Client Service Specialist

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.

At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.

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 Client Service Specialist (CSS) directly supports healthcare payers, leading meetings and coordinating with stakeholders to deliver operational goals. This role requires strong project management and technical skills to implement solutions across the breath of Zelis Payments and Communications product offerings, drive process improvements, and ensure clear, ongoing communication. The CSS adapts to client needs, sets expectations, and serves as a trusted partner in both project execution and problem-solving.

What You'll Do

* Stakeholder Engagement:

* Independently lead and facilitate meetings with clients, external partners and internal teams to drive collaboration and resolve operational challenges.

* Communicate the Zelis Payer experience vision to clients and teams, ensuring alignment with organizational goals.

* Guide clients toward optimal product configuration, collaborate to align on delivery timelines and manage each interaction with a solution and service-oriented mindset.

* Technical Expertise & Solutions:

* Serve as a technical expert, offering specialized guidance and solutions to enhance Payer Experience.

* Maintain comprehensive knowledge of Zelis offerings, production fulfillment processes, healthcare enrollment procedures, and payment optimization strategies.

* Apply technical troubleshooting skills to resolve complex issues involving client mapping and data ingestion

* Client Advocacy & Training:

* Advocate for clients across all Zelis departments, assisting with technical aspects of payments and related business needs. Deliver training sessions, as needed, to support client success.

* Operational Management:

* Independently manage daily casework, ensuring timely resolution and continuous progress on long-term milestones across multiple client projects.

* Oversee and update project milestones to support ongoing client success.

* Communicate proactively and thoroughly with Payers, managing the overall service experience.

* Collaboration & Change Management:

* Collaborate with cross-functional teams internally and externally to design, develop, test, and deploy client change requests.

* Identify and communicate potential barriers, proposing both immediate and long-term solutions for technical changes.

* Assess business need and associated impact of client-requested work to inform prioritization

* Data Analysis & Insights:

* Analyze complex data sets and business rules to deliver actionable insights that support client objectives.

* Ensure accurate translation of complex data into client-facing materials, demonstrating deep expertise in healthcare industry practices, claims communications, payment processing, and  production.

What You'll Bring to Zelis

* Bachelor's degree preferred

* 2-3 years of experience in client service and business analysis, preferably within healthcare or financial services.

* Experience in requirements gathering, root cause analysis, business rule configuration, and software configuration testing.

* Proficiency with Jira and/or Salesforce preferred

* Demonstrated experience as a relationship or client service manager, implementation/project manager, business process consultant, or sales engineer.

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

Zelis is headquartered in the U.S., with multiple locations across the country and in Hyderabad, India. Check out our locations to learn more about our offices. All employee work locations are based on the needs of the position and are…