Customer Success Advisor, Health Plans

Sword Health

Health-plan advisor retaining and growing payer relationships for Sword’s AI-powered healthcare platform. Analyzing claims, ROI, access, and outcomes while enabling cross-sell and upsell.

Posted 8/13/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSenior💰 $147,700 - $232,100 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in managing health plan relationships, focusing on revenue retention and growth through strategic account management and stakeholder engagement. Proficient in claims analysis, ROI economics, and effective communication across diverse functions and levels.

Highest-signal resume keywords

Health Plan ManagementClaims AnalysisROI EconomicsExecutive CommunicationAI Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InterrogationData AnalysisAccount StrategyValue CommunicationBusiness ReviewsRisk IdentificationExecution StrategyPayer Relationship ManagementMarketing Access SecuringUtilization Analysis

Soft Skills

Strong Executive JudgmentAnalytical Self-SufficiencyLow-Ego Operating StyleAdaptability in Ambiguous EnvironmentsRelationship Building

Industry Keywords

Digital HealthHealthcare TechnologyBenefits NavigationPBMPayer ServicesStakeholder EngagementRevenue RetentionGrowth StrategyCross-SellUpsell

About the role

Key responsibilities & impact

Own the success of a concentrated portfolio of strategic health-plan relationships, protecting revenue retention and creating conditions for growth
Secure and expand approvals, channels, data, and subsidiary participation that put Sword in front of eligible members
Determine whether member access produces enrollment, utilization, and value
Build multi-threaded networks across economic, clinical, operational, and executive stakeholders
Interrogate claims, utilization, outcomes, guarantees, attribution, and ROI evidence
Lead account strategy, value communication, business reviews, and escalations
Partner with Sales on cross-sell and upsell
Mobilize Sword’s internal specialists as resources while retaining ownership of the account plan
Identify emerging risks and opportunities, define strategy where playbooks do not exist, and drive execution across the organization
Build relationships, gather intelligence, shape business cases, and resolve operating and value questions supporting retention and growth

Requirements

What you’ll need

Substantial experience managing health plans as customers from a digital-health, healthcare-technology, benefits, navigation, PBM, payer-services, or similarly relevant vendor
Track record of retaining and growing consequential payer relationships, including securing marketing access or comparable downstream action
Working depth in claims and ROI economics
Ability to interrogate methodology, reconcile conflicting evidence, and stand behind the account position
Strong executive judgment
Exceptional written and verbal communication across functions, levels, and competing stakeholder interests
Hands-on analytical self-sufficiency
Low-ego, high-ownership operating style
Willingness to travel domestically up to 10%
Ability to thrive in highly ambiguous environments where priorities evolve quickly and success depends on judgment rather than process
AI proficiency: every hire must demonstrate at least Explorer (Level 1), using AI daily to boost personal productivity
Must have legal right to work in the United States; immigration or work visa sponsorship will not be provided

Benefits

Comp & perks

Comprehensive health, dental and vision insurance
Life and AD&D Insurance
Financial advisory services
Supplemental Insurance Benefits (Accident, Hospital and Critical Illness)
Health Savings Account
Equity shares
Discretionary PTO plan
Parental leave
401(k)
Flexible working hours
Remote-first company
Paid company holidays
Free digital therapist for you and your family