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At Zelis, we Get Stuff Done. So, let’s get to it!

A Little About Us

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 clients.

A Little About You

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.

Position Overview

The Implementation Specialist plays a crucial role in supporting the Implementation Team in delivering effective solutions for healthcare payer clients. This position involves collaborating closely with team members to understand client data and requirements for print fulfillment. The specialist is responsible for configuring the Zelis system to ensure the successful composition and processing of various services, including the delivery of Explanation of Benefits, letters, checks, and ID cards, through both paper and electronic channels.

Key responsibilities include assisting in system configuration, identifying and resolving barriers to product implementation, and contributing to team efforts under the guidance of the Manager of Implementation. The ideal candidate will possess an understanding of the customer implementation process, strong problem-solving skills and a commitment to enhancing client satisfaction through effective training and support initiatives.

What you will do:

+ Provide software-related custom integration and product implementation support with the goal of successfully moving new Zelis customers to live production status.

+ Apply technology and Zelis product knowledge to address client needs.

+ Learn about the client's technical system, software and current process for print and electronic communications or enrollment materials.

+ Communicate regularly with clients which may include requirements gathering, providing regular status updates and facilitating conference calls.

+ Develop and manage the implementation project plan utilized to track and accomplish project activities.

+ Gather client requirements by collecting current information about client’s print and employer groups.

+ Redesign former client communications or enrollment materials using Zelis base format.

+ Keep the Manager informed of activities, alerting of any issues promptly.

+ Customization of the explanation of benefits and checks or ID cards using Zelis standard processes

+ Manage multiple client implementations at a time by utilizing time management skills and task prioritization.

+ Manage ramp up to achieve 100% of customers business on Zelis.

+ Potential client visits, with some travel required.

+ Complete responsibilities with high ethical behavior

+ Follows established HIPAA, Compliance & Security policies.

What you will bring:

+ BS or BA degree preferred, Computer Science, Engineering, or other technical degree a plus.

+ 2-3 years in Healthcare Industry experience

+ Previous Customer Service experience

+ Knowledge of healthcare claims communication process, as well as printing aspects of claims communications documents or enrollment materials is a plus.

+ Knowledge of data normalization and integrity with the ability to troubleshoot data transformation workflows

+ Experience working on implementation timelines and managing client rollouts.

+ Ability to communicate technical details to non-technical stakeholders and to translate between client business requirements and technical execution.

+ Strong documentation habits (e.g., mapping documents, implementation guides)

+ Strong cross-functional communication skills to work with product managers, dev teams, and client IT staff.

+ Familiarity with Jira, Confluence, Salesforce, Smartsheet, or similar tools

+ Proficiency with computer and applicable software packages, including Microsoft Office products - Outlook, Word, Excel, Internet and E-mail

What makes you stand out

+ Understanding X12 (especially 837/835), custom flat and XML file formats

+ Familiarity with APIs, batch file transfers (SFTP), and integration platforms

+ Ability to map client data formats to internal system schemas.

+ Prior experience leading projects

+ SQL Database experience

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.

Equal Employment Opportunity Zelis is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. We welcome applicants from all backgrounds and encourage you to apply even if you don’t meet 100% of the qualifications for the role. We believe in the value of diverse perspectives and experiences and are committed to building an inclusive workplace for all.

Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email [email protected].

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time.

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 clients.

Zelis maintains a transparent, fee-free recruitment process. All genuine offers originate from our Talent Acquisition team using the “@zelis.com” domain. We do not use WhatsApp or personal emails for recruitment. Forward any suspected fraud to [email protected] for prompt investigation. Thank you for staying vigilant.