis. Leading operational teams and ensuring compliance with financial transactions and partnerships.

Responsibilities

  • Lead and manage a focused teams responsible for Lockbox Reconciliation Operations
  • Oversee daily reconciliation activities, ensuring accuracy and timeliness in financial postings
  • Coordinate the preparation and validation of sworn statements in compliance with regulatory and client requirements
  • Supervise the processing and support of Tax-related transactions and inquiries
  • 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
  • Own and manage the Purchase-to-Pay (P2P) process for the team
  • Act as the primary operational liaison for clearinghouse partners
  • 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)

Requirements

  • 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

Benefits

  • 401k plan with employer match
  • Flexible paid time off
  • Holidays
  • Parental leaves
  • Life and disability insurance
  • Health benefits including medical, dental, vision, and prescription drug coverage

Job title

Manager, Specialty Support and Clearinghouse Operations

Job type

Experience level

SeniorLead

Salary

$86,000 - $115,000 per year

Degree requirement

Bachelor's Degree

Location requirements

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