At Zelis, we Get Stuff Done. So, let's get to it! 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. 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 Lead Implementation Project Manager is responsible for both partnering with the Director of Implementation and working independently/primarily autonomously to ensure smooth implementation of services for new accounts and the installation of expanded services for existing customers.
Work with internal and external teams to lead activities, manage timelines and expectations on all assigned projects. What You'll Do:
Drives the initiation, planning, execution, and closeout of multiple complex projects simultaneously. Partner with and lead internal and external business and technical teams to ensure smooth implementation of new ZELIS accounts, new products and existing accounts needing reimplementation Direct implementation activities, including but not limited to the management of schedules, resource allocation needs and deliverables Communicate both internally and externally around the activity and the fulfillment of all requirements per the contract with partners and clients Collaborate with internal stakeholders to define scope of work in all stages of implementation; noting customizations, routing rules, technical requirements and other business needs identified during the implementation process Provide project management SME expertise to other PM's and cross-functional stakeholders Supply project planning, documentation, and cross-functional relationship solutioning to other project managers Maneuver successfully through ambiguous situations, with no support from leadership and lead the team to an objective deliverable Assist with the analysis of new accounts and expansions Provide status reports via defined Zelis application as well as customized reporting as requested and identify and create customized reports per clients' requests Investigate and develop improvements (proactively) for existing processes or develops new process; identifies new areas of opportunity consistent with strategy, proactively and facilitates the development of solutions Responsible for assembling decks and possesses outstanding presentation and communication skills Partner with Operations to stand up new client sets and/or make changes to existing clients Partner with Sales and Account Management with implementation activities from kick off to post-production hand off Establish and maintain standard project plans for any assigned implementation and project work Work on complex issues requiring in-depth analysis. Work independently and partners with internal PMO and Operations teams to ensure proper subject matter expertise is available to support implementation process by indirectly setting objectives for all internal and client resources Provides extensive project management SME expertise to other PMs and cross-functional stakeholders. Work closely with EDI team during implementation process to ensure EDI workflow is defined and executable Leads all applicable cross-functional teams during implementation process to ensure workflows and processes are defined and executable. Interacts and collaborates with Adjudication Partners as applicable related to implementation of mutual clients Maintain awareness of and ensure adherence to ZELIS standards regarding privacy Domestic travel up to 45%
What You'll Bring to Zelis:
Bachelor's degree plus 8+ years of experience or master's degree plus 6+ years of experience Experience in presenting work to internal/external stakeholders and professional organizations. PMP Preferred Green Belt Preferred 50% Transactional, 50% Tactical Expert experience in Implementation or Account Management; Expert proficiency in partnering with IT for new vendor implementation and creation of new EDI interfaces Moderate knowledge of electronic claim processing knowledge Expert experience working with healthcare claim adjudication partner vendors Expert experience working within formal PMO tool to input, synthesize and report out Solid ability to create project plans, gather requirements and adhering to project plans/timelines Expert proficiency in partnering with IT for new vendor implementation and creation of new EDI interfaces Expert organizational skills in working with multiple departments Knowledge of core business products and services within the claim administrator, claim software space Proficient in independently working in Excel metric and project reporting.
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.
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 TalentAcquisition@zelis.com. We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, 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.
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Zelis Healthcare, LLC
Sep 07, 2025