Network Account Manager

Overview:The Network Account Manager will have responsibility for management of designated leased network partner relationships within an assigned book of business with clear goals on retention, identifying growth opportunity and revenue optimization. Will work with VP and Director, Network Solutions as well as the Business to deliver best-in-class service and provide proactive solutions to maintain positive network relationships.Key Responsibilities:Lead monthly or quarterly check-ins with Network Partners; maintain log of open issues and initiatives for each assigned Network PartnerProvide monthly updates on Networks within assigned block of businessMaintain Implementation Guide for assigned Networks designed to foster retention and drive growth; update at least quarterlyAnalyze Network utilization on a quarterly basis to manage any mitigation of changes in volumeMaintain 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 SheetResponsible for risk identification such as volume decrease, service gaps, changes in network level relationships and key advocates. Escalate to VP Network Solutions as appropriate.Acquire an understanding of network expectations, objectives, initiatives and opportunities for growthDemonstrate clear understanding of Zelis product/service value propositionsRemain abreast of changing and evolving healthcare landscape, regulations and related health plan/payer trendsPartner 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 needsCoordinate with Zelis Third Party Risk Management for Network discussions and reviewing policyParticipate in Network Solutions meetingsMaintain current overview and rules of engagement for network partners in Zelis tools and/or Customer Relationship Management (CRM) tools updated; provide consultation and assistance to team members as neededMaintain awareness of and ensure adherence to Zelis standards regarding privacy and securityProfessional Experience:Foundational knowledge of Zelis product portfolio, implementation process and overall strategy of Zelis Network Account ManagementProven work experience as an Account Manager, Key Account Manager, Sales Account Manager, Junior Account Manager or relevant roleDemonstrable ability to communicate, present and influence key stakeholders at all levels of an organization, including executive and C-levelDeveloped knowledge of assigned network baseDemonstrated ability to retain and maximize existing block of business8+ years' experience working with/for Health Insurance companies, TPAs or PPO Networks in account management or similar roleStrong communication skills; ability to synthesize complex issues and communicate clearly to both network partners as well as internal stakeholdersProven ability to juggle multiple account management projects at a time, while maintaining sharp attention to detailThorough knowledge of Excel and other MS Office productsExperience utilizing Salesforce or other CRM tool.Location and Workplace Flexibility:

We have offices in Atlanta GA, Boston MA, Morristown NJ, Plano TX, St. Louis MO, St. Petersburg FL, and Hyderabad, India. We foster a hybrid and remote friendly culture and all of our employee's work locations are based on the needs of the position and determined by the Leadership team.

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