Network Advisor (Network Partner Accounts)

Position Overview This role is responsible for the management of designated network partner relationships within an assigned book of business with clear goals on retention, identifying growth opportunity and revenue optimization. The incumbent will work with Network Solutions leadership as well as Business to deliver best‑in‑class service and provide proactive solutions to maintain positive network relationships. Responsibilities Lead monthly or quarterly check‑ins with Network Partners and maintain a log of open issues and initiatives for each assigned Network Partner. Provide monthly updates on Networks within the assigned block of business. Maintain the 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, ensuring rates are in line with client contracts in addition to maintaining network partner rates on the published Network Rate Sheet. Identify risks 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 the changing and evolving healthcare landscape, regulations and related health plan/payer trends. Act as 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 the 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 policy review. Participate in Network Solutions meetings. Present own work to department members, external consultants and professional meetings. Attend company training and regional training in areas of expertise. Maintain the current overview and rules of engagement for network partners in Zelis tools and/or 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. Qualifications Bachelor’s degree plus 2–4 years of experience; Master’s degree is a plus. Proficiency using AI tools skillfully with an understanding of how to develop/create intelligent prompts and/or agents. Proven work experience in the healthcare insurance industry as an Account Manager, Key Account Manager, Sales Account Manager, Junior Account Manager or a similar role. Demonstrable ability to communicate, present and influence key stakeholders at all levels of an organization. Demonstrated ability to retain and maximize an existing block of business. 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 Microsoft Office products. Experience utilizing Salesforce or another CRM tool. Location & Workplace Flexibility Zelis is headquartered in the U.S., with multiple locations across the country and in Hyderabad, India. All employee work locations are based on the needs of the position and are determined by the Leadership team. While in‑office work and activities vary by role, candidates located within approximately 50 miles of a U.S. office are generally preferred to support collaboration when needed. The hybrid approach is flexible, and in‑office presence is guided by team and business needs rather than a fixed weekly schedule. Base Salary Range The base salary range for this position is $71,000 – $90,250. The base pay is one component of the Total Rewards package, which may also include discretionary bonus plans, commissions or other incentives depending on the role. Benefits 401(k) plan with employer match Flexible paid time off, holidays, and parental leave Life and disability insurance Health benefits including medical, dental, vision, and prescription drug coverage Equal Employment Opportunity Zelis is proud to be an equal‑opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Applicants are encouraged to apply even if they do not meet 100% of the qualifications for the role. Accessibility Support We are dedicated to ensuring our application process is accessible to all candidates. If you are a qualified individual with a disability or a disabled veteran and require a reasonable accommodation with any part of the application and/or interview process, please email View email address on click.appcast.io. Disclaimer The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities, duties, and skills from time to time. #J-18808-Ljbffr LE011 Zelis Claims Integrity, LLC