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Position Overview
At Zelis, we're seeking a Network Account Manager to spearhead the management of key leased network partner relationships within an assigned portfolio. Your primary focus will be on ensuring client retention, pinpointing growth opportunities, and optimizing revenue streams. Collaborating closely with our VP and Director of Network Solutions, as well as the broader Business team, you'll play a pivotal role in delivering top-tier service and proactive solutions to uphold and strengthen our network relationships
Key Responsibilities
Lead check-in meetings with Network Partners; maintain log of open issues and initiatives for each assigned Network Partner
Maintain Implementation Guide for assigned Networks
Analyze Network utilization to manage any mitigation of changes in volume
Maintain rates for each assigned network partner, ensure rates are in line with client contracts in addition to maintaining network partner rates on published Network Rate Sheet
Identify risk, such as volume decrease, service gaps, changes in network level relationships and key advocates
Acquire an understanding of network expectations, objectives, initiatives and opportunities for growth
Remain abreast of changing and evolving healthcare landscape, regulations and related health plan/payer trends
Partner with Project Management and Business Support throughout the implementation process of newly assigned networks
Partner with Strategic Account Management, Client Services, EDI Teams, and Accounting on client/network partner needs
Coordinate with Zelis Third Party Risk Management for Network discussions and reviewing policy
Maintain current overview and rules of engagement for network partners in Zelis tools and/or Customer Relationship Management (CRM) tools
Required Qualifications
2+ years of experience working with/for Health Insurance companies, TPAs or PPO Networks in account management or similar role
Experience utilizing SalesForce or other CRM tool
Preferred Qualifications
Ability to communicate, present and influence key stakeholders at all levels of an organization, including executive and C-level
Strong communication skills; ability to synthesize complex issues and communicate clearly to both network partners as well as internal stakeholders
Proven ability to juggle multiple account management projects at a time, while maintaining sharp attention to detail
Thorough knowledge of Excel and other MS Office products
#LI-RZ1
As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We're Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.
Commitment to Diversity, Equity,Inclusion, and Belonging
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.
Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All 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 encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.
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
SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you're contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.
Zelis provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type 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.