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Zelis

Network Advisor – Network Partner Accounts

Zelis

Network 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

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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