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Zelis Carrier Relations Manager in Overland Park, Kansas

POSITION OVERVIEW

The Carrier Relations Manager position is responsible for successfully managing the Carrier Relations team. Candidate will be responsible assigning project work to members of the team as well as mentoring team members and assisting with questions as they arise. The Carrier Relations Manager will also be responsible providing escalation assistance as it arises. Additional responsibilities include leading and guiding the team in their client communication and support skills, as the team serves as a liaison to ensure client needs are met in an accurate, timely and efficient manner. Candidate must be able to work equally well in both technical and non-technical environments and effectively communicate technical information in a common, non-technical manner. The individual must work well in a fast paced, demanding environment. The ability to efficiently organize and prioritize projects and assignments to meet deadlines is essential to success.

A background in the health care industry (particularly in the realm of provider networks and directories) as well as some basic understanding of database fundamentals is preferred.

S u mma r y of R e s p o n s i b i l iti es

  • Escalation resource for all Team Role responsibilities

  • Function as an escalation resource for client or carrier issues

  • Review Root Cause Analysis documents for client issues

  • Set & drive team goals

  • Document processes, and fill gaps in existing processes

  • Take ownership of carrier data use agreement process; work with legal team to ensure agreements are accurate

  • Work with team to build relationships with carriers. Guide team members to:

  • Facilitate meetings, internal & external

  • Manage all communications, internal & external

  • Track progress of tasks

  • Manage agreements and document updates

  • Collaborate with other ZNA teams to document identified gaps or missing process needs, and implement process improvements as needed.

    S u mma r y of Qu al i f i ca ti o n s

  • Skilled at logical decision-making

  • Innovative problem-solver who constructively overcomes obstacles utilizing resourceful solutions

  • Extremely motivated and proactive with a history of high achievement

  • Fundamental belief that they and their team are responsible for the quality of their work product; delivering results under minimal supervision

  • Demonstrates ability to lead in a collaborative, team setting

  • Works well in an open environment and thrives on constructive feedback

  • Possesses excellent oral and written communication skills

  • Motivates others to work in a fast-paced environment

  • Tools used:

  • Trello.com

  • Confluence

  • Internal data management system

  • Office products Word, Excel, Outlook, PowerPoint

    EDUCATION / EXPERIENCE

  • Associate minimum/Bachelor’s preferred

  • 3+ years of experience in the healthcare industry preferred

    work environment

  • A standard work week exists but with the understanding that additional time/effort outside of the usual parameters can/will occur when necessary due to the needs of the team.

  • A standard business environment exists with moderate video conference calls.

  • Ability to sit for extended periods of time.

As a leading payments company in healthcare, we guide, price, explain, and pay for care on behalf of insurers and their members. We’re Zelis in our pursuit to align the interests of payers, providers, and consumers to deliver a better financial experience and more affordable, transparent care for all. We partner with more than 700 payers, including the top-5 national health plans, BCBS insurers, regional health plans, TPAs and self-insured employers, over 4 million providers, and 100 million members, enabling the healthcare industry to pay for care, with care. Zelis brings adaptive technology, a deeply ingrained service culture, and a comprehensive navigation through adjudication and payment platform to manage the complete payment process.

SCAM ALERT: There is an active nationwide employment scam which is now using Zelis to garner personal information or financial scams. This site is secure, and any applications made here are with our legitimate partner. If you’re contacted by a Zelis Recruiter, please ensure whomever is contacting you truly represents Zelis Healthcare. We will never asked for the exchange of any money or credit card details during the recruitment process. Please be aware of any suspicious email activity from people who could be pretending to be recruiters or senior professionals at Zelis.

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