Healthcare Network Partnerships Manager

Zelis; Morristown (NJ); Hybrid; USD 71,000 - 90,000; Full time

Benefits offered by this job

401(k) with company match

Flexible PTO

Medical, dental, vision benefits

Job summary

Zelis is seeking an Account Manager to oversee designated network partner relationships within an assigned book of business. You will focus on retention, growth opportunities, and revenue optimization, collaborating with Network Solutions leadership and business teams to deliver best-in-class service.

You'll lead regular check-ins, maintain implementation guides, monitor network utilization, and ensure pricing aligns with contracts and published rate sheets while escalating risks and driving

Qualifications

• Bachelor's degree plus 2-4 yrs experience; master's a plus.
• Experience in healthcare insurance account management roles.
• Ability to communicate and influence stakeholders at all levels.
• Proficiency with Excel and MS Office.

Responsibilities

• Lead monthly/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 and published Network Rate Sheet.
• Responsible for risk identification and escalation to leadership as appropriate.
• Acquire an understanding of network expectations, objectives, initiatives and opportunities for growth.
• Demonstrate understanding of Zelis product/service value propositions.
• Remain abreast of healthcare landscape, regulations and payer trends.
• Case management for inquiries from assigned network partners.
• Partner with Project Management and Business Support during implementation of new networks.
• Request network approval for new clients and communicate with Client Setup Team.
• Coordinate with various teams on client/network partner needs.
• Participate in Network Solutions meetings and present work to department and external meetings.
• Attend company training and regional training in area of expertise.
• Maintain awareness of Zelis privacy and security standards.

Skills

AI tools proficiency

Communication skills

Excel

CRM experience (Salesforce)

Account management

Education

Bachelor's degree + 2-4 yrs

Tools

SalesForce

CRM tools

Job description

Zelis is seeking an Account Manager to oversee designated network partner relationships within an assigned book of business. You will focus on retention, growth opportunities, and revenue optimization, collaborating with Network Solutions leadership and business teams to deliver best-in-class service.

You'll lead regular check-ins, maintain implementation guides, monitor network utilization, and ensure pricing aligns with contracts and published rate sheets while escalating risks and driving