Account Executive

Guidehouse

Account Executive managing key client relationships across healthcare providers and financial institutions. Driving revenue growth, operational delivery, and client satisfaction as part of Guidehouse's healthcare services.

Posted 6/14/2026full-timeRemote • 🇺🇸 United StatesSeniorLead💰 $106,000 - $176,000 per yearWebsite

About the role

Key responsibilities & impact

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

Requirements

What you’ll 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)

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Account ManagementClient ServicesConsultingHealthcare Revenue Cycle ManagementPayment AutomationFinancial ServicesFinancial forecastingPricing modelsRevenue recognitionContract negotiations

Soft Skills

Client relationship managementStakeholder engagementMentorshipAnalytical skillsProblem-solvingCross-functional collaborationLeadershipCommunicationOperational oversightStrategic planning