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Senior Customer Success Manager, Health Plans

Role overview

Qualifications

  • 5+ years of experience in enterprise-level customer success/account management or roles, ideally in digital health with health plan experience
  • Experience with managing national and regional health plans across fully insured, ASO, and Medicare lines of business
  • Strong understanding of the payor financial landscape, including medical loss ratios (MLR) and value-based care models
  • Passionate about bringing world-class healthcare to those who need it

Responsibilities

  • Lead the end-to-end lifecycle for a high-priority book of health plan business, driving long-term retention, health plan satisfaction, and revenue growth
  • Build trusted strategic relationships with health plan customers and drive Sword’s clinical and economic outcomes
  • Navigate complex payor landscapes to ensure Sword’s value proposition resonates with diverse internal payor stakeholders
  • Develop and maintain multi-year account success plans that identify white space for expansion and mitigate churn risks

Key facts

Other skills

  • Relationship Building
  • Growth Mindedness
  • Analytical Skills
  • Mentorship
  • Dealing With Ambiguity
  • Collaboration
  • Goal-Oriented
  • Adaptability

About the company

Kaia Health logo

Kaia Health

Digital Therapeutics

Founded in 2016, Kaia Health is a leading digital therapeutics company that creates evidence-based treatments for a range of disorders including musculoskeletal conditions and COPD. Kaia Health uses innovative technology, including artificial intelligence and computer vision, and works with medical experts to create an interdisciplinary digital approach. This empowers and motivates individuals to take control and self-manage their condition with effective, non-pharmacological, digital alternatives at low costs. Kaia Health is a member of the Digital Therapeutics Alliance (www.dtxalliance.org)

Company details

Company typeScaleup
IndustryDigital Therapeutics
Company size51 - 200

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Job description

At Sword, we’re building AI to heal billions and unlock humanity’s full potential. In doing so, we’re pioneering AI Care, a fundamentally new approach to healthcare built for medical reasoning, safety, and real-time treatment, not generic technology applied after the fact. As both a clinical-centric frontier AI lab and an applied AI platform, Sword is reimagining how care is delivered at scale, removing traditional barriers like appointments, waiting rooms, and stigma so more people can access the care they need - and ultimately get back to lives lived in full.

Since 2020, Sword has expanded across Musculoskeletal, Women’s Health, Cardiometabolic, and Mental Health, and is now moving beyond the session to a fully AI-native, 24/7 care program that brings physical activity, therapeutic exercise, psychotherapy, nutrition, and behavior change into one connected experience. More than 1 million members across three continents have completed over 15 million AI sessions, helping 2,000+ enterprise clients avoid more than $1 billion in unnecessary healthcare costs. Backed by 59 clinical studies, 43 patents, and more than $500 million raised from leading investors including Khosla Ventures, General Catalyst, and Founders Fund, Sword is defining a new standard for healthcare.

Role

Sword Health is looking for an entrepreneurial individual to join our fast-paced and dynamic Health Plan Customer Success team. You will work directly with customers and internal teams to onboard, manage, and grow Sword’s expanding portfolio of health plan customers. We are seeking Customer Success leaders who are comfortable managing a range of accounts, who love building relationships with our health plan customers, and who are laser-focused on delivering results. The ideal fit will be an organized, detail-oriented, resourceful, and naturally collaborative individual with a passion for delivering better health care to those who need it most.

AI Proficiency at Sword Health

AI fluency is a core expectation at Sword Health. Every candidate is assessed against our three-level framework — be ready to share real examples of how AI is already part of how you work.

  • Explorer (Level 1) — Uses AI daily to boost personal productivity

  • Builder (Level 2) — Creates workflows and tools that elevate the whole team

  • Integrator (Level 3) — Embeds AI into products and processes at scale

  • Every hire must demonstrate at least Level 1. The expected level will vary depending on the seniority of the role.


What you’ll be doing
  • Day-to-Day Account Ownership: Lead the end-to-end lifecycle for a high-priority book of health plan business. You aren't just managing accounts; you are the "General Manager" of your portfolio, driving long-term retention, health plan satisfaction, and revenue growth.

  • Build trusted & strategic relationships with our health plan customers — understand their needs/objectives and drive Sword’s clinical and economic outcomes to exceed them.

