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Zelis

Healthcare financial services platform with APIs

Quality Assurance Manager

Full-Time
$127k - $160.6k/yr+ Bonus + Commission + Other incentives
Expert
Boston, MA, USA+2 moreMore locations: Morristown, NJ, USA | Plano, TX, USA
HybridCandidates within approximately 50 miles of a U.S. office are generally preferred; in-office presence varies by team and business needs.
No H1B Sponsorship

About the job

Requirements
  • A minimum of 12 years of experience in quality assurance, including at least 2 years leading software development engineers in test.
  • Proficiency in .NET technologies, GitHub, and test automation tools.
  • Strong experience with continuous integration/continuous delivery and DevOps cloud platforms.
  • Working experience with artificial intelligence and machine-learning-assisted tools such as GitHub Copilot or similar.
  • Experience handling environments with protected health information test-data management and the ability to model data schemas and relationships to produce realistic datasets using synthetic test-data generation tools.
  • Performance testing and relevant tooling experience.
  • Experience with Jira, Confluence, and Zephyr Scale for the test lifecycle.
  • Experience modernizing test practices as part of architectural transformation initiatives.
Responsibilities
  • Lead a global team of senior software development engineers in test and product testers, enabling ownership and accountability.
  • Lead the evaluation, strategy, development, and maintenance of current and future test automation frameworks aligned with application architecture.
  • Lay out and drive test automation strategy for high-yield regressions.
  • Collaborate with Development and Product teams to promote shift-left testing practices.
  • Coach test teams on transferable skills in product and automated testing.
  • Mentor and coach global teams, define upskilling paths, and promote a culture of continuous learning.
  • Review features and technical specifications to ensure comprehensive test coverage.
  • Ensure adherence to Zelis security and compliance standards.
  • Monitor and report on qualitative and quantitative metrics of test automation.
  • Partner on performance-test coverage.
  • Apply architectural understanding of complex systems integration and lay out integration/end-to-end test plans and test-data strategies.
  • Hire, onboard, and manage the performance of QA team members.
  • Oversee daily quality operations of global QA teams.
  • Analyze QA and automation processes, identify issues or inefficiencies, and drive improvements.
  • Foster a results-oriented culture focused on accountability and excellence.
  • Handle employee discipline and termination in alignment with Zelis policies.
Desired Qualifications
  • Executive-level reporting experience is a plus.
  • A background transforming legacy QA practices into modern, scalable, and efficient practices is highly desirable.

About the company

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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Simplify Jobs

Simplify's Take

What believers are saying

  • ZAPP processed over $300 billion in 2025, proving massive transaction scale.
  • September 17, 2026 member communications expansion addresses payer demand for clearer EOBs.
  • Vyne Dental and Jopari partnerships expand Zelis into dental and P&C workflows.

What critics are saying

  • Massachusetts antitrust litigation advanced on March 30, 2026, targeting Zelis repricing tools.
  • Plaintiffs allege Zelis and Aetna, Cigna, Elevance, Humana, and UnitedHealth suppressed out-of-network payments.
  • Bain and Parthenon still control Zelis, so exit pressure threatens strategy and morale.

What makes Zelis unique

  • Zelis connects 725+ payers and 850,000 providers through ZAPP Edge in 2026.
  • ZAPP Edge unifies ACH payments, remittance data, and denial insights from 550+ payers.
  • Phoenix and St. Louis production sites give Zelis rare physical scale for member communications.

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Benefits

Health Insurance

Hybrid Work Options

Growth & Insights and Company News

Headcount

6 month growth

↑ 0%

1 year growth

↑ 0%

2 year growth

↑ 1%
Zelis
Sep 17th, 2026
Zelis(R) brings clarity to healthcare costs.

Zelis(R) brings clarity to healthcare costs. Zelis makes healthcare financial information more accessible through clearer, connected member communications BOSTON, MA - Zelis(R), a leading provider of healthcare technology solutions, today announced an expanded approach to member communications. The approach provides health plans with greater financial context to healthcare claims, payments and benefits so member experiences are easier to understand and actionable. By connecting healthcare financial information to payment and multi-channel communications workflows, Zelis is enabling greater continuity and clarity across the financial journey. Research from Zelis and Datos Insights reveals a persistent gap between the importance healthcare organizations place on financial clarity and their ability to deliver it. Among health plans that consider Explanation of Benefits (EOB) clarity extremely important, just 21% say they are very effective at delivering it. That gap becomes even more consequential as healthcare affordability remains a concern. News summary. * Zelis helps health plans provide the financial context behind claims, payments, and benefits, making complex healthcare information easier for members to understand and act on. * By connecting healthcare financial information to physical and digital communications workflows, Zelis reduces fragmentation and delivers clearer, more consistent member experiences. * Zelis is expanding its communications infrastructure with a new production facility in Phoenix, resulting in more capacity and geographic scale to support health plan needs. Members need clear information to understand their coverage and the financial implications of their care. When claims and billing information are difficult to understand, it contributes to more member service calls, billing disputes, delayed payments and financial stress. That results in greater administrative burden and costs. Zelis operates across the healthcare financial journey and connects into the systems and workflows where claims, payments, and clinical information originate. With this level of integrated insight, the company helps preserve the meaning and accuracy of information as it moves from claims processing and adjudication to the member. "Members should not have to piece together what happened, what was covered, what they may owe and what to do next," said Yusuf Qasim, President of Payments at Zelis. "Clear communication starts with preserving the healthcare and financial context behind it. Zelis has a unique opportunity to connect that context with the communications members receive, helping health plans make complex financial interactions easier to understand and act on." Bringing healthcare context through to the member. Zelis supports the member communications experience across four interconnected areas: * Healthcare transaction context: Visibilityand consistency across claims logic, payments and post-adjudication workflows preserves the meaning behind the information communicated to members. * End-to-end visibility and control: Connecting information, processes and communications workflows helps health plans reducehandoffs and fragmentation from transaction through delivery. * Healthcare expertise: Industry-specific knowledge enables compliance across print and digital channels. * Scale and operational resilience: Physical and digital infrastructureunderpins complex, time-sensitive member communications at scale. To support multi-channel communications at scale, Zelis is expanding its physical infrastructure with a new company-operated production facility in Phoenix, Arizona. It joins an existing operation in St. Louis, Missouri. The two-site model adds production capacity, geographic redundancy, and routing flexibility for high-volume and time-sensitive communications such as ID cards, EOBs, letters and notices during periods of increased demand such as annual enrollment. "The new Phoenix facility strengthens the operational foundation behind the member experience," Qasim said. "Scale and resiliency matter, but they are most valuable when paired with an understanding of the healthcare information being communicated. Zelis brings those pieces together - the claims and payment context, healthcare expertise and communications infrastructure - so health plans can make complex information clearer for the members they serve." Zelis Member Communications capabilities span physical and digital communications, along with price transparency, member navigation and other member-facing solutions supporting 71 million health plan members. About Zelis. Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. Zelis serve more than 725 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 on LinkedIn to get the latest news.

