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
Leadcheck-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 utilizationto 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 utilizingSalesForce 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 communicationskills; 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
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