Process & Data Analyst

At Zelis, we Get Stuff Done. So, let’s get to it! A Little About Us Zelis is modernizing the healthcare financial experience 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. A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are. Position Overview The Process & Data Analyst is a key member of the Operational Excellence team, embedded within daily operations to drive performance visibility, operational efficiency, and continuous improvement. This role is responsible for working directly within operational data to identify inefficiencies, uncover trends, and translate insights into actionable improvements. A primary focus of this role is the development and ownership of meaningful KPIs across our Pricing Solutions team, particularly across out-of-network (OON) processes. This individual will partner closely with operations and leadership to define how performance is measured, proactively identify risks and opportunities, and ensure data is actively used to drive day-to-day decision-making. This role requires a balance of hands-on analytical execution and strategic thinking, with a strong emphasis on improving operational outcomes through data. What You’ll Do: Operational Insights & KPI Ownership Operate within daily operational data to monitor performance, identify inefficiencies, and surface actionable insights Develop, refine, and own KPIs that measure performance across operational workflows, with a strong focus on Pricing Solutions processes Establish leading indicators to proactively identify risks, bottlenecks, and performance gaps Partner with operations leadership to align KPIs with business objectives and drive accountability Process Optimization & Operational Efficiency Develop a deep understanding of end-to-end operational workflows, particularly within Pricing Solutions processes (e.g., pricing, reimbursement, negotiation) Identify breakdowns, inefficiencies, and variation in performance across workflows Conduct root cause analysis to diagnose systemic issues impacting cost, quality, and throughput Partner with operations teams to design, test, and implement process improvements in real time Support continuous improvement efforts using data-driven insights Analytics, Reporting & Data Utilization Build and maintain dashboards and reporting tools that support daily operational decision-making Ensure data is accurate, consistent, and accessible across operational reporting Translate complex data into clear, actionable insights for both frontline teams and leadership Evolve reporting from descriptive to diagnostic (and where possible, predictive) analytics Drive standardization of performance reporting across teams Cross-Functional Partnership Act as a liaison between operations, data/technology teams, and leadership Partner with stakeholders to ensure data definitions, metrics, and reporting align with operational reality Influence decision-making through data storytelling and clear recommendations Support prioritization of initiatives based on data-driven impact Own analytical initiatives from problem definition through execution and measurement of outcomes Establish frameworks to quantify the impact of process improvements and efficiency gains Continuously refine KPIs and analytical approaches to increase business value Ensure improvements are measurable, sustainable, and scalable Collaborate cross-departmentally to achieve results as intended. Maintain awareness of and ensure adherence to Zelis standards regarding privacy. Must be available to travel 25% - 50% as required to meet business needs. Other key duties as assigned. Ownership & Impact Measurement Own analytical initiatives from problem definition through execution and measurement of outcomes Establish frameworks to quantify the impact of process improvements and efficiency gains Continuously refine KPIs and analytical approaches to increase business value Ensure improvements are measurable, sustainable, and scalable Collaborate cross-departmentally to achieve results as intended. Maintain awareness of and ensure adherence to Zelis standards regarding privacy. Must be available to travel 25% - 50% as required to meet business needs. Other key duties as assigned. What You’ll Bring to Zelis: 7–10+ years of experience in data analytics, business analytics, or operations analytics Strong experience working within operational environments and understanding complex workflows Proven ability to develop KPIs and performance measurement frameworks Advanced proficiency in SQL, Excel, and data visualization tools (Tableau, Power BI, Looker, etc.) Experience building dashboards that support both daily operations and leadership visibility Strong analytical thinking, problem-solving, and critical reasoning skills Ability to translate data into actionable insights and influence decision-making Excellent communication skills with the ability to engage cross-functional stakeholders Preferred Skills Experience in healthcare, payments, or other high-volume, process-driven environments Familiarity with OON processes such as reimbursement, pricing, or negotiation workflows Experience with Operational Excellence, Lean, Six Sigma, or continuous improvement methodologies Background in predictive analytics, trend modeling, or statistical analysis Experience with process mapping and workflow optimization tools Key Success Traits Highly proactive; actively identifies issues and opportunities within daily operations Strong operational acumen; understands how work is executed at a granular level Data-driven mindset with a focus on driving measurable outcomes Influential communicator who can translate insights into action Comfortable working in ambiguous environments and driving clarity Hands-on and detail-oriented, while maintaining a broader operational perspective What Success Looks Like KPIs are clearly defined, trusted, and actively used to manage OON performance Operational inefficiencies and performance gaps are identified and addressed proactively Data is embedded into daily workflows and decision-making across teams Measurable improvements in cost, quality, and throughput are achieved Reporting frameworks are standardized, scalable, and aligned across the organization Operations and leadership rely on this role as a critical partner in driving efficiency and performance Work environment A standard work week exists but with the understanding that additional time/effort outside of the usual parameters can/will occur based upon the overall needs of the integration, where deadlines exist and when necessary due to the needs of the integration team.  A standard business environment exists with moderate noise levels. Ability to lift and move approximately thirty (30) pounds on a non-routine basis. Ability to sit for extended periods of time.  Please note at this time we are unable to proceed with candidates who require visa sponsorship now or in the future. Location and Workplace Flexibility Zelis is headquartered in the U.S., with multiple locations across the country and in Hyderabad, India. Check out our locations to learn more about our offices. All employee work locations are based on the needs of the position and are determined by the Leadership team. In-office work and activities vary based on work and team objectives in accordance with Company policies. While location expectations vary by role, candidates within approximately 50 miles of a U.S. office are generally preferred to support collaboration when needed. Our hybrid approach is flexible, and in-office presence is guided by team and business needs rather than a fixed weekly schedule. Base Salary Range $105,000.00 - $133,000.00 At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role. 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. 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. We welcome applicants from all backgrounds and encourage you to apply even if you don’t meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email View email address on click.appcast.io. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time. Zelis is modernizing the healthcare financial experience 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. Zelis maintains a transparent, fee-free recruitment process. All genuine offers originate from our Talent Acquisition team using the “@zelis.com” domain. We do not use WhatsApp or personal emails for recruitment. Forward any suspected fraud to View email address on click.appcast.io for prompt investigation. Thank you for staying vigilant.