Business Reporting and Process Analyst, Price Optimization Implementation

About Us 

Zelis is modernizing the healthcare financial experience in the United States (U.S.) 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.

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

KEY RESPONSIBILITIES

• Supports standing and ad hoc reporting requests and responsible for the data integrity for the Implementations team.
• Interact with all areas of Price including, but not limited to Client Services, Service Operations, Implementation Services, Adjudication Partnership, Learning Services, and Product Management to adequately gather and execute Implementations reporting.
• Gather reporting requirements for Implementations and document the “as is” processes for gathering, reviewing, synthesizing and presenting reportable data; this require coordination between cross-functional teams (including but not limited to the Power BI team, Product Owners and General Managers.
• Gather and analyze critical business process and reporting details and propose recommendations based upon the data gathered and current and future state departmental needs. 
• Translate departmental requirements into actionable measurement and deliver reporting tools and process documentation that are clearer, more detailed and more complete; this could involve a translation of existing requirements along with the determination and development of new requirements.
• Serve a key participative role in the future, “to be” development efforts; recommend efficiencies in reporting and processes that could include, but not limited to, reporting cadence, data capture, data presentation, process modification, technology enhancements, efficiency measurements, etc., 
• Collaborate with Implementations leadership to determine areas of upstream and/or downstream impact that may cause variances in reporting or processes.
• Provide verbatim commentary on data to identify trends, positive or negative, along with evidentiary data supporting and/or explaining these trends including influence from collaborating departments within or outside of Implementations.
• Communicate reporting and process discrepancies to leadership and to encourage internal problem-solving and overall alignment.
• Collaborate with reporting and/or process counterpart to ensure process and reporting alignment through the Implementations areas.
• Review processes on a regular and timely basis to determine whether they are up-to-date with internal Zelis and external industry standards.
• Develop a communication strategy and/or cadence to help inform the leading indicators of trends or potential issues by developing baseline measurements and identifying where there is a deviation.
• Ensure that all reporting complies with state and federally mandated legislation relevant to our business (e.g., HIPAA and other data protection requirements).
• Collaboration to ensure that any needed learning resources are properly generated and that potential reporting changes align with QA conditions while also compiling data to inform associate performance metrics to generate KPI measurements.
• Embrace an environment of continuous improvement and innovation within the Implementations area.

• Bachelor’s Degree in Business, Statistics, Mathematics, Economics, Accounting or Finance or a related field.
• 4+ years of experience in data analysis, reporting or business intelligence.
• Advanced proficiency in Microsoft Excel, Microsoft Access, SQL, SmartSheet, Microsoft Access, Microsoft Visio, Lucidchart and other data and process capture tools.
• Ability to work with large data sets and analyze complex data.
• Excellent communication and presentation skills.
• Strong attention to detail and accuracy.
• Experience with data visualization tools such as PowerBI and SSRS leading to advanced charts, graphs and other visual data expressions.  
• Proficient understanding of statistical analysis and modeling.
• Knowledge of database design and data warehousing principles.
• Ability to work independently and to self-prioritize workload, meet deadlines, and adjust to unforeseen circumstances requiring an expedited response.
• Ability to collaborate and interact between teams; along adapting to varying management styles and approaches.
• Ability to understand the core roles & responsibilities of each department; and how individual departments interact with other areas and how they can each impact the others’ processes.
• Demonstrated acumen for summarizing data and providing commentary at a variety of levels including executive summaries.
• Experience in a fast-paced, deadline-driven environment while demonstrating superior organizational and time management skills.
• Strong command of spoken and written English.
• Experience working in agile development environments including JIRA.
• Ability to prioritize and manage multiple concurrent projects.

PREFERRED EXPERIENCE / SKILLS

• Experience in the healthcare technology industry
• Experience in a client services, client support, client experience. 
• Experience with data visualization tool, Power BI.