📌 Core Information
🔹 Job Title: Specialist I - Data & Content Management
🔹 Company: Zelis
🔹 Location: Hyderabad, India
🔹 Job Type: Full-Time (Hybrid)
🔹 Category: Professional Services
🔹 Date Posted: April 28, 2025
🔹 Experience Level: 2-5 years
🔹 Remote Status: On-site/Hybrid
🚀 Job Overview
Key aspects of this role include:
- Processing and verifying healthcare providers' credentials
- Ensuring compliance with laws, regulations, and internal policies
- Maintaining accurate and up-to-date provider data
- Collaborating with cross-functional teams to improve processes
ASSUMPTION: This role requires a balance of administrative tasks and critical thinking to ensure the accuracy and completeness of provider data.
📋 Key Responsibilities
✅ Processing initial credentialing and re-credentialing applications
✅ Screening practitioners' applications and supporting documentation
✅ Collecting and verifying information from various sources
✅ Identifying and resolving discrepancies in provider information
✅ Ensuring data is backed up and maintained securely
✅ Assisting customers with credentialing inquiries
✅ Ensuring compliance with applicable laws, regulations, and internal policies
ASSUMPTION: This role involves a high degree of attention to detail and the ability to manage multiple tasks simultaneously.
🎯 Required Qualifications
Education: Master's degree in any stream or suitable equivalent
Experience: 2+ years of credentialing experience or working in the US healthcare process
Required Skills:
- Knowledge of medical credentialing and privileging procedures and standards
- Excellent verbal and written communication skills
- Proficient with Microsoft Office Word and Excel
- Proficient typing skills
- Time management skills
Preferred Skills:
- Familiarity with the National Practitioner Data Bank (NPDB) portal
- Experience with healthcare data management systems
ASSUMPTION: While not explicitly stated, experience with healthcare data management systems would be beneficial for this role.
💰 Compensation & Benefits
Salary Range: INR 4,00,000 - 6,00,000 per annum (Estimated based on industry standards for similar roles)
Benefits:
- Hybrid Work Flexibility
- Comprehensive Healthcare Benefits
- Financial Wellness Programs
- Cultural Celebrations
Working Hours: 40 hours per week, with flexible scheduling
ASSUMPTION: The salary range is estimated based on industry standards for similar roles in Hyderabad, India.
📌 Applicant Insights
🔍 Company Context
Industry: Professional Services, specifically focused on healthcare financial experience
Company Size: 1,001-5,000 employees
Founded: 2001 (as per LinkedIn, though the provided data does not specify)
Company Description:
- Zelis is modernizing the healthcare financial experience in the United States (U.S.)
- Provides a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers
- Serves more than 750 payers and millions of healthcare providers and consumers in the U.S.
Company Specialties:
- Healthcare payments
- Payment integrity
- Payment accuracy
- Healthcare bill review
- Electronic payments
- Network optimization
- Provider network modeling
- Healthcare navigation
- Healthcare access
Company Website: https://www.zelis.com
ASSUMPTION: Zelis India plays a crucial role in supporting various initiatives that enhance the healthcare financial experience, contributing to the development and implementation of innovative solutions.
📊 Role Analysis
Career Level: Mid-level, with opportunities for growth and development
Reporting Structure: This role reports to the Credentialing Manager
Work Arrangement: Hybrid, with a combination of on-site and remote work
Growth Opportunities:
- Potential career progression within the credentialing department
- Opportunities to work on cross-functional projects and gain exposure to other areas of the business
- Possibility to develop expertise in healthcare data management and analytics
ASSUMPTION: This role offers opportunities for professional growth and development within the organization.
