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Zelis Company Market Research Report



Company Overview



  • Name: Zelis

  • Mission: Zelis is on a mission to modernize the healthcare financial experience for all, ensuring that care does not slow due to administrative processes but instead flows seamlessly.

  • Founded: Zelis was originally founded as Stratose® in 1995.

  • Key People:

  • Amanda Eisel, Chief Executive Officer

  • Brian Gladden, Chief Administrative & Financial Officer

  • Sue Schick, President, Chief Revenue Officer

  • Heather Valteris, Chief Marketing Officer

  • Larry West, Chief Data Intelligence Officer

  • Wendy Zacchio, Chief Information Officer

  • Jeanine Boyle, Chief People Officer

  • Mary O’Toole Mahoney, Chief Legal Officer

  • Jay Deady, President, Price Optimization

  • Yusuf Qasim, President, Payments Optimization

  • Heather Cox, President, Insights & Empowerment

  • Venu Kandimalla, SVP, General Manager of Zelis India

  • Headquarters: No information is available

  • Number of Employees: No information is available

  • Revenue: No information is available

  • Known For: Zelis is known for transforming the healthcare financial experience, offering solutions in claims management, payment optimization, and more, aimed at reducing costs and improving the financial journey for payers, providers, and members.


Products



Network Solutions


  • Description: Build, maintain, and optimize high-performing healthcare networks.


Member Engagement


  • Description: Empower members to navigate finding care at an affordable cost, including enrollment tools and personalized support.


Payment Integrity


  • Description: Ensure payment accuracy and capture savings on every claim.


Payments & Communications


  • Description: Facilitate faster payments and efficient communications with clients using the ZAPP platform.


Other Solutions


  • Reference-Based Pricing, In-Network Pricing, Out-of-Network Solutions, NSA + TiC Compliance, and claims management tools such as Claims Editing and Bill Review.


Recent Developments



  • Partnership with Google: Zelis partnered with Google for secure digital integration of health insurance ID cards into Google Wallet.

  • Acquisitions: Acquired Payer Compass and Payspan to expand payment integrity and network capabilities.

  • Innovations: Introduced AI and data optimization to streamline healthcare financial processes and improve efficiency.

  • Certifications: Earned the 2024 Great Place to Work® Certification in India.

  • Recognition: Named to the Inc. 5000 list of fastest-growing companies, illustrating significant growth in modernizing the healthcare financial experience.

  • Product Launches: Unveiled the 'Health Bill Assist' solution to help members navigate out-of-network bills.


Strategic Insights and Future Outlook



  • Vision: Zelis aims to further integrate transformative technologies like AI and blockchain to enhance interoperability and security in healthcare data management.

  • Market Position: Positioning itself as a leader by addressing the comprehensive needs of healthcare payers, providers, and members.

  • Goals: To continue driving innovation in healthcare financial systems and expand its influence through strategic partnerships and technology-driven solutions.


Conclusion



Zelis stands as a prominent entity in reshaping the healthcare financial landscape through innovative solutions and strategic partnerships, with a continuing focus on enhancing the experience for all stakeholders across the healthcare continuum.