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Network Advisor – Network Partner Accounts
ZelisNetwork Advisor managing designated network partner relationships to foster retention and drive growth at Zelis. Leading implementation efforts and ensuring client satisfaction across multiple states.
Posted 6/12/2026full-timeMorristown • Florida, Massachusetts, Montana, New Jersey, Texas • 🇺🇸 United StatesJuniorMid-Level💰 $71,000 - $90,250 per yearWebsite
About the role
Key responsibilities & impact- 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
Requirements
What you’ll need- 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
Benefits
Comp & perks- 401k plan with employer match
- Flexible paid time off
- Holidays
- Parental leaves
- Life and disability insurance
- Health benefits including medical, dental, vision, and prescription drug coverage
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
account managementdata analysisnetwork utilization analysisrisk identificationimplementation tasksprompt engineeringproject managementcase managementExcelSalesForce
Soft Skills
communicationpresentationinfluenceattention to detailsynthesis of complex issuesstakeholder managementteam collaborationproblem-solvingadaptabilityrelationship management
Certifications
Bachelor's degreeMaster's degree