🌍 Location & Work Environment
Office Type: Hybrid, with a combination of on-site and remote work
Office Location(s): Lumbini Avenue, A Block, Floor 19, Aurobindo Galaxy, Hyderabad, Telangana 500085, IN
Geographic Context:
- Hyderabad is the capital city of Telangana, India
- Known for its historical sites, IT industry, and pharmaceutical sector
- Offers a mix of traditional and modern culture, with a diverse range of dining and entertainment options
Work Schedule: 40 hours per week, with flexible scheduling
ASSUMPTION: The hybrid work arrangement allows for a balance between on-site collaboration and remote work flexibility.
💼 Interview & Application Insights
Typical Process:
- Online application submission
- Phone or video screening
- On-site or virtual interview with the hiring manager and/or team members
- Background check and offer extension
Key Assessment Areas:
- Understanding of medical credentialing and privileging procedures
- Attention to detail and data management skills
- Communication and interpersonal skills
- Problem-solving and analytical thinking
Application Tips:
- Highlight relevant experience and skills in your resume, focusing on medical credentialing, data management, and communication
- Prepare for behavioral questions that assess your problem-solving skills and attention to detail
- Research Zelis and the role to demonstrate your interest and understanding
ATS Keywords: Medical credentialing, data management, communication skills, Microsoft Office, typing skills, time management
ASSUMPTION: The application process may vary, and it is essential to monitor the company's career page for updates.
🛠️ Tools & Technologies
- Microsoft Office (Word, Excel)
- National Practitioner Data Bank (NPDB) portal
- Healthcare data management systems (if applicable)
ASSUMPTION: The required tools and technologies may vary depending on the specific needs of the role and the organization.
👔 Cultural Fit Considerations
Company Values:
- Integrity
- Collaboration
- Innovation
- Accountability
- Customer focus
Work Style:
- Results-driven
- Team-oriented
- Adaptable and flexible
- Attention to detail
- Strong communication skills
Self-Assessment Questions:
- Do you have a strong attention to detail and excellent communication skills?
- Are you comfortable working in a team and collaborating with cross-functional departments?
- Can you adapt to new tools and technologies as needed?
ASSUMPTION: Zelis values a diverse and inclusive work environment, where employees can thrive and contribute to the organization's success.
⚠️ Potential Challenges
- Managing multiple tasks and deadlines simultaneously
- Ensuring the accuracy and completeness of provider data
- Adapting to changes in processes and workflows
- Working with sensitive and confidential information
ASSUMPTION: These challenges can be overcome with strong organizational skills, attention to detail, and a commitment to continuous learning and improvement.
📈 Similar Roles Comparison
- This role is similar to a Medical Credentialing Specialist or Healthcare Data Management Specialist
- However, it is unique in its focus on processing and verifying healthcare providers' credentials
- Career progression may include roles such as Senior Credentialing Specialist, Credentialing Manager, or Healthcare Data Analyst
ASSUMPTION: While this role shares similarities with other credentialing and data management positions, it is unique in its focus on healthcare providers' credentials.
📝 Sample Projects
- Processing and verifying the credentials of a large batch of new healthcare providers
- Identifying and resolving discrepancies in provider data across multiple systems
- Assisting with a special project to optimize healthcare provider network modeling
ASSUMPTION: These sample projects illustrate the variety of tasks and responsibilities associated with this role.
❓ Key Questions to Ask During Interview
- What are the most challenging aspects of this role, and how can I best prepare for them?
- How does this role contribute to the overall success of the organization?
- What opportunities are there for professional growth and development within the credentialing department?
- How does Zelis support work-life balance for its employees?
- What is the typical career path for someone in this role?
ASSUMPTION: These questions can help applicants better understand the role, the organization, and the opportunities for growth and development.
📌 Next Steps for Applicants
To apply for this position:
- Submit your application through this link
- Tailor your resume to highlight your relevant experience and skills, focusing on medical credentialing, data management, and communication
- Prepare for behavioral questions that assess your problem-solving skills and attention to detail
- Research Zelis and the role to demonstrate your interest and understanding
- Follow up with the hiring manager or HR within a week after submitting your application
⚠️ This job description contains AI-assisted information. Details should be verified directly with the employer before making decisions.
