Director of Account Management; Integrity

Every year, U.S. health plans lose billions to improper payments and administrative waste. That wasted spending ultimately trickles down across the healthcare ecosystem, driving up costs for plans, providers, and patients alike. We're here to change that paradigm.

Alaffia is a new kind of claims operations partner for health plans. Using expert clinicians and transparent AI, we deliver deeper insights, smarter automation, and consistently better outcomes across the entire lifecycle of claims. With Alaffia, health plans can cut wasted spending more effectively than ever — and provide their members the most affordable care.

We're a high-growth, venture-backed Series B healthtech startup based in NYC and are actively scaling our company. Join us in helping to build a healthcare system that works better for everyone.

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* This position requires current authorization to work in the United States. Unfortunately, we are not in a position to sponsor work visas at this time.)

We're looking for a Director of Account Management to lead the customer lifecycle across Alaffia's book of health plan customers. This is a player-coach role. You'll own our largest and most complex payment integrity relationships directly, lead a small team of account leaders, and direct the Customer Success/Operations team that supports them. You'll be the senior voice of Alaffia with health plan payment integrity and claims leadership, and a key partner to Sales, Product, PI Operations, and executive leadership.

• Personally own relationships with Alaffia's largest and most strategic health plan customers, serving as the senior, externally facing owner of each account
• Build executive-level relationships with VP and C-suite stakeholders, payment integrity leaders, and claims operations executives
• Lead Quarterly Business Reviews for strategic accounts, translating audit findings, savings, and platform usage into measurable ROI and clear expansion opportunities
• Serve as the escalation point for at-risk accounts, including disputes over findings, provider abrasion, and savings validation, and protect retention
• Hire, coach, and manage a senior account management team and direct the Customer Success/Operations team that provides day-to-day operational support
• Own the revenue target for the full book of business, including onboarding/implementation, expansion, renewals, and retention
• Establish account segmentation, coverage models, and Q  frameworks so each health plan gets the right level of attention
• Build and refine team processes and playbooks, and develop the team's payment integrity domain expertise

• Partner with Sales leadership on a smooth handoff from sale to onboarding and on expansion strategy across the joint pipeline
• Work with PI Operations and clinical leadership to make sure review quality, turnaround, and customer expectations stay aligned
• Work with Product and Engineering to turn customer feedback and usage trends into prioritized roadmap input
• Review portfolio-level volume, savings, and revenue trends monthly, and brief leadership on risks and opportunities
• Report on retention, expansion, and team performance metrics to Sales/Revenue Leadership and the executive team

• 8+ years in B2B account management, customer success, solutions, or client leadership, with at least 4 years directly in payment integrity, claims editing/recovery, or cost containment, at a PI vendor, a health plan PI team, or a claims-focused services company
• Hands-on knowledge of payment integrity methodologies such as itemized bill review, DRG and clinical validation, coding…