Network Advisor

Modern Healthcare Financial Experiences are Built with Zelis; Morristown (NJ); Hybrid; USD 71,000 - 90,000; Full time

Benefits offered by this job

401k with match

Flexible PTO

Parental leave

Health insurance

Job summary

Zelis is modernizing healthcare financial experiences for payers, providers, and consumers. The Network Advisor will manage designated network partner relationships, drive retention and growth, and ensure rates and services align with contracts.

Hybrid in-office presence is expected within a flexible national footprint. You will lead partner check-ins, maintain implementation guides, and collaborate across PM, Client Services, and accounting to optimize network performance and support strategic

Qualifications

• Experience in healthcare insurance industry as an account manager or similar role.
• Proven ability to communicate and influence stakeholders at all levels.
• Proficiency with Excel and CRM tools is required.
• Ability to retain and grow existing blocks of business.

Responsibilities

• Lead monthly or quarterly check-ins with Network Partners and log issues.
• Provide monthly updates on networks within the assigned block.
• Maintain Implementation Guide to foster retention and drive growth.
• Analyze network utilization quarterly and monitor volume changes.
• Maintain rates aligned with client contracts and published rate sheets.
• Identify risks (volume changes, service gaps) and escalate as needed.
• Understand network expectations, initiatives, and growth opportunities.
• Demonstrate understanding of Zelis product/service value propositions.
• Stay informed on evolving healthcare landscape and payer trends.
• Case management for inquiries from network partners.
• Coordinate implementation tasks with Project Management and Business Support.
• Coordinate with Client Setup for new network approvals.
• Collaborate with Strategic Account Management, EDI, Accounting on needs.

Skills

Account Management

Communication

AI tools

Healthcare insurance

Relationship building

Data analysis

Education

Bachelor's degree

Master's degree

Tools

Salesforce

CRM tools

Microsoft Excel

Job description

Network Advisor (Network Partner Accounts)

Location: US NJ Morristown, US MA Boston, US FL St. Petersburg, US MO St. Louis (Corp), US GA Atlanta

Time Type: Full time

Job Description

At Zelis, we Get Stuff Done. So, let’s get to it!

A Little About Us

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.

At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.

A Little About You

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

This role is responsible for management of designated network partner relationships within an assigned book of business with clear goals on retention, identifying growth opportunity and revenue optimization. Will work with Network Solutions leadership as well as the Business to deliver best-in-class service and provide proactive solutions to maintain positive network relationships.

What You’ll Do:

• 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

What You’ll Bring to Zelis:

• Bachelors degree plus 2-4 yrs; Masters a plus

• Proficiency using AI tools skillfully with an understanding of how to develop/create intelligent prompts and/or agents

• Proven work experience in healthcare insurance industry as an Account Manager, Key Account Manager, Sales Account Manager, Junior Account Manager or relevant role

• Demonstrable ability to communicate, present and influence key stakeholders at all levels of an organization

• Demonstrated ability to retain and maximize existing block of business.

• 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

• Experience utilizing SalesForce or other CRM tool

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

Zelis is headquartered in the U.S., with multiple locations across the country and in Hyderabad, India. Check out our locations to learn more about our offices. All employee work locations are based on the needs of the position and are determined by the Leadership team. In-office work and activities vary based on work and team objectives in accordance with Company policies.

While location expectations vary by role, candidates within approximately 50 miles of a U.S. office are generally preferred to support collaboration when needed. Our hybrid approach is flexible, and in-office presence is guided by team and business needs rather than a fixed weekly schedule.

Base Salary Range

$71,000.00 - $90,250.00

At Zelis we are committed to providing fair and equitable compensation packages. The base salary range allows us to make an offer that considers multiple individualized factors, including experience, education, qualifications, as well as job-related and industry-related knowledge and skills, etc. Base pay is just one part of our Total Rewards package, which may also include discretionary bonus plans, commissions, or other incentives depending on the role.

Zelis’ full-time associates are eligible for a highly competitive benefits package as well, which demonstrates our commitment to our employees’ health, well-being, and financial protection. The US-based benefits include a 401k plan with employer match, flexible paid time off, holidays, parental leaves, life and disability insurance, and health benefits including medical, dental, vision, and prescription drug coverage.

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 [e-mail].

Disclaimer

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.