Project Manager

About Us 

Zelis is modernizing the healthcare financial experience in the United States (U.S.) across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.

Why We Do What We Do 

In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system.

Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. 

Position Overview

The Project Manager I is responsible for planning, coordinating, and executing cross-functional initiatives that support the Claims Editing organization within Payment Integrity. This role partners with Product Management, Engineering, Operations, Clinical Content, Analytics, Client Services, Operations and business stakeholders to deliver strategic initiatives that improve product delivery, operational efficiency, and customer outcomes.

The ideal candidate is an organized, proactive project professional who excels at managing timelines, dependencies, risks, and communications across multiple teams. This role supports a broad portfolio of Claims Editing initiatives as business priorities evolve.

KEY RESPONSIBILITIES

·       Develop and maintain project plans, schedules, milestones, and deliverables for cross-functional Claims Editing initiatives.

·       Coordinate activities across Product, Engineering, Operations, Clinical Content, UAT, Analytics, Client Services, and other Payment Integrity teams.

·       Facilitate project meetings, status reviews, risk discussions, and stakeholder communications.

·       Track project progress, identify risks and dependencies, and drive mitigation plans.

·       Prepare executive-ready status reports, dashboards, and project documentation.

·       Support product launches, operational readiness, change management, and implementation activities.

·       Maintain project governance, decisions, action items, and documentation.

·       Drive continuous improvement of project management processes.

·       Support multiple concurrent initiatives while adapting to changing priorities.

PROJECT INNOVATION & AI-ENABLED DELIVERY

·       Utilize AI-enabled tools to improve project planning, documentation, reporting, and meeting summaries.

·       Leverage project metrics and analytics to identify risks and improvement opportunities.

·       Identify opportunities to automate project workflows and increase operational efficiency.

·       Promote continuous improvement and adoption of modern project management practices.

REQUIRED QUALIFICATIONS

·       Bachelor's degree in Business, Technology, Healthcare Administration, Engineering, or a related field.

·       2–5 years of experience in Project Management, PMO, Program Coordination, or a related discipline.

·       Experience managing cross-functional projects in Agile, Waterfall, or hybrid environments.

·       Strong organizational, analytical, and problem-solving skills.

·       Excellent written and verbal communication skills.

·       Experience with Jira, Confluence, Microsoft Project, Smartsheet, or similar tools.

·       Proficiency with Microsoft Excel, PowerPoint, and Office applications.

PREFERRED QUALIFICATIONS

·       Experience in healthcare technology, claims processing, claims editing, payment integrity, or revenue cycle management.

·       Experience supporting geographically distributed teams.

·       PMP, CAPM, Scrum Master, or Agile certification preferred.

·       Experience creating executive dashboards and project reporting.

CORE COMPETENCIES

·       Project Planning & Execution

·       Stakeholder Management

·       Risk & Issue Management

·       Cross-Functional Collaboration

·       Communication & Influence

·       Continuous Improvement

·       Data-Driven Decision Making

·       AI-Enabled Productivity

·       Accountability

WORK ENVIRONMENT

·       Hybrid or remote work environment based in India.

·       Ability to collaborate effectively across global time zones.

·       Flexibility to support U.S.-based stakeholders and key project milestones when needed.

DISCLAIMER

The above statements describe the general nature and level of work performed by employees assigned to this role. They are not intended to be an exhaustive list of all responsibilities, duties, or qualifications required.

Commitment to Diversity, Equity, Inclusion, and Belonging

At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.

Equal Employment Opportunity

Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Accessibility Support

We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability and require reasonable accommodation with any part of the application and/or interview process, please email [email protected].