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Zelis · 2 hours ago

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

New Jersey, United States

Full-time

Hybrid

Entry, Mid Level

$95K/yr - $127K/yr

2+ years exp

Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. The Solution Advisor will deliver strategic guidance and expertise during the client’s lifecycle, focusing on Out-of-Network and No Surprises Act offerings, and ensuring seamless implementation and long-term client success.

FinanceFinTechHealth Care

No H1B

Responsibilities

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

Qualification

Out-of-Network expertiseNo Surprises Act knowledgeData analyticsHealthcare marketplace experienceSalesforce.com proficiencyMicrosoft Office SuitePublic speakingCritical thinkingCommunication skillsOrganizational skillsCross-functional collaboration

Required

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

Willingness to travel 25-40% of the time

Bachelors Degree or relevant work experience