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 implementation, and contributing to team efforts under the guidance of the Manager of Implementation. The ideal candidate will possess strong problem-solving skills and a commitment to enhancing client satisfaction through effective training and support initiatives.
What you will do:
Collect current information about client’s print and employer groups
Learn client's technical system, software and current process for print and electronic communications or enrollment materials
Conduct daily interaction with client’s staff to execute implementation plan
Establish project management structure and plan to accomplish project activities
Conduct conference calls with clients
Apply technology and Zelis product knowledge to address client needs
Redesign former client communications or enrollment materials using Zelis base format
Understand the healthcare enrollment or claims process and related printing aspects
Understand data and how it translates to produce client materials
Keep Manager informed of activities, alerting of any issues promptly
Provide software related custom integration and implementation support
Customization of the explanation of benefits and checks or ID cards
Manage multiple projects with multiple customers
Manage ramp up to achieve 100% of customers business on Zelis
Manage implementation process to successfully move new Zelis customers to live production status.
Potential client visits, with some travel required
Complete responsibilities with high ethical behavior
Follows established HIPAA, Compliance & Security policies
What you will bring:
Client/Customer Focus – Makes customers and their needs a primary focus of one’s actions; develops and sustains productive customer relationships. Seeks to understand and educate customers; builds collaborative relationships and takes action to meet their needs and concerns.
Communication – Communicates accurately, honestly and effectively, both in oral and written form, practices active listening. Clearly conveys information and ideas through a variety of media to individuals and groups in a manner that engages the audience and helps them understand the information.
Team Success – Actively participates as a member of a team to move the team toward the completion of goals.
Problem Analysis & Solving – Uses sound or logical judgment to spot and analyze problems; develops alternative solutions and initiate's action. Proactively identifies complex problems; identifies, proposes and implements solutions in a deadline driven environment.
Strategic – Organizes information and data to identify/explain trends, problems, and causes; combines information to identify underlying issues. Identifies the key tasks and resources needed to achieve objectives.
Initiative – Highly motivated to take prompt action to accomplish objectives; strives to achieve goals beyond what is required; proactive. Responds quickly; takes action and goes above and beyond.
Planning and Organizing – Establishes courses of action for self and others to ensure that work is completed efficiently. Able to prioritize, determine tasks, create schedules, leverage resources and stays focused.
Living the Vision and Values – Keeps the company’s vision and values at the forefront of decision-making and action.
Education and Experience:
BS or BA degree preferred, Computer Science, Engineering, or other technical degree a plus
2-3 years in Healthcare Industry experience preferred
SQL Database experience a strong plus
Knowledge of healthcare claims communication process, as well as printing aspects of claims communications documents or enrollment materials is a plus
Proficiency with computer and applicable software packages, including Microsoft Office products - Outlook, Word, Excel, Internet and E-mail
Basic data skills, including ability to use text editors
Ability to understand and utilize web-based applications for project management and client business to business applications
Previous Customer Service experience preferred
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 of 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 by providing a connected platform that bridges the gaps and aligns interests across payers, providers, and healthcare consumers. This platform serves more than 750 payers, including the top 5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.
Commitment to Diversity, Equity, Inclusion, and Belonging
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.
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 encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.
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 TalentAcquisition@zelis.com.
SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.