We are looking for an Account Manager - Payer Practice Lead to join our growing team in the
United States!
Location: East Coast (Remote)
Travel: As needed based on customer requirements, including client meetings and industry events
Industry: Healthcare / Payer Systems
About the RoleWe are seeking a highly motivated and results-driven
Account Manager - Payer Practice Lead to spearhead the growth of our Payer vertical. This is a sales-led, P&L ownership role ideal for a strategic thinker with deep expertise in payer systems, Facets, HealthEdge (HE), interoperability, and FHIR-based integrations. The successful candidate will be responsible for building and expanding the payer sector by identifying new business opportunities, nurturing client relationships, and driving revenue growth.
Key ResponsibilitiesBusiness Development & Sales- Lead and grow the Payer practice by identifying, pursuing, and closing new business opportunities.
- Build and expand a strong pipeline of payer clients across the East Coast.
- Develop and execute a strategic go-to-market plan for the payer sector.
- Drive revenue growth by positioning our capabilities in Facets, HealthEdge, interoperability, and FHIR-based integrations.
- Represent the organization at industry events, conferences, and client meetings.
P&L Ownership- Own the Profit & Loss (P&L) for the Payer practice.
- Monitor financial performance, manage budgets, and ensure profitability targets are met.
- Provide regular reporting on revenue, margins, and growth metrics to leadership.
Client & Stakeholder Management- Serve as the primary point of contact for key payer accounts.
- Build and maintain strong, long-term relationships with C-suite and senior stakeholders within payer organizations.
- Ensure high levels of client satisfaction and retention across all accounts.
- Collaborate with internal delivery and technical teams to ensure seamless and high-quality service delivery.
Practice Building- Define and shape the strategic direction of the Payer practice.
- Work closely with delivery and solution teams to develop payer-specific service offerings and solutions.
- Build internal capabilities and expertise around payer systems, Facets platform, and FHIR-based interoperability.
Must-Have Requirements- Minimum 10-12 years of experience in Account Management, Sales, or Business Development within the Healthcare Payer domain.
- Strong and proven background in the Payer industry, with hands-on experience in Facets and/or HealthEdge (HE) platforms.
- Deep expertise in payer systems, interoperability standards, and FHIR-based integrations.
- Demonstrated experience in owning and managing P&L for a practice or business unit.
- Proven track record of building and growing a business sector from the ground up.
- Located on the East Coast (open to fully remote).
- Strong network and existing relationships within the payer ecosystem.
- Excellent communication, presentation, and negotiation skills.
Good to Have- Experience in IT Services, QA, or Managed Services within the healthcare payer domain.
- Familiarity with HL7, EDI, and other healthcare interoperability frameworks.
- Experience working with Blues plans, regional health plans, or national payers.
- Knowledge of value-based care models and payer transformation initiatives.
- Bachelor's degree in Business, Healthcare Administration, or a related field; MBA preferred.
Benefits:- Be a part of a company who strives to support for diversity and inclusion in the workplace - we are one, we are many at QualityAI. Celebrate culture, share knowledge with engineers from around the globe, and inspire each other through our differences.
- Local and global opportunities - we offer you internal rotation and international mobility opportunities to grow your career.
- Clear view of your career and progression with the company - QualityAI is growing massively (since Jan 2021 - added more than 2000 engineers) and giving you the opportunity to grow with us.
- Never stop experimenting and learning with QualityAI Tech academy: 3000+ training courses, mentorship programs, technical tribes, sponsored certifications, leadership programs and much more.
- Earn bonuses via our Client Referral and Employee Referral Program's. Refer and earn - tap your network for net-worth.
- A Competitive pay, the salary range for the role is $150,000 - $180,000 (depending on the experience).
If you like what you have read, send us your resume and let's start talking!
- Intrigued to find more about us?
- Visit our website at https://www.quality-ai.com/
- LinkedIn: https://www.linkedin.com/company/qualityaigroup
