Sr Customer Success Executive

HealthEdge•Remote,

1d•$146,000 - $179,000•Remote

About The Position

HealthEdge's customer success strategy depends on four organizational capabilities: achieving customer outcomes, retaining and converting referenceable customers, expanding revenue within the existing customer base, and maintaining data and reporting integrity. The Senior CSE is the primary delivery vehicle for all four. This is not a relationship management role. It is an outcome ownership role. A Senior CSE at HealthEdge is accountable for the promise between what a customer bought and what they are getting — and for resolving customer issues before they become an escalation, a churn risk, or a missed expansion opportunity. The Standard: Every customer has a defined outcome, a health score grounded in evidence, and a Senior CSE who is accountable for mobilizing the cross-functional teams to achieve that outcome end-to-end. Responsibilities are organized by the four strategic outcomes the CSE organization exists to deliver. These are outcome areas with clear accountability — not task lists.

Requirements

10+ years in health plan operations, healthcare consulting, or healthcare technology/services — serving or operating within enterprises of $1B+ revenue or equivalent-scale health plans.
Demonstrated ownership of customer outcomes through difficulty (turnaround, escalation, or at-risk retention), with accountability to measurable customer-health, retention, or renewal targets.
Proven delivery through teams the candidate did not manage.
In-depth knowledge of health plan operations end to end: claims, enrollment, billing, provider/network data, utilization management, and the regulatory environment (CMS, state programs).
Commercial fluency: contracting, vendor dynamics, SLA structures.
BPaaS or managed-services delivery experience strongly preferred.
Ability to run a distressed account back to health as a managed program — standing up the operating rhythm, sequencing the recovery, and de-escalating an executive relationship without over-promising.
Demonstrated project or workstream management with named owners, dates, and dependencies through completion.
Deep experience with at least one enterprise-class core administration or payer platform (e.g., Facets, QNXT, HealthRules® Payer, or comparable systems).
HealthEdge product experience a strong plus; where absent, HRP-suite working fluency expected within 6 months.
Proven experience driving adoption of new technology in a commercial software environment.
Fluent with modern work tools, including AI tools (e.g., Claude), as a daily working practice.

Nice To Haves

Executive or senior-leadership role in a healthcare environment.
Experience on the health-plan side of a vendor relationship — having been the customer is a differentiator.
PE-backed, transformation, or turnaround environment experience.
HealthEdge product suite experience.
Hands-on exposure to a system implementation, platform migration, or major upgrade from any seat — testing, data conversion, cutover support, training, or PMO.

Responsibilities

Create and own a Customer Success Plan for every assigned customer account — tied to the customer's business objectives, not HealthEdge's delivery milestones.
Quarterback execution across Delivery, Operations, Technology, and Product. Own the outcome even when others own the task.
Translate HealthEdge platform capability into language, evidence, and outcome metrics that matter to customer executives.
Surface account risk before the customer does. Identify the signal, act on it, and resolve the issue before it is raised.
Own the Path to Green plan for every at-risk account with named owners, dated milestones, and measurable outcomes. Own the plan — not the status update.
Convert satisfied customers into active advocates. Build and execute reference-development plans with excellence.
Identify multi-product and cross-sell opportunities tied to each customer's strategic direction and target business outcomes.
Partner with Sales to ensure expansion opportunities are handed off cleanly — nothing falls in the seam.
Maintain a current view of each customer's strategic roadmap and commercial architecture: contract terms, SLAs, pricing mechanics, and renewal dates. Bring commercial framing to every escalation.
Keep health scoring, CRM records, and success plans accurate, complete, and current — audit-ready at all times.
Contribute to consolidated reporting that gives leadership a trusted single source of truth.
Flag data gaps or health score discrepancies proactively — don't let a reporting issue become a surprise.