Yahoo Finance
Sep 14th, 2026
Zelis names Jim Young CFO, succeeding retiring Brian Gladden

Zelis, a healthcare technology solutions provider, has appointed Jim Young as Chief Financial & Administrative Officer. Young succeeds Brian Gladden, who is retiring after a planned transition period ending 31 December 2026. Young brings over 20 years of finance leadership experience from high-growth companies. He most recently served as CFO of Coalition, Inc., a cybersecurity insurer. Previously, he was CFO at Broadridge Financial Solutions, where the company achieved fourfold growth in market capitalisation and joined the S&P 500. Young also held senior roles at Visa Inc., supporting its nearly $20 billion IPO in 2008. Zelis CEO Amanda Eisel said Young's experience scaling technology and payments companies positions him well for the role. Since joining Zelis in 2021, Gladden helped guide significant company growth and established operations in Hyderabad, India.

PR Newswire
Aug 17th, 2026
Vyne dental(r) and zelis(r) partner to modernize insurance payments for dental practices.

Vyne dental(r) and zelis(r) partner to modernize insurance payments for dental practices. Aug 17, 2026, 11:53 ET Partnership will simplify how more than one-third of U.S. dental practices receive, reconcile and understand insurance payments. INDIANAPOLIS, Aug. 17, 2026 /PRNewswire/ - Vyne Dental, a leading provider of dental revenue technologies and electronic health information exchange solutions, and Zelis, a leading provider of healthcare technology solutions, today announced a partnership designed to help dental practices move away from paper checks while simplifying workflows and reducing friction across the payment experience. Together, Vyne Dental and Zelis will provide dental practices with faster digital payments, a simpler reconciliation process, built-in visibility into claim performance, and greater clarity and control in managing revenue cycles. Through the partnership, Vyne Dental providers are able to gain access to ZAPP Edge(SM), which delivers electronic payments and embedded payment data and performance insights from 550+ insurance payers in a single, secure portal. Dental teams will also be able to quickly receive and reconcile payments, access more detailed claims insights and reporting, and better manage revenue workflows - helping to optimize revenue cycles and gain a clearer view of what's driving financial performance. "Dental practices have lived with paper checks and disconnected payment data for too long," said Steve Roberts, CEO of Vyne Dental. "Paper is slow, it's manual, and it leaves office teams chasing money instead of collecting it. The partnership with Zelis changes that. We're giving practices a direct, electronic path to get paid faster, along with the visibility to understand and account for payment trends. With this partnership, our customers chase less and collect more of every dollar they bill." "Modernizing the healthcare financial experience means more than digitizing paper checks. It means eliminating fragmented electronic connections that lead to delays in getting the data providers need," said Yusuf Qasim, President of Payments Optimization at Zelis. "By connecting ZAPP Edge with Vyne Trellis, Vyne Dental's revenue cycle management platform, we can bring payments, data and insights together in a connected experience that helps dental practices simplify reconciliation, understand payment activity and make more informed financial decisions." For participating Vyne Dental customers, electronic payments can reduce the need to receive, process, and deposit paper checks, while ZAPP Edge provides a more connected experience with built-in payment and denials insights to support simpler reconciliation and more informed revenue decisions. Connecting those payments with associated remittance and claims-payment information can help practices manage reconciliation through a more streamlined workflow. Initial enrollment for practices affiliated with participating payers is expected to begin in the coming months, with broader availability planned for late 2026. Vyne Dental and Zelis will share additional enrollment and implementation details as they become available. About Vyne Dental Vyne Dental delivers end-to-end revenue acceleration across payers, providers, and patients through connectivity, revenue cycle automation, claims management, and data exchange. With solutions like Vyne Trellis, Vyne Dental is helping reshape the dental profession's financial infrastructure - unlocking faster payments, fewer errors, and better experiences. For more information, visit vynedental.com. About Zelis Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 725 payers, including the top 5 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. Learn more at Zelis.com and follow us on LinkedIn to get the latest news. Media Contacts Vyne Dental: Ashton Pena Director of Marketing (770) 268-2739 Carolyn Edwards Director Public Relations (321) 795-1952 SOURCE Vyne Dental

HHM Global
Jul 3rd, 2026
Zelis launches ai-native solution to automate healthcare dispute arbitration.

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

Business Wire
Jun 24th, 2026
Zelis launches AI-native solution to help US health insurers manage No Surprises Act dispute resolution

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.