New

Senior Manager, Specialty Products Operations

Zelis Healthcare, LLC
United States, Florida, St. Petersburg
Dec 23, 2025
At Zelis, we Get Stuff Done. So, let's get to it! A Little About Us Zelis is modernizing the healthcare financial experience 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. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Senior Manager of Specialty Products Operations is a critical leadership role responsible for overseeing niche operational functions tied directly to Zelis' specialty product offerings. This leader ensures exceptional operational execution across areas such as lockbox reconciliation, sworn statements, 1099 processing, ERA/EDI support, and clearinghouse operations. In addition to managing daily operations, this role partners closely with Product teams to align workflows, improve capabilities, and drive continuous enhancement of the specialty product ecosystem. The ideal candidate is a problem solver, a humble learner, and a collaborative leader who can create clarity in complex environments and elevate the experience for clients, partners, and internal teams What you'll do: Specialty Products Leadership Lead and develop teams responsible for specialized operational services, including: Lockbox Reconciliation Operations: Ensure timely and accurate financial reconciliations and posting activities. Sworn Statement Support: Coordinate preparation, validation, and delivery of sworn statements in compliance with regulatory and client requirements. 1099 Tax Services Support: Oversee tax-related transaction processing, inquiry resolution, and service cycle management. EDI/ERA Support: Provide oversight of ERA processing, troubleshooting workflows, and operational alignment supporting product performance. Monitor performance metrics and use data to drive quality, efficiency, and scalability. Identifying root causes and leading continuous improvement initiatives across teams and product workflows. Ensure compliance with internal controls, SOPs, regulatory requirements, and client expectations. Own and manage the Purchase-to-Pay (P2P) process for the team, ensuring compliant purchasing, invoicing, and payment operations. Clearinghouse Operations & Partner Management Serve as the primary operational liaison for clearinghouse partners, managing escalations, inquiries, and overall relationship health. Facilitate cross-functional collaboration to resolve issues impacting transaction flow, data integrity, or service delivery. Maintain accurate documentation of clearinghouse processes, SLAs, and escalation protocols. Ensure strong alignment between operational needs and product strategies by engaging with Product, Technology, and Client-facing teams. Required Skills and Competencies Experience in healthcare payment operations, revenue management, financial services, or similar operational environments. Strong understanding of EDI transactions, particularly Electronic Remittance Advice (ERA) files. Familiarity with lockbox operations, tax services (including 1099 processing), and sworn statement protocols preferred. Leadership & Behavioral Capabilities Demonstrated success leading specialized operational teams and managing complex, cross-functional relationships. Strong problem-solving skills, with the ability to bring clarity to ambiguous situations and drive structured, sustainable solutions. Excellent communication skills with the ability to influence, collaborate, and build trust across teams. Solutions-oriented mindset with a continuous improvement approach. High degree of ownership, accountability, and commitment to developing people and improving processes. What you'll bring to Zelis: 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. Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies. 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. We welcome applicants from all backgrounds and encourage you to apply even if you don't meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email TalentAcquisition@zelis.com. 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.