Full-Time
Healthcare financial services platform with APIs
No salary listed
No H1B Sponsorship
Morristown, NJ, USA + 1 more
More locations: St. Petersburg, FL, USA
Hybrid
Hybrid role; in-office days determined by team objectives at Morristown, NJ or St. Petersburg, FL.
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Zelis provides healthcare financial solutions that streamline payments, manage claims costs, and improve transparency for payers, providers, and patients. It offers integrated financial services through APIs that clients embed into their platforms to automate and simplify financial workflows in healthcare. Zelis differentiates itself by combining a broad suite of capabilities—payments, claims cost management, payment integrity, member navigation, and transparency—through a series of strategic acquisitions (PHX, Pay Plus Solutions, Payer Compass, Payspan, Sapphire Digital) to deliver end-to-end financial services under one umbrella. The company’s goal is to modernize the financial experience in the healthcare ecosystem by making payments faster, costs clearer, and processes more efficient for all stakeholders.
Company Size
1,001-5,000
Company Stage
Late Stage VC
Total Funding
$20.2M
Headquarters
Boston, Massachusetts
Founded
2016
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Health Insurance
Hybrid Work Options
Zelis launches ai-native solution to automate healthcare dispute arbitration. Note* - All images used are for editorial and illustrative purposes only and may not originate from the original news provider or associated company. - Never miss a story with notifications - Browse free from any location or device. Media Packs Expand Your Reach With Its Customized Solutions Empowering Your Campaigns To Maximize Your Reach & Drive Real Results! - Book a Conference Call
Zelis, a healthcare technology provider, has launched Zelis NSA Claim Advantage, an AI-native solution designed to help health insurance payers manage Independent Dispute Resolution complexity under the No Surprises Act. The platform automates workflows across claim repricing, open negotiation, dispute prevention and IDR resolution. The launch comes as payers prepare for the June 2026 Federal IDR final rule, which introduces new communication and process requirements. The solution uses predictive intelligence and automated workflows to help payers reduce avoidable disputes, meet compliance deadlines and improve case outcomes. Zelis NSA Claim Advantage combines AI automation with human review across the IDR lifecycle, helping payers move from manual processes to data-driven operations. The platform is now available to payers and serves over 750 payers, including the top five national health plans.
Zelis, a healthcare technology solutions provider, has appointed Peter Durlach as Chief Strategy Officer and promoted Matthew Krawse to Chief Revenue Officer. The moves aim to advance the company's mission to modernise the healthcare financial experience for payers, providers and members. Durlach joins from Microsoft, where he served as Corporate Vice President and Chief Strategy Officer for Health & Life Sciences. He previously held the same role at Nuance Communications, helping grow its healthcare business before Microsoft's 2022 acquisition. At Zelis, he will lead enterprise-wide strategy and AI-driven capabilities. Krawse has spent 10 years at Zelis, most recently as Senior Vice President of Growth. He will now lead the company's Sales and Client Management organisation. Zelis serves over 725 payers and millions of healthcare providers.
Jopari Solutions expands digital payments through partnership with Zelis(R). Combining Jopari's platform with Zelis' payment capabilities to accelerate digital medical claim payments across healthcare, with focus on property and casualty CONCORD, Calif.-(BUSINESS WIRE)-Jopari Solutions, a provider of electronic billing and payment solutions, today announced a partnership with Zelis(R), a provider of healthcare technology solutions, to help payers modernize medical provider payments across property and casualty (P&C) insurers. Through the partnership, Jopari is integrating ZAPP Edge(SM), Zelis' provider payments solution that unifies payments, remittance data and insights in one platform. Together, Jopari and Zelis will help payers accelerate ACH payments to medical providers, reduce reliance on paper and manual processes, and improve visibility across reimbursement workflows. The partnership is highly relevant for healthcare payers across multiple segments, in particular Property & Casualty, where medical provider reimbursement workflows have often remained complex given the regulatory landscape, and fragmented across disconnected systems, manual processes, and paper-based payments. By combining Jopari's platform with Zelis' payment capabilities, the companies are helping payers to streamline payment delivery, improve administrative efficiency, and create a more transparent and consistent payment experience for the providers they reimburse. As part of Jopari's platform - the industry's only unified bill submission and payment platform supporting end-to-end transaction processing - the partnership supports more seamless workflows from bill submission through payment and reconciliation. Customers benefit from reduced administrative burden, better visibility into payment activity, and a more efficient path to digital payment adoption. "Jopari's role is to simplify and modernize how payments move throughout the healthcare and insurance ecosystem," said John Gilmartin, President of Jopari Solutions. "By combining Jopari's platform with Zelis' provider payment capabilities, we are helping customers reduce manual processes, improve payment delivery, and accelerate the transition to digital payments." "Our partnership with Jopari continues the expansion of ZAPP Edge and enables providers in our network to seamlessly receive payments, data, and insights from Jopari's payers in a single, streamlined experience," said Yusuf Qasim, President of Payments Optimization at Zelis. "Together, we're setting a new standard for efficiency and connectivity in healthcare payments across the ecosystem." This partnership strengthens Jopari's ability to help payers reduce friction, increase electronic payment adoption, and improve provider payment experiences across property and casualty and healthcare. About Zelis Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. HealthTech HotSpot LLC serve more than 750 payers, including the top 5 national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across its 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. Learn more at Zelis.com and follow HealthTech HotSpot LLC on LinkedIn to get the latest news. About Jopari Solutions Jopari Solutions is a healthcare technology leader transforming the Property & Casualty, Auto, Commercial, and Government Health markets through a payer-agnostic claims and payments network that automates the entire healthcare claims lifecycle. Leveraging intelligent automation, compliance expertise, and a vast provider-payer network, Jopari enables organizations to achieve straight-through electronic processing with greater efficiency, visibility, and security. Media Contact Jeff Pirino Chief Growth Officer Jopari Solutions 925.459.5253 March 28th, 2026 March 27th, 2026
Zelis named a Strong Performer in The Forrester Wave(TM): Customer Experience Platforms for Healthcare, Q1 2026. Zelis has been recognized as a Strong Performer in The Forrester Wave(TM): Customer Experience Platforms for Healthcare, Q1 2026. "Zelis is a good choice for health plans seeking a broad, integrated ecosystem to help them guide members to lower-cost, high-quality care and improve satisfaction, cost transparency, and activation." -The Forrester Wave(TM): Customer Experience Platforms for Healthcare, Q1 2026, authored by Arielle Trzcinski, Principal Analyst at Forrester. Forrester evaluated Zelis' member engagement and transparency solutions including S365(R), SmartShopper(R) and Mobile Member Connect(R). Zelis Healthcare Inc. believe its continued commitment to evolve these solutions to meet market needs demonstrates its commitment to improving the increasingly critical pre-care financial journey. Zelis was given the highest possible scores in five criteria, including: * Vision - Its clear, forward-looking strategy is focused on improving the pre-care financial journey * Find Care - Zelis Healthcare Inc. enable members to identify high-quality, lower-cost care with confidence * Behavior Change Incentives - Its differentiated engagement and rewards capabilities drive sustained member action The Forrester Wave(TM) is an independent evaluation of the top vendors in the market, assessed across strategy, current offering and customer feedback. Vendors included in a Wave are those Forrester has determined to be the most significant options for buyers today. To Zelis Healthcare Inc., its placement as a Strong Performer reinforces Zelis' position as a trusted partner to plans seeking to elevate their member experience. With over a third of employers reporting being likely or very likely to switch their primary insurance carrier in the next year (source), Zelis Healthcare Inc. understand its payer clients are feeling the pressure to deliver a flexible and tailored member experience. To learn more about how Zelis can help, click here or connect with a representative here. Forrester does not endorse any company, product, brand, or service included in its research publications and does not advise any person to select the products or services of any company or brand based on the ratings included in such publications. Information is based on the best available resources. Opinions reflect judgment at the time and are subject to change. For more information, read about Forrester's objectivity here. About Zelis. Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. Zelis Healthcare Inc. serve more than 750 payers, including the top 5 national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across its 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. Learn more at Zelis.com and follow Zelis Healthcare Inc. on LinkedIn to get the latest news.