Data Ops Manager

About Us 

Zelis is modernizing the healthcare financial experience in the United States (U.S.) by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients.  

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 Summary



This role will lead and mentor a team of engineers, modelers, and analysts, providing technical guidance while overseeing the optimization of data assets. With a focus on hands-on technical experience and leadership skills, you will drive impactful outcomes and collaborate with global stakeholders to align data initiatives with business objectives, fostering innovation in healthcare data solutions.

About Zelis:

• Zelis is a leading payments company in healthcare, guiding, pricing, explaining, and paying for care on behalf of insurers and their members.

• We align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all.

• Partnering with 700+ payers, supporting 4 million+ providers and 100 million members across the healthcare industry.

About ZDI:

Zelis Data Intelligence (ZDI) is a centralized data team that partners across Zelis business units to unlock the value of data through intelligence and AI solutions. Our mission is to transform data into a strategic and competitive asset by fostering collaboration and innovation.

• Enable the democratization and productization of data assets to drive insights and decision-making.

• Develop new data and product capabilities through advanced analytics and AI-driven solutions.

• Collaborate closely with business units and enterprise functions to maximize the impact of data.

• Leverage intelligence solutions to unlock efficiency, transparency, and value across the organization

Key Responsibilities:

Operational Management:

• Demonstrate ITIL process knowledge in delivering services and proficiency in service management.

• Manage Service Level Agreements (SLAs) to ensure high standards of service delivery.

• Plan and manage shifts for team members to ensure 24/7 operational support.

• Monitor operational performance and implement improvements as necessary.

• Ensure all operational processes are well-documented and adhered to.

• Handle Root Cause Analysis (RCA) and continuous improvements effectively

​Data & Platform Management:

• Manage the collection, storage, and processing of large datasets required for various business operations.

• Ensure the reliability, efficiency, and security of data platforms.

• AI & ML Operations Support

• Collaborate with data scientists and machine learning engineers to develop, test, and optimize AI and ML models for various use cases.

• Implement monitoring tools and processes to continuously evaluate the performance of AI/ML systems.

• Optimize AI/ML algorithms and workflows to enhance accuracy, efficiency, and speed.

• API Support

• Oversee the development and maintenance of APIs to ensure seamless integration between systems and applications.

• Ensure APIs are reliable, secure, and scalable to meet business needs.

Quality Assurance Support:

• Establish, develop, and implement quality assurance strategies.

• Oversee testing processes, analyze data, collaborate with cross-functional teams, and drive continuous improvement initiatives.

• Ensure compliance with industry regulations and internal quality policies.

• Team Management

• Lead a team of data and QA engineers and support staff, providing guidance, mentorship, and support to achieve organizational objectives.

• Foster a collaborative and innovative team environment.

• Facilitate and enable onboarding, training, and upskilling of junior resources.

Qualifications:

• Bachelor’s or Master’s degree in computer science, engineering, or a related field.

• 5–9 years of experience in operations management, with a focus on data platforms, AI/ML operations, and API support.

• Strong understanding of AI technologies, machine learning, deep learning, and natural language processing.

• Experience in project management and agile methodologies.

• Hands-on experience with cloud platforms such as AWS and Azure, and data warehousing solutions like Snowflake.

• Understanding of programming languages such as Python, R, or Java, and experience with AI frameworks and libraries such as TensorFlow, PyTorch, or scikit-learn.

• Knowledge of healthcare industry regulations and compliance requirements is a plus.

• Strong analytical, problem-solving, and decision-making skills.

• Strong communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams.