- Salary
- $106k – $176k
- Location
- Home Office: San Antonio, TX, United States of America
- Workplace
- Remote
- Type
- Full-time
- Department
- Sales
- Experience
- 10+ years
- Clearance
- Not required
- Source
- Workday
Description
Job Family:
Health Account Executive
Travel Required:
Clearance Required:
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
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 an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [email protected]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.
