Healthcare Network Partnerships Manager

Zelis Healthcare, LLC; Morris Township (NJ); Hybrid; USD 71,000 - 90,000; Full time

Benefits offered by this job

401k with employer match

Health benefits

Hybrid work arrangement

Job summary

Zelis Healthcare, LLC is hiring for a Network Partner Manager role focused on maintaining and expanding relationships across an assigned book of business. You will lead regular partner check-ins, drive retention initiatives, and align network strategies with client contracts and Zelis offerings.

The role requires 2–4 years in account management within healthcare insurance, strong communication skills, and proficiency with Excel and CRM tools.

Qualifications

• Bachelor's degree with 2–4 years' experience; master's a plus.
• Proficiency with AI tools and crafting prompts/agents.
• Healthcare insurance account management experience required.
• Strong ability to communicate, present, and influence stakeholders.
• Proven ability to retain and grow existing blocks of business.
• Excellent communication and collaboration skills.
• Ability to synthesize complex issues for partners and internal teams.
• Experience juggling multiple account-management projects with attention to detail.
• Strong Excel and MS Office skills.
• Experience with Salesforce or other CRM tools.

Responsibilities

• Lead monthly or quarterly check-ins with Network Partners and maintain log of open issues and initiatives for each assigned Network Partner
• Provide monthly updates on Networks within assigned block of business
• Maintain Implementation Guide for assigned Networks designed to foster retention and drive growth
• Analyze Network utilization on a quarterly basis 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
• Responsible for risk identification such as volume decrease, service gaps, changes in network level relationships and key advocates.Escalate to leadership as appropriate
• Acquire an understanding of network expectations, objectives, initiatives and opportunities for growth
• Demonstrate clear understanding of Zelis product/service value propositions
• Remain abreast of changing and evolving healthcare landscape, regulations and related health plan/payer trends
• Case management for inquiries from assigned network partners
• Partner with Project Management and Business Support throughout the implementation process of newly assigned networks. Fulfill specific implementation tasks as assigned
• Request network approval for new clients and communicate with Client Setup Team
• 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
• Participate in Network Solutions meetings
• Present own work to members of department and external consultants and external professional meetings
• Attend company training and regional training in area of expertise
• Maintain current overview and rules of engagement for network partners in Zelis tools and/or Customer Relationship Management (CRM) tools updated and provide consultation and assistance to team members as needed
• Maintain awareness of and ensure adherence to Zelis standards regarding privacy and security

Skills

Account Management

Communication

Project Management

Stakeholder Management

AI Tools

Excel

Attention to Detail

Education

Bachelor's degree

Master's degree

Tools

Salesforce

CRM tools

MS Office

Job description

Zelis Healthcare, LLC is hiring for a Network Partner Manager role focused on maintaining and expanding relationships across an assigned book of business. You will lead regular partner check-ins, drive retention initiatives, and align network strategies with client contracts and Zelis offerings.

The role requires 2–4 years in account management within healthcare insurance, strong communication skills, and proficiency with Excel and CRM tools.