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Sr. Director Client Service (Healthcare Payer)

Posted 4 Hours Ago
Be an Early Applicant
Remote
Hiring Remotely in United States
160K-180K Annually
Senior level
Remote
Hiring Remotely in United States
160K-180K Annually
Senior level
Leads strategic healthcare payer relationships, driving account growth through cloud modernization, data platforms, product engineering, and AI-enabled services. Builds executive relationships, identifies opportunities, shapes and prices complex engagements, expands consulting programs, and partners with architects and delivery teams. The role requires deep payer expertise, including claims, prior authorization, FHIR, HIPAA, Medicare Advantage, and quality measures, along with experience navigating procurement, vendor risk, security reviews, and enterprise technology sales.
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We are seeking an experienced Senior Director, Client Services Partner (Payer)to lead and grow a strategic enterprise healthcare payer relationship, driving engineering-led transformation through cloud modernization, data platforms, product engineering, and AI-enabled innovation. This role is accountable for expanding existing client relationships, developing new opportunities within the account, and partnering with senior technology and business leaders to deliver scalable engineering solutions. The ideal candidate brings deep healthcare payer experience, a strong understanding of claims and payer operations, and a proven track record of growing enterprise technology services engagements.

***Location: Connecticut or Rhode Island area preferred. Candidates elsewhere in the U.S. may be considered based on their ability to meet client engagement requirements.

Role & Responsibilities

  • Build and own the engineering and technology growth plan for our strategic enterprise healthcare payer accounts, including relationship maps, target use cases, and a qualified pipeline.
  • Develop relationships with technology, data, security, and AI leaders, from VP and senior director levels up to the C-suite.

  • Leverage existing client relationships and work collaboratively with account leadership to identify new opportunities and expand engineering services beyond existing engagements.
  • Sell and shape engineering, cloud, data, product engineering, and agentic AI engagements, converting focused opportunities and pilots into larger, multiyear programs and managed services.

  • Work with solution architects, Forward Deployed Engineers, and global delivery teams to scope, price, and staff engagements.

  • Position our AI-enabled engineering approach, including governance, human oversight, and traceability, with technical, risk, and compliance stakeholders.

  • Navigate procurement, vendor risk, and security reviews within large enterprise healthcare payer organizations.

  • Forecast accurately in our CRM, contribute account intelligence, and partner with existing account leadership to drive revenue growth.

Preferred Qualifications

  • 12+ years of experience in enterprise technology services or consulting, with a proven track record of growing healthcare payer accounts through engineering, data, cloud, and AI services.
  • Prior experience working with health insurance payers, either on the consulting/vendor side or within a payer organization, with a strong understanding of claims adjudication, prior authorization, interoperability (FHIR), HIPAA, Medicare Advantage, and quality measures.

  • Established relationships, or demonstrated success building relationships, with CIOs, CTOs, CDOs, and senior technology and data leaders within major healthcare payer organizations.

  • Strong understanding of modern engineering services, cloud and data platforms, product engineering, and AI/agentic AI solutions, with the ability to engage credibly with technical stakeholders.

  • Demonstrated success expanding existing enterprise client relationships into new engineering opportunities, including cloud modernization, data platforms, application/product engineering, and AI-enabled business transformation.

  • Experience shaping, pricing, and expanding complex technology consulting engagements into larger, multiyear programs.

  • Ability to collaborate effectively with solution architects, engineering teams, account leadership, and global delivery organizations.

  • Good to have:
  • Previous experience supporting relationships within large healthcare payer organizations.
  • Experience working with Humana, Blue Cross Blue Shield organizations, or other major health plans.

  • Experience with Snowflake, Databricks, Google Cloud, or similar modern cloud and data ecosystems.

  • Familiarity with pharmacy technology, PBM operations, or healthcare security programs.

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