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Senior Strategic Accounts Manager, Small Market (Central or Mid-West)

AI Summary
Garner Health is seeking a senior strategic account manager to retain and expand a portfolio of small-group employer health-benefit clients. The role combines consultative account management, benefits-plan expertise, broker relationship management, and commercial ownership of retention and upsell results. The manager will partner with client success, finance, product, data, and technology teams to demonstrate value, ROI, and plan performance. This is a remote US role serving the Central or Mid-West market, with occasional headquarters travel of up to 10%. The environment is a fast-paced healthcare startup that expects strong ownership, urgency, and comfort with ambiguity.
Remote from
USA
Salary
USD 140k–165k / yr
Department
Sales
Employment
Full Time
Experience
Director
Published
Apply before
6 Dec 2026
Listing views
17
Application actions
0
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Opportunity details

About this role.

What you’ll be part of

Garner is on a mission to transform the U.S. healthcare system — and we’re the only proven player doing exactly that. We partner with employers to redesign how healthcare works: applying 550+ proprietary clinical metrics across 80+ specialties to a dataset of 320M+ patients to identify the best-performing doctors, then using compelling incentives to steer members to the care that helps them get healthier, faster.

The result is a rare “win win” — better care and lower costs for both members and employers. In just five years, our work has helped over 2.5 million people access higher-quality care and saved $1B in healthcare costs. We recently raised our Series E and have doubled five years running. If you’ve ever wanted your work to solve a problem that touches every person in this country, this is the opportunity to do exactly that. You’d be joining a team fundamentally reimagining healthcare in the U.S. — and using AI to scale that impact further and faster than anyone else can.

About the role:

We are seeking an exceptional Senior Strategic Accounts Manager to join our Strategic Accounts team. This role will report to the Director, Strategic Accounts. This role is critical for retaining and growing Garner’s small group market (25 – 250 employees) employer clients by serving as their trusted strategic partner on plan design, cost trends, and performance. The Senior Strategic Accounts Manager is responsible for driving improved Net Revenue Retention and other key performance indicators for their book of business.

Where you will work:

Garner is headquartered in NYC, but this position is available for individuals who are comfortable with remote work and occasional travel to HQ. Travel up to 10% of the time is expected.

What you will do:

  • Own the process to retain and upsell Garner’s small group employer clients (25 – 250 lives)
  • Collaborate with the Client Success Manager to ensure clients receive an excellent experience and achieve expected results.
  • Serve as the client’s trusted strategic partner on plan design, bending cost trends, and driving plan performance.
  • Establish and manage key strategic broker and client relationships.
  • Monitor overall client health, anticipate strategic needs, and execute proactive plans to address key account risks.
  • Partner with finance, product, data, and technology teams to deliver reports demonstrating Garner’s value and ROI.
  • Drive improved Net Revenue Retention and other KPIs for your book of business.

The ideal candidate has:

  • Deep fully insured and small group self-funded health plan design and benefits knowledge, including experience advising employer clients on benefits strategy and cost performance.
  • 4+ years of experience in a commercially-oriented consultant/broker, account management, or sales role in the employee benefits space.
  • A deep commercial focus with proven results of achieving retention and upsell targets year over year.
  • A self-starter mentality with the ability to work in an ambiguous, rapidly evolving, and fast-paced startup environment.
  • Excellent communication, presentation, and articulation skills.
  • Demonstrated ability to solve problems in ambiguous strategic situations.
  • A desire to be a part of a high-performing, mission-driven team that operates with intense urgency, a strong sense of individual accountability, and a commitment to authentic feedback.

This is a unique opportunity to join a fast-growing company in a transformative role, helping shape the future of healthcare.

What you’ll get here

You’ll work on problems that matter, at a company working to change healthcare at scale. You’ll work at the intersection of AI and systemic healthcare reform, where the problems we solve are as interesting and compelling as the mission.

