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

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
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 effectively-often 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
  

Disclaimers

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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.

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.

Base Salary Range
$105,000.00 - $133,000.00

At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.

Zelis' full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees' health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.

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 View email address on click.appcast.io.


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.