Network Account Manager

1 week ago

Atlanta, Georgia, United States Zelis Full time
Job Summary

Zelis is seeking a highly skilled Network Account Manager to join our team. As a Network Account Manager, you will be responsible for managing designated leased network partner relationships within an assigned book of business. Your primary goal will be to retain and maximize existing business while identifying growth opportunities and revenue optimization.

Key Responsibilities
  • Network Partner Relationship Management: Lead monthly or quarterly check-ins with network partners, maintain a log of open issues and initiatives for each assigned network partner, and provide proactive solutions to maintain positive network relationships.
  • Business Updates and Reporting: Provide monthly updates on networks within assigned blocks of business, analyze network utilization on a quarterly basis to manage any mitigation of changes in volume, and maintain rates for each assigned network partner.
  • Implementation and Growth: Maintain an implementation guide for assigned networks designed to foster retention and drive growth, update at least quarterly, and acquire an understanding of network expectations, objectives, initiatives, and opportunities for growth.
  • Risk Identification and Escalation: Identify risks such as volume decrease, service gaps, changes in network level relationships, and key advocates, and escalate to the VP of Network Solutions as appropriate.
  • Communication and Collaboration: Demonstrate clear understanding of Zelis product/service value propositions, partner with project management and business support throughout the implementation process of newly assigned networks, and fulfill specific implementation tasks as assigned.
  • Client and Network Partner Management: Request network approval for new clients, communicate with the client setup team, and partner with strategic account management, client services, EDI teams, and accounting on client/network partner needs.
  • Compliance and Security: Coordinate with Zelis third-party risk management for network discussions and reviewing policy, participate in network solutions meetings, and maintain current overview and rules of engagement for network partners in Zelis tools and/or customer relationship management (CRM) tools.
Requirements
  • Foundational Knowledge: Foundational knowledge of Zelis product portfolio, implementation process, and overall strategy of Zelis network account management.
  • Professional Experience: Proven work experience as an account manager, key account manager, sales account manager, junior account manager, or relevant role, with a minimum of 8 years' experience working with/for health insurance companies, TPAs, or PPO networks in account management or similar roles.
  • Communication and Presentation Skills: Demonstrable ability to communicate, present, and influence key stakeholders at all levels of an organization, including executive and C-level.
  • Technical Skills: Thorough knowledge of Excel and other MS Office products, experience utilizing Salesforce or other CRM tools, and ability to juggle multiple account management projects at a time while maintaining sharp attention to detail.
About Zelis

Zelis is a leading payments company in healthcare, guiding, pricing, explaining, and paying for care on behalf of insurers and their members. 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.

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