At Garner, you’ll take on real, ambitious problems with real ownership and autonomy, alongside exceptional, principles-based people who genuinely want you to win. It’s demanding by design. You’ll be challenged to stretch beyond what you thought possible and receive consistent coaching to help you grow and do the best work of your career. This isn’t the right fit for everyone, and that’s intentional. The people here are driven by what’s at stake for real people, and that’s what gives our intensity its purpose.

Compensation Transparency:

The target salary range for this position (inclusive of Base + Commission) is $140,000 – $165,000. Individual compensation for this role will depend on various factors, including qualifications, skills, and applicable laws. In addition to base compensation, this role is bonus-eligible and eligible to participate in our equity incentive and competitive benefits plans, including but not limited to: flexible PTO, Medical/Dental/Vision plan options, 401(k) with company match, flexible spending accounts, Teladoc Health and more.

Fraud and Security Notice:

Please be aware of recent job scam attempts. Our recruiters use getgarner.com and garnerhealth.com email domains exclusively. If you have been contacted by someone claiming to be a Garner recruiter or a hiring manager from a different domain about a potential job, please report it to law enforcement here and to candidateprotection@garnerhealth.com.

Equal Employment Opportunity:

Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics.

Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at talent@garnerhealth.com.

Apply now >

This job listing has been manually reviewed by the Jobicy Trust & Safety Team for compliance with our posting guidelines, including verification of the company's legitimacy, accuracy of job details, clarity of remote work policy, and absence of misleading or fraudulent content.

Role DNA

A quick view of the complexity, pace, ownership and collaboration implied by the job description.

Job Complexity

4/5
EasyHard

Pace & Pressure

5/5
RelaxedFast-paced

Autonomy Level

5/5
GuidedFull ownership

Communication Load

5/5
IndependentCollaborative
AI insightThe role requires specialized knowledge of fully insured and self-funded health plans alongside responsibility for retention, upsell, broker relationships, and strategic client outcomes. Success depends on independently navigating ambiguous, high-stakes commercial situations in an intense startup environment.

Salary analysis

Estimated compensation compared with the broader US market for similar roles.

Estimated job median (per year)Highly competitive
$152,500
US market range (per year)$130k–$175k
AI insightThe yearly pay period is inferred from the job context; it was not explicitly stated by the employer. The employer discloses target compensation of $140,000–$165,000 USD inclusive of base salary and commission. The annual period is inferred from the compensation scale and senior US strategic-account-management context, rather than explicitly stated. A reasonable estimated US annual market range for a senior employee-benefits strategic accounts manager is $130,000–$175,000 USD.

Core skills

Skills and capabilities most closely associated with this opportunity.

Sample interview questions
How have you improved retention and upsell performance across an employer-client portfolio?

I segment accounts by renewal risk, growth potential, engagement, utilization, and stakeholder alignment. I create account plans with clear success metrics, executive touchpoints, and value reviews, then use performance data to address risks early and identify relevant expansion opportunities.

How would you advise a small employer client facing rising healthcare costs?

I would first assess claims trends, plan design, utilization patterns, member engagement, and benchmark results. I would translate the findings into practical options, explain financial and employee-experience trade-offs, and recommend a plan with measurable actions and a regular review cadence.

Describe how you build a trusted relationship with a benefits broker.

I treat the broker as a strategic partner by clarifying shared goals, communicating transparently, and providing timely data and materials that help them advise the client. I also establish clear ownership across the broker, client, and internal teams so issues are resolved quickly without confusion.

Tell us about a time you managed an ambiguous account risk. What did you do?

I gathered available quantitative and qualitative signals, identified the decision-makers and root causes, and formed a hypothesis-driven action plan rather than waiting for perfect information. I communicated the risk early, aligned internal partners on owners and deadlines, and tracked progress until the client’s concerns were resolved.

How do you communicate complex plan-performance or ROI data to senior client stakeholders?

I begin with the business question and lead with a concise executive narrative: what happened, why it matters, and what action is recommended. I use simple visuals and relevant benchmarks, reserve technical detail for follow-up, and confirm that stakeholders understand the implications and next steps.

This analysis is generated from the job description. Salary estimates, role characteristics and sample answers are guidance, not employer-provided facts.
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