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

Solution Advisor, OON NSA

The Solutions Sales Advisor is a critical resource within the Price Business Unit, delivering strategic guidance and expertise throughout the entire client's lifecycle. In the pre-sale phase, this role partners closely with sales to provide analytics-driven insights, craft compelling solution strategies, and position Out-of-Network and No Surprises Act (NSA) offerings effectivelyoften through high-impact client presentations that clearly articulate value and differentiation. Beyond the sale, the Advisor works hand-in-hand with the client management team to ensure seamless implementation, address client-specific needs, and drive long-term success. Leveraging deep subject matter expertise and extensive experience across the full suite of Out-of-Network and NSA solutions, the advisor serves as a trusted authority in applying these solutions within the market. This includes interpreting complex regulatory requirements, guiding clients through compliance challenges, and using advanced data analytics to uncover trends, inform strategic decisions, and optimize performance outcomes.

Objectives and 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

What You Will Bring:

• 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 salesforce.com highly preferred
• Strong experience with Microsoft Office Suite, Power BI, Tableau, and Sigma
• Willingness to travel 25-40% of the time

Education:

• Bachelors Degree or relevant work experience

Work Environment:

• 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