Senior Manager, Specialty Support and Clearinghouse Operations

Zelis • Plano, TX

54d • $105,000 - $140,000 • Hybrid

About The Position

The Senior Manager of Specialty Support & Clearinghouse Operations is a leadership position responsible for overseeing niche operational support functions and managing strategic clearinghouse relationships. This role ensures the effective execution of specialized services while serving as the primary operational point of contact for clearinghouse partners, facilitating issue resolution and continuous improvement.

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.

Nice To Haves

• Familiarity with lockbox operations, tax services, and sworn statement protocols is preferred.

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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Industry: Professional, Scientific, and Technical Services
• Education Level: No Education Listed
• Number of Employees: 1,001-5,000 employees