Guidehouse

Account Executive

Guidehouse$106K — $176K *
US-AnywhereRemote in United States
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years of experience in Account Management or Consulting in Healthcare RCM or Financial Services
  • Proven experience managing client portfolios with revenue ownership
  • Strong understanding of Healthcare RCM workflows and payment processing
  • Demonstrated ability to drive contract negotiations and cross-functional initiatives
  • Experience with financial forecasting and pricing models
  • Strong analytical skills for complex business challenges
  • Bachelor's degree required or relevant experience substitutable

Responsibilities

  • Own and grow key client relationships for healthcare and financial institution clients
  • Drive revenue growth through contract renewals and service expansions
  • Lead end-to-end account management including financial performance and service quality
  • Develop and execute account strategies aligned with client and organizational goals
  • Partner with cross-functional teams to improve revenue recognition and regulatory compliance
  • Lead complex negotiations with healthcare systems and banking clients
  • Drive operational transformation initiatives and provide mentorship to junior staff

Benefits

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Discretionary variable incentive bonus potential
  • Parental Leave
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life Insurance
  • Health Savings Account and Flexible Spending Accounts
  • Short-Term & Long-Term Disability Insurance
  • Tuition Reimbursement and Personal Development Opportunities
  • Employee Referral Program and Corporate Sponsored Events
  • Emergency Back-Up Childcare Program
Full Job Description
Job Family:
Health Account Executive

Travel Required:
Up to 25%

Clearance Required:
None

What You Will Do:
Own and grow key client relationships across a portfolio of healthcare providers and financial institution (lockbox) clients, ensuring high client satisfaction and long-term partnership value

  • Drive revenue growth and wallet share expansion through:
    • Contract renewals and renegotiations
    • Expansion of Payment Automation and Lockbox Healthcare service offerings
  • Lead end-to-end account management, including:
    • Financial performance (revenue, margin, forecasting accuracy)
    • Operational delivery oversight and service quality
    • Executive-level stakeholder engagement
  • Develop and execute account strategies (1-3 year horizon) aligned with client objectives and Guidehouse growth priorities
  • Partner cross-functionally with Product, Operations, Finance, and Technology teams to:
    • Improve revenue recognition and billing accuracy
    • Drive automation and process standardization (e.g., invoicing, reporting, workflows)
    • Enable scalable delivery models
  • Lead complex commercial discussions and negotiations with healthcare systems and banking clients, including pricing, scope, and contractual terms
  • Ensure compliance, governance, and risk management, including:
    • Regulatory and contractual obligations (e.g., PCI, data privacy, audit readiness)
    • Engagement governance frameworks and documentation
  • Drive operational transformation initiatives, including implementation of tools, automation, and service delivery improvements
  • Provide mentorship to junior account managers and analysts, improving team capability, scalability, and performance
  • Collaborate and work with offshore Delivery centers


What You Will Need:

  • 10+ years of experience in Account Management, Client Services, or Consulting within:
    • Healthcare Revenue Cycle Management (RCM), Payment Automation, or Financial Services
  • Proven experience managing client portfolios with ownership of revenue and margin performance
  • Strong understanding of:
    • Healthcare RCM workflows (e.g., ERA, billing, reconciliation)
    • Payment processing and/or bank lockbox operations
  • Demonstrated ability to:
    • Drive contract negotiations, and client expansion strategies
    • Lead cross-functional initiatives across product, operations, and finance
    • Influence senior client stakeholders and internal leadership
  • Experience with financial forecasting, pricing models, and revenue recognition processes
  • Strong analytical and problem-solving skills with ability to manage ambiguous and complex business challenges
  • Bachelor's degree required (Relevant experience may be substituted for formal education or advanced degree)


What Would Be Nice To Have:

Experience working in Health + Financial Services (banking) intersection, especially payment automation or lockbox services

  • Prior exposure to AI/automation initiatives in billing, reconciliation, or compliance workflows
  • Proven leadership experience managing or mentoring teams and junior associates/managers
  • Experience with client onboarding and large-scale implementations (multi-client or enterprise rollouts)
  • Familiarity with tools such as:
    • Ticketing/workflow systems (e.g., Freshdesk)
    • Identity/access platforms (e.g., OKTA)
    • Billing/revenue analytics tools
  • Strong track record in:
    • Process transformation and operational efficiency improvements
    • Driving cost optimization and margin enhancement


The annual salary range for this position is $106,000.00-$176,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:
  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program


About Guidehouse

Guidehouse is a management consulting firm headquartered in Washington, D.C. The firm provides consulting services to clients in the public and commercial sectors, with a focus on energy, financial services, healthcare, national security, and aerospace and defense. Guidehouse was founded in 2018 as a spin-off from PwC. The firm has over 7,000 employees and operates in more than 50 locations worldwide.
Learn more about Guidehouse
Size
8,000 employees
Industry
Founded
2018

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