River Health - The best health plan for hourly workers.
Senior Account Manager / Director of Client Accounts
Full-TimeUpdated on 10/24/2026
No salary listed
Mid
Minneapolis, MN, USA
HybridHybrid in Minneapolis, Minnesota.
Sales & Account ManagementAccount Management
About the job
Requirements
At least 4 years of experience in account management, client success, benefits consulting, or another post-sale commercial role, ideally in health benefits, insurance, human resources technology, or a product sold to employers.
Demonstrated ownership of renewals, retention, and account expansion, with specific results to discuss.
Experience managing complex client relationships across implementation, ongoing service, and renewal.
Comfort working with brokers and benefits advisors as important stakeholders in the client relationship.
Strong executive communication and ability to build credibility with human resources, benefits, finance, and operational leaders.
Ability to use enrollment, utilization, revenue, and service data to identify risks and recommend action.
Willingness to investigate and resolve problems rather than simply routing them elsewhere.
Comfort operating in an early-stage environment, helping build processes while also doing the work.
Responsibilities
Personally own a portfolio of employer accounts and serve as a trusted partner to senior client and broker stakeholders.
Run a structured renewal process by tracking account health, identifying risks early, forecasting renewals accurately, and building the case for renewal well before the formal conversation begins.
Partner with clients to increase employee enrollment, activation, and utilization.
Build account plans and lead quarterly business reviews covering enrollment, utilization, value delivered, outstanding issues, and future opportunities.
Identify expansion opportunities and lead them through close in coordination with sales, product, and operations teams.
Coordinate with Client Operations across implementation, eligibility, ongoing maintenance, and service issues to provide clients with a consistent experience.
Establish processes for account health, renewal forecasting, client communications, quarterly business reviews, and escalation management.
Help define and build the future Client Success organization as the company grows.
At the Director level, manage and develop the Client Operations team by establishing responsibilities, priorities, and performance expectations.
At the Director level, oversee client implementation and ongoing service delivery, ensuring risks and operational issues are identified and resolved quickly.
At the Director level, establish the team’s operating cadence, performance metrics, and client management standards.
At the Director level, hire, onboard, and manage additional Account Managers as the client base grows.
Desired Qualifications
Experience serving employers with hourly, part-time, seasonal, or distributed workforces, particularly in food and beverage, hospitality, retail, or franchise systems.
Working knowledge of employer health benefits, brokers, eligibility, enrollment, and plan design.
Experience owning an employee activation or benefits-utilization strategy, with a clear point of view on what drives engagement.
Familiarity with voluntary benefits, payroll deduction, or employer-sponsored healthcare products.
For consideration at the Director level: experience directly managing and developing client-facing team members.
For consideration at the Director level: experience building or improving a Client Success, Account Management, or Client Operations function.
For consideration at the Director level: demonstrated responsibility for team-level retention, renewal, or revenue performance.
For consideration at the Director level: ability to move between executive client strategy, people management, and detailed operational problem-solving.
About River Health
River Health’s mission is to be the best health plan for hourly workers by making healthcare affordable, reliable, and easy to use with the tap of a button.
Here is what makes River Health different:
1. Complexity & Cost We started River Health because healthcare is too expensive and more complex than it should be. We are building a new system that connects you directly to your healthcare provider and brings transparency to the billing process.
2. Patient Experience Accessing healthcare should be stress-free, if not enjoyable. We invest resources into improving the care delivery process to delight our members.
ABOUT RIVER HEALTH
River Health’s mission is to be the best health plan for hourly workers by making healthcare affordable, reliable, and easy to use.
We serve the people staffing kitchens, hotel front desks, retail stores, and other hourly workplaces. Our plans connect members directly with healthcare providers, simplify the care experience, and bring greater affordability and transparency to healthcare.
ABOUT THE ROLE
Winning an employer is hard. Keeping and growing that relationship is where the business is built.
This role will lead River Health’s relationships with employer clients after the sale closes. You will own a portfolio of key accounts, make sure clients renew, help their employees enroll in and use their benefits, and grow relationships where River can deliver additional value.
Depending on experience, this role may be hired as a Senior Account Manager or Director of Client Success. At either level, you will personally own important client relationships and help build River’s post-sale operating model. At the Director level, you will also manage the Client Operations function and help build and lead the broader Client Success team.
You will be accountable for three things: retaining our clients, earning their trust, and growing accounts the right way. If our clients stay and expand, River Health works. If they churn, nothing else we do matters.
WHAT YOU’LL DO
• Personally own a portfolio of employer accounts and serve as a trusted partner to senior client and broker stakeholders.
• Run a structured renewal process. Track account health, identify risks early, forecast renewals accurately, and build the case for renewal well before the formal conversation begins.
• Partner with clients to increase employee enrollment, activation, and utilization. Hourly workers do not use benefits they do not understand or trust, and engagement is one of the strongest drivers of client retention.
• Build account plans and lead quarterly business reviews that provide useful insight into enrollment, utilization, value delivered, outstanding issues, and future opportunities.
• Identify expansion opportunities and lead them through close in coordination with River’s sales, product, and operations teams.
• Coordinate closely with Client Operations across implementation, eligibility, ongoing maintenance, and service issues to provide clients with a consistent experience.
• Establish clear processes for account health, renewal forecasting, client communications, quarterly business reviews, and escalation management.
• Help define and build the future Client Success organization as River grows.
ADDITIONAL DIRECTOR-LEVEL RESPONSIBILITIES
Candidates hired at the Director level will also:
• Manage and develop the Client Operations team, establishing clear responsibilities, priorities, and performance expectations.
• Oversee client implementation and ongoing service delivery, ensuring risks and operational issues are identified and resolved quickly.
• Establish the team’s operating cadence, performance metrics, and standards for client management.
• Hire, onboard, and manage additional Account Managers as River’s client base grows.
WHAT YOU NEED
• 4+ years of experience in account management, client success, benefits consulting, or another post-sale commercial role, ideally in health benefits, insurance, HR technology, or a product sold to employers.
• Demonstrated ownership of renewals, retention, and account expansion, with specific results you can discuss.
• Experience managing complex client relationships across implementation, ongoing service, and renewal.
• Comfort working with brokers and benefits advisors as important stakeholders in the client relationship.
• Strong executive communication and the ability to build credibility with HR, benefits, finance, and operational leaders.
• The ability to use enrollment, utilization, revenue, and service data to identify risks and recommend action.
• A willingness to investigate and resolve problems rather than simply routing them elsewhere.
• Comfort operating in an early-stage environment where you will help build the process while also doing the work.
FOR CONSIDERATION AT THE DIRECTOR LEVEL
• Experience directly managing and developing client-facing team members.
• Experience building or improving a Client Success, Account Management, or Client Operations function.
• Demonstrated responsibility for team-level retention, renewal, or revenue performance.
• The ability to move between executive client strategy, people management, and detailed operational problem-solving.
NICE TO HAVE
• Experience serving employers with hourly, part-time, seasonal, or distributed workforces, particularly in food and beverage, hospitality, retail, or franchise systems.
• Working knowledge of employer health benefits, brokers, eligibility, enrollment, and plan design.
• Experience owning an employee activation or benefits-utilization strategy, with a clear point of view on what drives engagement.
• Familiarity with voluntary benefits, payroll deduction, or employer-sponsored healthcare products.