Zelis, a leading U.S.-based healthcare financial technology company, is expanding its India operations in Hyderabad and is hiring for four critical roles across audit, regulatory pricing, content analytics, and document retrieval. These opportunities are ideal for professionals with experience in healthcare claims, reimbursement, medical coding, regulatory compliance, and data analysis.
With a strong presence across U.S. payers and providers, Zelis offers a stable career path, exposure to Medicare/Medicaid pricing systems, and a globally collaborative work environment. Candidates seeking healthcare analytics jobs in Hyderabad, medical coding jobs, or audit analyst roles should not miss this hiring drive.
🏢 About Zelis
Zelis modernizes the U.S. healthcare financial experience by improving pricing transparency, claims accuracy, and reimbursement efficiency for payers, providers, and consumers. Serving over 750+ health plans, Zelis combines healthcare expertise with advanced technology to deliver measurable financial outcomes.
📌 Open Positions at Zelis – Hyderabad
1️⃣ Audit Analyst-2
Location: Hyderabad
Experience: 2+ years (Healthcare payer/provider)
Key Responsibilities
- Conduct detailed audits of pricing and operational processes
- Validate compliance with regulatory pricer product standards
- Analyze claims data to identify discrepancies and risks
- Perform root cause analysis and recommend corrective actions
- Prepare audit reports and support process improvements
Key Skills
- Medical claims lifecycle knowledge
- Pricing business rules & medical coding
- MS Excel, basic SQL
- Strong analytical and documentation skills
2️⃣ Medicare / Medicaid Regulatory Pricer Analyst
Location: Hyderabad
Experience: 4+ years preferred (Entry to mid-level)
Key Responsibilities
- Research Medicaid & Medicare regulations and fee schedules
- Support pricing logic updates and documentation
- Perform claims testing, QA validation & data analysis
- Assist senior analysts with regulatory interpretation
Key Skills
- Reimbursement methodologies
- Claims adjudication & editing rules
- Excel (advanced formulas), SQL (preferred)
- Regulatory research & documentation
3️⃣ Document Retrieval I-2
Location: Hyderabad
Experience: 2+ years medical record retrieval
Key Responsibilities
- Contact healthcare providers for medical & billing documents
- Manage claim audit document workflows
- Train and mentor junior document retrieval staff
- Ensure HIPAA compliance and timely follow-ups
Key Skills
- Medical records & billing documentation
- Provider communication (phone/email/fax)
- MS Outlook & Word
- Strong organizational skills
4️⃣ Sr. Content Data Analyst-1
Location: Hyderabad
Experience: 5+ years healthcare content/coding
Key Responsibilities
- Develop and maintain claims edit content (CPT, CMS, AMA)
- Perform regulatory research and QA validation
- Conduct root cause analysis and preventive action planning
- Act as SME for coding, edits, and regulatory compliance
Key Skills
- CPC / CCS / RHIA certification (mandatory)
- Claims editing platforms
- Advanced Excel & content QA
- Strong stakeholder communication
🎓 Qualifications (Across Roles)
- Bachelor’s degree in Healthcare, Pharmacy, Life Sciences, Business, or Technology
- Knowledge of U.S. healthcare reimbursement & claims processing
- Certified coder (CPC/CCS/RHIA/RHIT) – preferred or mandatory depending on role
- Strong analytical, documentation, and communication skills
💼 Benefits of Working at Zelis
- Competitive salary packages
- Hybrid work flexibility
- Comprehensive health insurance
- Global exposure to U.S. healthcare systems
- Learning & leadership development programs
- Inclusive and award-winning workplace culture
📝 How to Apply
Application Link For Audit Analyst-2
Application Link For Medicare Pricer Regulatory Analyst
Application Link For Document Retrieval
Application Link For Sr. Content Data Analyst-1
