Network Advisor (Network Partner Accounts)

Skip to main contentWe use cookies to make the safest and most effective website possible. DeclineAccept CookiesZelis CareersSign InNetwork Advisor (Network Partner Accounts) page is loadedNetwork Advisor (Network Partner Accounts)ApplylocationsUS NJ MorristownUS TX PlanoUS MA BostonUS FL St. PetersburgUS MO St. Louis (Corp)View All 6 Locationstime typeFull timeposted onPosted 30+ Days Agojob requisition idJR111015At Zelis, we Get Stuff Done. So, let’s get to it!   A Little About Us Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.  A Little About You You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.Position OverviewThis role is responsible for management of designated network partner relationships within an assigned book of business with clear goals on retention, identifying growth opportunity and revenue optimization.  Will work with Network Solutions leadership as well as the Business to deliver best-in-class service and provide proactive solutions to maintain positive network relationships.What You’ll Do:Lead monthly or quarterly check-ins with Network Partners and 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 growthAnalyze 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 leadership as appropriateAcquire 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 trendsCase management for inquiries from assigned network partnersPartner with Project Management and Business Support throughout the implementation process of newly assigned networks. Fulfill specific implementation tasks as assignedRequest 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 meetingsPresent own work to members of department and external consultants and external professional meetingsAttend company training and regional...