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

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 compelli