Position OverviewSupport and maintain the mission-critical Cost Roll process by ensuring accurate aggregation of healthcare claims data and precise matching of claims to provider demographic data. This role is responsible for preserving data pipeline integrity that supports financial accuracy and the reliability of downstream financial, clinical, and provider management systems.
Key Responsibilities- Maintain and monitor data workflows that aggregate healthcare claims data for the Cost Roll process.
- Validate and reconcile claims and provider demographic data to ensure accurate provider matching and data quality.
- Investigate, troubleshoot, and resolve data issues that could impact financial, clinical, and provider management systems.
- Perform data validation, quality checks, and operational support activities to ensure clean and reliable datasets.
- Collaborate with stakeholders to support ongoing data processing, reporting, and operational reliability initiatives.
Required Skills- 2-5 years of experience
- SQL Server Management Studio (SSMS)
- PostgreSQL
- Snowflake
- Microsoft Excel, including macros, filters, and functions
- Data import/export operations and data validation activities
- Experience working with healthcare claims processing and provider data matching
- Ability to maintain data accuracy, integrity, and operational reliability across dependent systems
Nice to Have SkillsPlease note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future.Location and Workplace FlexibilityZelis is headquartered in the U.S., with multiple locations across the country and in Hyderabad, India. Check out our 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$95,000.00 - $120,650.00
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.
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.
