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Overview
The VP, Strategic Account Management (Healthcare) is responsible for retaining, expanding, and deepening Qualfon 's relationships with a select portfolio of its largest and most strategic Healthcare clients . These clients include payers, health plans, providers, dental and specialty benefits carriers, and healthcare technology companies. The VP owns the commercial health, client satisfaction, and growth strategy of each assigned account and is the single point of accountability for revenue retention, expansion, and long-term partnership value.
As a senior individual contributor, the VP is each client's executive-level partner and Qualfon 's internal account owner. The role builds C-suite relationships, leads complex renewals and expansions, and coordinates Delivery, Operations, Solutions, Finance, and Compliance to ensure flawless, compliant execution. The VP positions Qualfon as the best-cost regulated CX partner , bringing forward human + AI solutions with strong governance that improve member and patient outcomes.
Benefits & Time Off: As a full-time position, Company benefits are offered in compliance with the Affordable Care Act (ACA), state and federal law, and Company policies. These benefits include Medical, Dental, Vision, Employee Assistance Program, Life and Accidental Death & Dismemberment, Short Term Disability, Long Term Disability, Accident, Critical Illness, Hospital Indemnity, Legal, Identity Protection, Pet Insurance, and 401k.Full-time employees are eligible to receive paid time off (PTO) benefits based on the Company’s current paid time off policies and in accordance with applicable state law. Further, Colorado residents are eligible for Paid Sick and Safety Leave, per applicable state law provisions and Company policy. All benefits are subject to any plan changes at the Company’s sole discretion.
Compensation: this position will be paid on a salaried basis with a pay range between $140,000 and $160,000 annually depending on prior experience. This base pay is subject to all applicable statutory deductions and authorized withholdings as required by law. This base pay is also subject to any authorized deductions to contribute toward the employee’s portion of benefits premiums and/or 401(k) contributions.
EQUAL OPPORTUNITY STATEMENT QUALFON is an equal opportunity employer. QUALFON provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sex (including pregnancy, childbirth and related medical conditions), sexual orientation, gender identity, national origin, age, disability, genetic information (including testing and characteristics), marital status, ancestry, status as a covered veteran, uniformed servicemember status and any other characteristic protected under applicable federal, state or local law.
If you would like to fill out a Voluntary Self-Identification of Disability Form, please visit us at Qualfon .com/join-us -
Responsibilities
Client Relationship & Retention
Serve as the primary relationship owner and executive point of accountability for each assigned strategic Healthcare client Build multi-level relationships, from C-suite and VP sponsors to operations, procurement, and compliance leaders, so no account depends on a single contact Develop deep knowledge of each client's business, lines of business (e.g., Medicare Advantage, Medicaid, Commercial), member and patient populations, and strategic priorities Act as a trusted advisor on member and patient experience, regulatory pressures, and operating model evolution Lead QBRs, executive business reviews, and annual strategic planning sessions for each account Proactively identify and manage account risk and escalations, building recovery plans and engaging Qualfon executive leadership when needed Own renewal strategy and lead negotiations for contract renewals, extensions, and amendments
Revenue Growth & Expansion
Own revenue retention, expansion, and margin performance for each assigned account
Build and execute a multi-year account plan for every client, including relationship mapping, whitespace analysis, and growth targets
Identify and close upsell and cross-sell opportunities , including new lines of business, programs, channels, back-office services (e.g., claims, enrollment, provider services), and right-shored delivery locations
Plan and lead seasonal and program ramps, including Annual and Open Enrollment periods, with Delivery and Workforce Management
Partner with Solutions, Finance, and Legal to shape proposals, pricing, SOWs, and commercial models
Lead RFP responses and competitive re-bids for assigned clients, protecting incumbency and expanding scope
Position AI-enabled CX, automation, analytics, and digital solutions to improve client outcomes and grow the relationship
Operational & Financial Oversight
Partner with Delivery leadership to ensure SLA attainment, quality, and operational excellence on every account
Monitor account financials, including revenue, gross margin, staffing, utilization, productivity, and invoicing accuracy, and drive corrective action
Maintain accurate forecasts for account revenue, renewals, expansion, and risk
Ensure contract compliance, alignment to commercial terms, and disciplined change-order management
Ensure delivery meets HIPAA, CMS, state-level, and client security and audit requirements , and support client audits and compliance reviews
Translate operational performance into measurable business value for client executives
Cross-Functional Leadership
Act as the internal "quarterback" for each assigned account, aligning stakeholders across:
Operations & Delivery
Workforce Management
Quality & Training
Technology & Automation
Compliance, Information Security & Legal
Finance
Drive accountability and urgency across internal teams to meet client commitments
Partner with Healthcare Business Development to pursue opportunities in other divisions, affiliates, or subsidiaries of assigned clients
Industry & Domain Expertise
Bring deep expertise in Healthcare BPO/CX , including payer, provider, and health-tech operating models
Maintain current knowledge of Medicare Advantage, Medicaid, ACA marketplace, enrollment cycles, and evolving CMS and HIPAA requirements
Anticipate client needs and industry shifts, proactively recommending solutions that improve member and patient outcomes
Qualifications
12+ years of experience in BPO, CX, or managed services, including 7+ years in strategic account management or client partner roles
