Account Executive -Workers Compensation

Brighton Health Plan Solutions; Chapel Hill (NC); On-site; USD 90,000 - 130,000; Full time

Job summary

Brighton Health Plan Solutions is seeking an Account Executive with deep expertise in medical payments for workers’ compensation and automobile insurance claims, PPO network strategies, and bill review organizations. The role focuses on client retention, relationship management, and delivering long-term value across self-funded and fully insured accounts.

As the internal advocate for assigned clients, you will partner with internal operations, clinical, network, and vendor teams to provide

Qualifications

• Bachelor’s degree required.
• Minimum 5 years of experience in account management or client success, in PPO/bill review environments.
• Proven track record in client retention and relationship management.
• Excellent communication, interpersonal, and problem-solving skills with a client-first mindset.
• Strong organizational and time-management skills, able to manage multiple priorities.
• Experience with Salesforce and Microsoft Office Suite.

Responsibilities

• Own the day-to-day client relationship for assigned accounts, including self-funded groups, TPAs, bill review companies, and PPO networks.
• Lead efforts to ensure client satisfaction, retention, and renewal, addressing client needs proactively.
• Communicate proactively with clients to anticipate needs and deliver timely updates.
• Coordinate with Operations, Network Management, Analytics, Finance, Marketing, and Customer Service to resolve client needs.
• Develop understanding of each client’s objectives, benefits, and market position.
• Identify and resolve customer service, operational, financial, and network issues to ensure ownership and completion.
• Advocate for client needs and align solutions with long-term goals.
• Leverage data and analytics to deliver insights and recommendations to improve retention and engagement.
• Lead development and execution of strategies to expand client engagement across Brighton Health’s networks and services.

Skills

Client retention

Relationship management

Communication

Organizational skills

Travel readiness

Education

Bachelor's degree in a related field

Tools

Salesforce

Microsoft Office

Job description

About The Role

Brighton Health Plan Solutions is seeking an experienced Account Executive with deep expertise in medical payments for workers’ compensation and automobile insurance claims, PPO network strategies, and bill review organizations. This role is primarily focused on client retention, relationship management, new sales and ensuring long-term client success across a portfolio of self-funded and fully insured accounts. As the internal advocate for assigned clients, the Account Executive partners closely with internal operations, clinical, network, and vendor teams to deliver seamless service, provide proactive communication, and drive sustained partnership value.

Primary Responsibilities

• Own the day-to-day client relationship for an assigned book of business, including self-funded employer groups, TPAs, bill review companies, PPO networks and commercial carriers.
• Lead efforts to ensure client satisfaction, retention, and renewal, addressing client needs proactively and effectively.
• Communicate proactively with clients to anticipate needs, provide timely updates, and deliver actionable insights.
• Coordinate with Operations, Network Management, Analytics, Finance, Marketing, and Customer Service to ensure timely execution and resolution of client needs.
• Develop a deep understanding of each client’s strategic business objectives, benefit needs, and market position.
• Identify, escalation, and resolve customer service, operational, financial, and network-related issues, ensuring ownership through completion.
• Advocate for client needs across Brighton Health to ensure solutions are aligned with client expectations and long-term strategic goals.
• Leverage data and analytics to deliver insights and recommendations that strengthen client outcomes, improve retention, and expand engagement.
• Lead the development and execution of strategies to expand client engagement with Brighton Health’s networks, point solutions, and integrated services, including oversight of complex workflows, vendor integrations, and operational connectivity across the ecosystem.
• Maintain and update all client-related activities.
• Represent Brighton Health at client meetings and industry conferences (20%+ travel required).
• Support the implementation of new services, account launches, and system integrations for assigned clients.
• Stay informed on Brighton Health products, services, and industry trends to provide strategic guidance to clients.
• Develop a pipeline of new sales opportunities, including but not limited to selling additional services to existing customers, and take action to execute on and meet sales goals.

Essential Qualifications

• Bachelor’s degree in a related field.
• Minimum 5 years of experience in account management, client success, or a related field, with required experience in a PPO, bill review, carrier or TPA environment, preferably in the New York and New Jersey markets.
• Proven track record in client retention and relationship management.
• Excellent communication, interpersonal, and problem-solving skills with a client-first mindset.
• Strong organizational and time-management skills, with the ability to manage multiple priorities.
• Proficiency in Salesforce and Microsoft Office Suite (Excel, Word, PowerPoint, Outlook).
• Ability to travel 20%+.

About

At Brighton Health Plan Solutions, LLC, our people are committed to the improvement of how healthcare is accessed and delivered. When you join our team, you’ll become part of a diverse and welcoming culture focused on encouragement, respect and increasing diversity, inclusion and a sense of belonging at every level. Here, you’ll be encouraged to bring your authentic self to work with all of your unique abilities.

Brighton Health Plan Solutions partners with self-insured employers, Taft-Hartley Trusts, health systems, competing PPOs, bill review companies, providers, carriers and TPAs, and enables them to solve the problems facing today’s healthcare with our flexible and cutting-edge medical management and PPO services. Our unique perspective stems from decades of health plan management expertise, our proprietary provider networks, and innovative technology platform. As a healthcare enablement company, we unlock opportunities that provide clients with the customizable tools that need to enhance the member experience, improve health outcomes and achieve their healthcare goals and objectives. Together with our trusted partners, we are transforming the health plan experience with the promise of turning today’s challenges into tomorrow’s solutions.

Come be a part of the Brightest Ideas in Healthcare.

Company Mission

Transform the health plan experience – how health care is accessed and delivered – by bringing outstanding products and services to our partners.

Company Vision

Redefine health care quality and value by aligning the incentives of our partners in powerful and unique ways.