Payments Implementation Data Analyst

About Us 

Zelis is modernizing the healthcare financial experience in the United States (U.S.) 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 health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, and millions of healthcare providers and consumers in the U.S. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts—driving real, measurable results for clients.  

Why We Do What We Do 

In the U.S., consumers, payers, and providers face significant challenges throughout the healthcare financial journey. Zelis helps streamline the process by offering solutions that improve transparency, efficiency, and communication among all parties involved. By addressing the obstacles that patients face in accessing care, navigating the intricacies of insurance claims, and the logistical challenges healthcare providers encounter with processing payments, Zelis aims to create a more seamless and effective healthcare financial system.

Zelis India plays a crucial role in this mission by supporting various initiatives that enhance the healthcare financial experience. The local team contributes to the development and implementation of innovative solutions, ensuring that technology and processes are optimized for efficiency and effectiveness. Beyond operational expertise, Zelis India cultivates a collaborative work culture, leadership development, and global exposure, creating a dynamic environment for professional growth. With hybrid work flexibility, comprehensive healthcare benefits, financial wellness programs, and cultural celebrations, we foster a holistic workplace experience. Additionally, the team plays a vital role in maintaining high standards of service delivery and contributes to Zelis’ award-winning culture. 

Position Overview

The Implementation Data Analyst plays a crucial role in supporting the Client Migration Team to deliver effective solutions for healthcare payer clients. This position involves collaborating closely with cross-functional team members to understand client data and requirements for e-payment processing and print fulfillment. The analyst is responsible for understanding current client configuration and work to configure 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. The ideal candidate will possess strong problem-solving skills and a commitment to enhancing client satisfaction through effective training and support initiatives.

Essential Duties and Responsibilities:

• Collect current information about client’s print and employer groups
• Attends calls with the client and assists in capturing internal notes to assist the Project Manager
• Learn client's technical system, software and current process for print and electronic communications or enrollment materials
• Evaluate design and technical layouts for purposes of data mapping, integration analysis and testing
• Create Zelis mapping requests based on clients' inbound data and collaborates with developers to produce mapping outcome
• Apply technology and Zelis product knowledge to address client needs
• Redesign former client communications or payment materials using Zelis base format
• Conduct full lifecycle analysis to include requirements, activities and design
• Assist with completion of the gathering requirements workbook
• In collaboration with the rest of the development, product and sales teams, ensure that the proposed solution addresses all client’s business requirements
• Work with the EDI team on 835 review and initiates EDI testing
• Create custom reporting JIRA requests
• Create Test Tracker and conduct testing with the client. Perform quality review checks on project deliverables. Conduct peer review for other DA work Support application testing, implementation, and training activities
• Facilitate internal/external calls as needed
• Support development of migration configuration plan that aligns new system build with contractual agreements, client requirements, and mutually agreed upon functionality parity elements. 
• Take on additional responsibilities as needed

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

Required 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
• Proficient in all Microsoft Office programs including, but not limited to: MS Word, MS Excel, MS Outlook, Power Point and Visio.
• Intermediate knowledge of ANSI specifications (ANSI 835) and ability to determine ANSI related problems/errors, preferred.
• Understand the healthcare claims process and related printing aspects
• Understand data and how it translates to produce client materials
• Strong technical aptitude and ability to research, document and solve complex issues independently
• Ability to analyze existing tools and databases and provide software solution recommendations
• Ability to translate business requirements into non-technical terms