Network Account Manager

7 days ago


Morristown, Tennessee, United States Performant Full time
Job Summary

We are 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 existing business, identify growth opportunities, and optimize revenue.

Key Responsibilities
  • Lead regular check-ins with network partners to maintain open communication and address any issues or concerns.
  • Provide regular updates on network performance and utilization to stakeholders.
  • Develop and maintain implementation guides for assigned networks to foster retention and drive growth.
  • Analyze network utilization on a quarterly basis to identify areas for improvement and mitigate any changes in volume.
  • Maintain accurate and up-to-date rate information for each assigned network partner.
  • Identify and escalate any risks or issues that may impact network relationships or revenue.
  • Develop a deep understanding of network expectations, objectives, and initiatives to identify opportunities for growth.
  • Stay up-to-date on changing healthcare landscape, regulations, and related health plan/payer trends.
  • Collaborate with cross-functional teams, including Project Management and Business Support, to ensure successful implementation of new networks.
  • Partner with Strategic Account Management, Client Services, EDI Teams, and Accounting to meet client/network partner needs.
  • Coordinate with Zelis Third Party Risk Management to discuss network-related matters and review policy.
  • Participate in Network Solutions meetings to stay informed and contribute to decision-making.
  • Maintain current knowledge of Zelis tools and Customer Relationship Management (CRM) tools to provide consultation and assistance to team members as needed.
  • Ensure adherence to Zelis standards regarding privacy and security.
Requirements
  • Foundational knowledge of Zelis product portfolio, implementation process, and overall strategy of Zelis Network Account Management.
  • Proven work experience as an Account Manager, Key Account Manager, Sales Account Manager, or relevant role.
  • Demonstrable ability to communicate, present, and influence key stakeholders at all levels of an organization.
  • Developed knowledge of assigned network base.
  • Demonstrated ability to retain and maximize existing block of business.
  • 8+ years' experience working with/for Health Insurance companies, TPAs, or PPO Networks in account management or similar role.
  • Strong communication skills; ability to synthesize complex issues and communicate clearly to both network partners and 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.
About Us

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 over 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs, and self-insured employers, to deliver a better financial experience and more affordable, transparent care for all.

We foster a hybrid and remote-friendly culture, with offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We are committed to diversity, equity, inclusion, and belonging in all aspects of our operations.

Zelis is proud to be an equal opportunity employer, and we encourage members of traditionally underrepresented communities to apply. If you require a reasonable accommodation during the application and/or interview process, please email TalentA[redacted].



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