  • Navigate Complex Payor Landscapes: Masterfully navigate the nuances of various lines of business (ASO, Fully Insured, Medicare, and Medicaid) to ensure Sword’s value proposition resonates with diverse internal payor stakeholders.

  • Maximize Partner Value Post-Pull-Through: Serve as the primary lead for the health plan’s employer portfolio. You will ensure operational excellence by identifying barriers to sustained enrollment and collaborating with plan partners to streamline the ongoing member experience.

  • Champion Clinical & Economic ROI: Act as a consultative partner by translating complex data sets into compelling narratives. You will prove Sword’s impact through rigorous reporting, and high-impact Business Reviews.

  • Architect Account Plans: Develop and maintain multi-year account success plans that identify white space for expansion, mitigate churn risks, and align Sword’s roadmap with the customer’s overarching population health goals.

  • Internal Collaboration: Partner with Implementation and Marketing teams to ensure seamless launches and aggressive member enrollment targets.

  • Payor Growth & Renewals: Own the renewal process and identify organic growth opportunities, working closely with sales to upsell new products or expand into new lines of business.

  • Voice of the Payor: Serve as a bridge between the market and the Sword Product team. Distill payor-specific feedback, regulatory requirements, and competitive intelligence into actionable insights to influence our product evolution.

  • Operational Excellence: Mentor junior team members and contribute to the "playbook" of the Health Plan team, building the scalable processes necessary for a world-class Customer Success organization.


  • What you need to have
  • Experience with managing national and regional health plans across fully insured, ASO, and Medicare  lines of business.

  • 5+ years of experience in enterprise-level customer success/account management or roles, ideally in digital health with health plan experience 

  • Experience building relationships with team members, customer stakeholders, c-level executives, and third party organizations

  • Strong understanding of the payor financial landscape, including medical loss ratios (MLR) and value-based care models.

  • Strong process orientation, with an ability to identify needs and execute projects that improve our Customer Success practice and relationships with partners.

  • Strong growth mindset and ability to influence via analytical and story-telling skills

  • Strong project management skills, ability to manage multiple customers and projects simultaneously, keeping stakeholders aligned on key deliverables and timing

  • Ability to create structure within an ambiguous environment.

  • Passionate about bringing world-class healthcare to those who need it

  • No ego, highly collaborative, goal-oriented and confident; comfortable working in ambiguity and generally being adaptable.

  • *This range includes base, variable and equity.



    These compensation bands are just the starting point. Once someone joins and proves they’re outlier talent, we adjust quickly to ensure their compensation aligns with their impact.

     

    Our job titles may span more than one career level. Actual pay is determined by skills, qualifications, experience, location, market demand, and other factors. Compensation details listed in this posting reflect the base salary and any potential variable, bonus or sales incentives, and the Company’s estimation of the value of private company stock options, if applicable. The pay range is subject to change, future value of company stock options is not guaranteed, and compensation may be modified in the future. In addition to our total compensation, Sword offers a number of benefits as listed below.
     
    US - Sword Benefits & Perks:
     
    • Comprehensive health, dental and vision insurance*
    • Life and AD&D Insurance*
    • Financial advisory services*
    • Supplemental Insurance Benefits (Accident, Hospital and Critical Illness)*
    • Health Savings Account*
    • Equity shares*
    • Discretionary PTO plan*
    • Parental leave*
    • 401(k)
    • Flexible working hours
    • Remote-first company
    • Paid company holidays
    • Free digital therapist for you and your family
     
    *Eligibility: Full-time employees regularly working 25+ hours per week
     
    Note: Applicants must have a legal right to work in the United States, and immigration or work visa sponsorship will not be provided.
     
    SWORD Health, which includes SWORD Health, Inc. and Sword Health Professionals (consisting of Sword Health Care Providers, P.A., SWORD Health Care Providers of NJ, P.C., SWORD Health Care Physical Therapy Providers of CA, P.C.*) complies with applicable Federal and State civil rights laws and does not discriminate on the basis of Age, Ancestry, Color, Citizenship, Gender, Gender expression, Gender identity, Gender information, Marital status, Medical condition, National origin, Physical or mental disability, Pregnancy, Race, Religion, Caste, Sexual orientation, and Veteran status.

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    MR

    Marcus Rivera

    Chief Revenue Officer

    m.rivera@company.com
    linkedin.com/in/marcusrivera
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