Account Manager

Midwest Startups; Wisconsin; Hybrid; USD 70,000 - 100,000; Full time

Job summary

Midwest Startups seeks an Account Manager to own relationships with employer groups, from contract signing to renewal. You’ll blend day-to-day account management with plan performance strategy, partnering with our nurse care coordination team to ensure a seamless member experience.

Responsibilities include leading implementations, ongoing account management, and quarterly performance reviews with data-driven recommendations to hit savings and engagement goals.

Qualifications

• 3+ years of experience in an account management or similar client-facing role.
• Comfort utilizing AI tools.
• Proficiency with Excel and presentation tools; comfort working with claims and utilization data.
• Wisconsin residency and ability to travel within Wisconsin and nearby surrounding states; valid driver's license required.

Responsibilities

• Lead client implementation from signed contract through go-live and open-enrollment.

Skills

Self-starter

Highly organized

Full account ownership

Analytical instinct

Calm under pressure

Collaborative

Adaptable

Creative problem solver

AI tools familiarity

Tools

Excel

Presentation tools

AI tools

Job description

Account Management Client Relationship Management Healthcare Plans Claims Data Analysis Excel Presentation Tools AI Tools Third-Party Administrator Platforms Benefits Administration Healthcare Claims Analysis Population Health Pharmacy Benefit Management Communication Project Management Problem Solving

About the role

The Account Manager is the primary relationship owner for assigned employer groups, from contract signing through every renewal. The role blends day-to-day account management, plan performance and strategy, and close partnership with our nurse care coordination team — serving as the bridge between the employer and plan members so the experience holds together on both sides. Account Managers make sure the plan delivers what was promised: HR partners feel supported, the nurse team has what they need to support members, and the employer sees measurable savings year over year. This is a client-facing, results-oriented role. The right candidate enjoys both the operational craft of running a health plan day-to-day and the strategic work of helping an employer hit long-term cost and engagement goals.

Key Responsibilities:

Client Implementation (New Groups): Lead the implementation process from signed contract through go-live, including kickoff and alignment meetings with the employer's HR team. Develop the member benefits guide and open-enrollment presentation materials. Coordinate with the third-party administrator (TPA) to set up the group's plan, eligibility feeds, and banking. Review plan configuration, member ID cards, and supporting documentation before they reach the employer. Attend the employer's open enrollment sessions and answer member questions in real time.

Ongoing Account Management: Serve as the primary point of contact for the employer's HR team and broker. Provide account support for questions that come in from groups and brokers — plan design, claims status, billing, vendor coordination, and other day-to-day inquiries. Manage the shared account management inbox and ticket queue, ensuring service-level commitments are met. Route member care and clinical questions to the nurse team; serve as a bridge so HR and the nurse team stay aligned on member-experience issues.

Plan Performance & Strategy: Own quarterly client performance reviews end-to-end: data analysis, presentation, broker and employer meetings, and follow-up actions. Monitor claims data, utilization trends, and plan savings reporting; surface trends that need employer attention. Recommend plan design refinements and member engagement strategies that hit savings and retention goals. Drive employee adoption of direct primary care and preferred provider options through targeted communications and member engagement campaigns.

Renewal: Build and deliver the annual renewal presentation, including benchmarking, plan design recommendations, and savings projections. Provide claims and utilization analysis to the sales team for stop-loss negotiations. Plan and deliver open enrollment for renewing groups. Review the renewal-year plan configuration before it goes live.

Required Qualifications: 3+ years of experience in an account management or similar client-facing role. Comfort utilizing AI tools. Demonstrated ability to manage multiple client relationships simultaneously and prioritize across competing demands. Strong written and verbal communication skills — able to translate complex healthcare data into clear, confident recommendations for HR teams and executives. Proficiency with Excel and presentation tools; comfort working with claims and utilization data. Wisconsin residency and ability to travel within Wisconsin and nearby surrounding states; valid driver's license required.

Preferred Qualifications: Experience in a self-funded or direct primary care environment. Familiarity with third-party administrator platforms and benefits administration software. Background in healthcare claims analysis, population health, or pharmacy benefit management. Experience presenting to executive audiences and supporting renewal negotiations.

Skills and Competencies: Self-starter. Highly organized. Full account ownership. Analytical instinct. Calm under pressure. Collaborative. Adaptable. Creative problem solver.