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Account Manager

HN1Miami, FL

About The Position

The Account Manager will serve as the primary day-to-day strategic lead for assigned healthcare payor accounts. This role is responsible for supporting client strategy, satisfaction, retention, and growth. The Account Manager will maintain comprehensive account strategy plans aligned with client business goals, market dynamics, and organizational objectives. This role involves proactively managing client escalations, risks, and sensitive business issues with urgency and professional communication, and supporting the planning and preparation of annual business reviews and strategic planning sessions. The Account Manager will also assist in executing account management strategies, coordinating internal resources, tracking key deliverables, and supporting the implementation of health plan strategies. Maintaining a working knowledge of health plan operations, regulatory requirements, and industry best practices is crucial. The role includes tracking and reporting on key performance indicators (KPIs), preparing client reports, and identifying trends, risks, and opportunities. Collaboration with internal stakeholders such as operations, clinical, product, and finance teams is essential to meet client expectations. The Account Manager will also support renewal and rate update processes, identify opportunities for account expansion, and assist in contract lifecycle management, including renewals, amendments, pricing discussions, and negotiations, in partnership with internal legal, finance, underwriting, operations, and executive leadership teams.

Requirements

  • Bachelor’s degree in Business, Healthcare Administration, or a related field.
  • 5-7 years of experience in account management, client services, or healthcare operations.
  • Experience in a strategic account management role (not solely operational account coordination).
  • Experience working with Medicare Advantage, Medicaid, AHCA, and/or Commercial health plan populations.
  • Knowledge of CMS regulations, managed care, and government-sponsored healthcare programs.
  • Strong interpersonal and communication skills with the ability to manage client relationships effectively.
  • Highly organized with strong attention to detail and ability to manage multiple priorities.
  • Analytical mindset with ability to interpret data and support decision-making.
  • Proficiency in Microsoft Office (Excel, PowerPoint, Word) and CRM tools.

Nice To Haves

  • Health plan (payor) experience strongly preferred.
  • Experience working with health plans, provider networks, or healthcare services strongly preferred.

Responsibilities

  • Serve as the primary day to day strategic lead for assigned healthcare payor accounts, supporting client strategy, satisfaction, retention, and growth.
  • Responsible for maintenance of comprehensive account strategy plans aligned to client business goals, market dynamics, and organizational objectives.
  • Proactively manage client escalations, risks, and sensitive business issues with urgency and professional communication.
  • Support in the planning and preparation of annual business reviews, strategic planning sessions, and other client-facing meetings.
  • Escalate client concerns or risks to the VP, Account Management as appropriate.
  • Assist in executing account management strategies and initiatives defined by leadership.
  • Coordinate internal resources to ensure timely delivery of services and solutions to clients.
  • Track key deliverables, timelines, and action items across assigned accounts.
  • Support implementation of health plan strategies in collaboration with internal teams.
  • Maintain working knowledge of health plan operations, regulatory requirements, and industry best practices.
  • Support compliance with client requirements and industry standards.
  • Assist in gathering and analyzing data to support client reporting and strategy execution.
  • Track and report on key performance indicators (KPIs) for assigned accounts.
  • Prepare client reports, presentations, and performance summaries.
  • Identify trends, risks, and opportunities, and communicate insights to leadership.
  • Partner with internal stakeholders including operations, clinical, product, and finance teams to support client deliverables.
  • Ensure alignment across teams to meet client expectations and service standards.
  • Support renewal and rate update processes by gathering required data and preparing materials.
  • Identify opportunities for account expansion or additional services and communicate to leadership.
  • Assist in maintaining high client retention and satisfaction.
  • Support the VP, AM to oversee client contract lifecycle activities, including renewals, amendments, participate in pricing discussions, and strategic negotiations.
  • Partner with internal legal, finance, underwriting, operations, and executive leadership teams to support contract strategy and execution.
  • Work with VP, AM to ensure contract terms align with business objectives, profitability expectations, and operational capabilities.

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