Solution Advisor - Pre-Sales, Out of Network and No Surprises Act

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.
* Become a recognized Subject Matter Expert on Out-of-Network and No Surprises Act
* Partner with Sales to identify client business and product requirements during the sales cycle and determine recommended solutions and value proposition to win business.
* Function as Subject Matter Expert regarding the Zelis Out-of-Network Solution as well as the No Surprises Act portfolio including their design, configuration, implementation, and utilization.
* Collaborate with Sales to lead client discussions on Out-of-Network and No Surprises Act solutions, delivering clear, strategic guidance and positioning the value of our offerings
* Partner with the Client Management team to deliver impactful client calls, presentations, and onsite engagements, ensuring revenue retention and driving long-term client success
* Review and give data insights on client level data and modeling
* Participate in product and data insights improvement activities.
* Serve as strategic member of product roll-out team
* Provide market & product intelligence to management and participate in the development of future solution strategies; assist with organization and prioritization of cross-sell pipeline(s)
* Identify areas of opportunity within current client base
* Participate in training sales and client management teams regularly on product and operational subject matter such as emerging technology, new products, custom solutions, etc.
* Partner/engage with other departments to maintain level of knowledge and confirm customizations outside of norms.
* Document/maintain associated procedural requirements as necessary
* Participate in divisional and corporate trainings, communications
* Maintain awareness of and ensure adherence to compliance standards regarding privacy
* Operate in a fast-paced environment and pivot as required to support clients and sales/client management
* Assist with different types of projects as needed or asked by leadership
* Additional responsibilities as the business necessitates and expansion or variations in solution focus-based market/business needs
* Travel requirement varies between 25-40% depending on volume of activity and season
* 2-5 years’ experience in the healthcare marketplace
* Knowledge of Out-of-Network market, and experience with Out-of-Network claims repricing
* Comprehensive knowledge of the No Surprises Act, including its broad impact on healthcare and its specific implications for payers
* Knowledge of traditional PPO Network plan designs
* Strong experience working with healthcare payers and technology enabled solutions
* A demonstrated ability to leverage data analytics and interpret complex datasets to provide actionable insights that support sales strategies and enhance client outcomes
* Ability to work in a cross-functional and fast paced environment
* Critical Thinker
* A high level of comfort with public speaking and client presentations
* Superior communication and organization skills required
* Experience in CRM use, specifically with  highly preferred
* Strong experience with Microsoft Office Suite, Power BI, Tableau, and Sigma
* Willingness to travel 25-40% of the time
* Travel requirements to (primarily) domestic destinations should not exceed 40%
* While a standard work week applies, additional time and effort may be required to meet organizational deadlines and support business needs
* 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
** We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture, and all our employee's work locations are based on the needs of the position and determined by the Leadership team. In-office work and activities, if applicable, vary based on the work and team objectives in accordance with Company policies.

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…