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 compelling as the mission.
At Garner, you’ll take on real, ambitious problems with real ownership and autonomy, alongside exceptional, principles-based people who genuinely want you to win. It’s demanding by design. You’ll be challenged to stretch beyond what you thought possible and receive consistent coaching to help you grow and do the best work of your career. This isn't the right fit for everyone, and that's intentional. The people here are driven by what's at stake for real people, and that's what gives our intensity its purpose.
Compensation Transparency:
The target salary range for this position (inclusive of Base + Commission) is $140,000 - $165,000. Individual compensation for this role will depend on various factors, including qualifications, skills, and applicable laws. In addition to base compensation, this role is bonus-eligible and eligible to participate in our equity incentive and competitive benefits plans, including but not limited to: flexible PTO, Medical/Dental/Vision plan options, 401(k) with company match, flexible spending accounts, Teladoc Health and more.
Please be aware of recent job scam attempts. Our recruiters use getgarner.com and garnerhealth.com email domains exclusively. If you have been contacted by someone claiming to be a Garner recruiter or a hiring manager from a different domain about a potential job, please report it to law enforcement here and to [email protected].
Equal Employment Opportunity:Garner Health is proud to be an Equal Employment Opportunity employer and values diversity in the workplace. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, political views or activity, or other applicable legally protected characteristics.Garner Health is committed to providing accommodations for qualified individuals with disabilities in our recruiting process. If you need assistance or an accommodation due to a disability, you may contact us at [email protected].
Skills Required
- Deep knowledge of fully insured and small group self-funded health plan design and benefits
- 4+ years experience in a commercially-oriented consultant/broker, account management, or sales role in the employee benefits space
- Proven track record of achieving retention and upsell targets year over year
- Self-starter mentality with ability to work in an ambiguous, fast-paced startup environment
- Excellent communication, presentation, and articulation skills
- Demonstrated ability to solve problems in ambiguous strategic situations
- Comfortable with remote work and occasional travel to headquarters (up to 10%)
What the Team is Saying
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Garner Health Compensation & Benefits Highlights
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Healthcare Strength — The “Garner for Garner” reimbursement is described as meaningfully reducing out-of-pocket medical costs when using Top Providers, with caps up to $4,000 for individuals and $8,000 for families. Company and employer-verified materials present this as a standout element of the package.
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Leave & Time Off Breadth — Flexible/unlimited PTO, 12 weeks paid parental leave, and a fully paid six-week sabbatical after five years indicate broad time-away support. PTO is employer-verified and characterized positively in recent updates.
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Equity Value & Accessibility — Equity is granted to every employee, and stock options are often cited as a valuable component of total rewards. Company materials also reference recurring tender opportunities that can enhance access to equity value.
Garner Health Insights
What We Do
Garner is on a mission to fundamentally change the U.S. healthcare system by building an AI-first marketplace that solves the cost and quality crisis at its core. We analyzed claims records from millions of patients, using data science to objectively measure physician performance and identify the doctors who deliver meaningfully better outcomes at lower cost. We use that data to steer people to those doctors within their existing insurance network. Our products span a member-facing search experience that makes choosing a doctor simple, plus a financial incentive layer — if a member sees a top-performing doctor through Garner, their employer covers all or most of their out-of-pocket costs. Employers keep their existing plan and see lower healthcare costs alongside healthier employees.
Why Work With Us
Our values connect us in caring deeply about doing something different and hard — transforming the healthcare economy. They create an actionable set of norms for how we operate, including how we make decisions and support one another. Learn about our values here: https://www.getgarner.com/about.
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Garner Health Offices
Remote Workspace
Employees work remotely.
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