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Zelis · 2 weeks ago

Senior Manager, Specialty Support and Clearinghouse Operations

St. Petersburg, FL

Full-time

Onsite

Senior Level, Lead/Staff

$105K/yr - $140K/yr

8+ years exp

Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. The Senior Manager of Specialty Support & Clearinghouse Operations is responsible for overseeing operational support functions and managing strategic clearinghouse relationships, ensuring effective execution of specialized services and facilitating issue resolution.

FinanceFinTechHealth Care

No H1B

Responsibilities

Lead and manage a focused teams responsible for:

Sworn Statement Support: Coordinate the preparation and validation of sworn statements in compliance with regulatory and client requirements

1099 Tax Services Support: Supervise the processing and support of Tax-related transactions and inquiries

EDI Support: 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

Owns and manages the Purchase-to-Pay (P2P) process for the team, ensuring efficient and compliant purchasing, invoicing, and payment operations aligned with departmental goals

Act as the primary operational liaison for clearinghouse partners, managing escalations, inquiries, and relationship health

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)

Partner with internal stakeholders to ensure alignment and responsiveness to clearinghouse needs

Qualification

Healthcare payment operationsEDI transactionsPeople leadershipCustomer managementTax servicesCommunication skillsProblem-solving skillsOrganizational skillsCross-functional collaboration