Client Relationship Manager
At Zelis, the Client Relationship Manager plays a vital role in ensuring service excellence to Open Access Pricing clients and their members. This client facing role interacts with providers and members and is considered a subject matter expert (SME) in supporting clients, their employer groups, and health plan members with inquiries, services, or issues.
Key Responsibilities
- Handle escalated issues, and contacts as assigned, ensuring timely and thorough research and proper resolution
- Respond to inbound inquiries from TPA clients, their Client Employer Groups as well as from Plan members and providers
- Collaborate and coordinate interdepartmentally to research and solution for client issues, requests, and needs to bring about resolution within a timely manner
- Participate in new client implementations, subsequent group implementations, business requirement sessions, and User Acceptance Testing
- Participate in client conference calls as needed
- Exemplify professionalism, diplomacy, service excellence, and compliance with established polies, procedures, and protocols
- Assist with Memorandums of Understanding and Single Case Agreements, and code pricing within the Visium™ system
- Respond to and assist Patient Advocates and Patient Advocacy Supervisor with their questions/issues
- Assist with client reporting as needed for Patient and Resolution Advocacy
- Identify and recommend opportunities for efficiencies, performance improvement, and system enhancements to ensure service excellence.
- Comply with HIPAA regulations and ensure confidentiality of calls, documents, and other sensitive information
- Properly document activity and calls in the appropriate system
- High school diploma or equivalent required, Bachelor’s degree preferred
- 5+ years within the Health Insurance industry, patient advocacy, customer service, provider relations, or claims administration
- Excellent attention to detail, time management and decision-making skills
Commitment to Diversity, Equity, Inclusion, and Belonging
At Zelis, we champion diversity, equity, inclusion, and belonging in all aspects of our operations. We embrace the power of diversity and create an environment where people can bring their authentic and best selves to work. We know that a sense of belonging is key not only to your success at Zelis, but also to your ability to bring your best each day.
Equal Employment Opportunity
Zelis is proud to be an equal opportunity employer. All 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.
We encourage members of traditionally underrepresented communities to apply, even if you do not believe you 100% fit the qualifications of the position, including women, LGBTQIA people, people of color, and people with disabilities.
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 TalentAcquisition@zelis.com
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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Seniority level
Mid-Senior level -
Employment type
Full-time -
Job function
Sales and Business Development -
Industries
Software Development
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