Data Analyst

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

Job Description Summary

Analyzes QA’s data management system, data feeds, data processes and databases.  Responsible for reviewing all incoming requirements, complete technical tasks and reported issues.  Communicate with internal and external stakeholders in regard to requirements and data knowledge.

Essential Duties & Functions

• Review incoming client requests for delivery team, analyze business and functional requirements to create technical acceptance criteria
• Analyze client, product, operational, member, provider, or healthcare data to identify trends, issues, gaps, and opportunities.
• Partner with Client Delivery Managers, Product Delivery, Data Operations, Product, QA, Engineering, and Configuration teams to clarify requirements and resolve open questions.
• Performs refinement, requirement analysis, data analysis related to delivery tasks
• Contribute to refinement meetings, agenda, open tickets, status, KPIs, follow-ups
• Performs research and provides recommendations for data definition, requirements and structure
• Identifies, verifies and analyzes data defects/issues and communicates with team to determine the root cause for issue resolution
• Creates SQL queries for reporting and support troubleshooting
• Review data files, feeds, and outputs for accuracy, completeness, formatting, and business alignment.
• Investigate data discrepancies, file issues, missing data, unexpected results, and reporting defects.
• Provides analytical support and conducts data mining/complex multiple variable analysis
• Oversees data QA functions to ensure accuracy of business rules defined and data integrity
• Proactively identifies issues and trends through data analysis and manipulation
• Supports initiatives for data integrity and normalization
• Maintains Confluence page on data projects
• Communicates effectively with cross functional teams
• Interpret and analyze data from multiple sources including claims, member, and benefits data.

Experience, Qualifications, Knowledge and Skills

• Bachelor's degree (B. A. / B. S.) from four-year college or university; 2+ years related experience and/or training; or equivalent combination of education and experience.
• 2+ years of experience as a data analyst or in related field.
• Ability to work with stakeholders to assess potential risks.
• Ability to analyze existing tools and databases and provide data solution recommendations.
• Ability to translate business requirements into non-technical, lay terms.
• High-level experience in methodologies and processes for managing large scale databases
• Demonstrated experience in analyzing large data sets and relational databases
• Ability to manage time and priorities of multiple projects/tasks
• Displays professionalism and ability to learn quickly
• Conscientious of work quality and deadlines
• Extremely detail oriented
• Strong oral and written communication skills.
• Ability to collaborate closely with multiple teams across with a wide range of technical backgrounds

Required Technical Skills

• Experience in a data analyst, reporting analyst, business analyst, product analyst, data operations, or similar role
• Strong SQL skills for querying, analysis, validation, and troubleshooting
• Strong Excel skills, including formulas, pivots, lookups, filtering, reconciliation, and data comparison
• Experience analyzing large or complex datasets
• Ability to investigate data quality issues and explain findings clearly
• Strong attention to detail and commitment to accuracy
• Ability to manage multiple requests, priorities, and deadlines
• Strong written and verbal communication skills
• Comfortable working with both technical and business stakeholders

Preferred Skills

• Experience with healthcare, payer, provider, member, claims, network, transparency, or client delivery data
• Experience using data visualization tools and presenting information

• Familiarity with QA testing, user acceptance testing, and production release validation skills 

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 talentacquisition@zelis.com.