#22881 - Account Manager - Payer Practice Lead

Are you interested in working with the World’s leading AI-powered Quality Engineering Company? Ready to advance your career, team up with global thought leaders across industries and make a difference every day? Join us at QualityAI!

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 Role

We 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 Responsibilities

Business 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:

Why QualityAI?
QualityAI is an AI-first quality engineering company helping enterprises deploy and scale complex systems with greater confidence. Operating across data, models, platforms, infrastructure, and operational environments, the company provides assurance and engineering expertise that helps organizations ensure systems perform reliably in real-world conditions.

Formerly Qualitest, QualityAI supports global enterprises across regulated and technology-driven industries, combining deep engineering heritage with AI-enabled delivery, operational assurance, and lifecycle expertise to help clients achieve certainty at go-live.

• 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