Current openings at XO Health Inc.

ABOUT XO HEALTH: XO Health is a technology-driven health plan built for self-insured employers. We serve employers, members, and providers through a value-based care network, a risk contracting engine, and a real-time data and analytics platform. We are a small, fast-moving team where every person owns outcomes, not just tasks. ABOUT THE ROLE: The Implementation Lead owns the end-to-end onboarding of new employer groups and TPA partners, from signed agreement through effective date and a stable first 60 days. You are the single point of accountability for a clean, on-time go-live: the plan is built correctly, eligibility flows, ID cards and welcome kits land, the member app is configured, and the client knows exactly where things stand at every step. This is a hands-on, build-the-playbook role. You will run implementations yourself while standardizing how XO does them, so that each one is faster and cleaner than the last. You will work across Commercial, Plan Operations, Claims, Network, IT, and Compliance, and you will be the person clients, brokers, and TPAs trust to get them live.   RESPONSIBILITIES: Client and TPA Onboarding: Lead the full implementation lifecycle for new employer groups and TPA partners, from kickoff through effective date and post-go-live stabilization. Build and maintain the implementation plan for each client: benefit design and plan documents, group structure, eligibility and enrollment setup, stop-loss coordination, vendor and partner integrations, member communications, and compliance requirements. Own the accurate setup of each group across XO’s systems and partner platforms, including benefit configuration, eligibility file testing, ID card and welcome kit production, member app configuration, and any SSO or portal integrations. Translate client-specific requirements into clear instructions for internal teams and confirm they are executed correctly before go-live.  Project Management:  Run the cross-functional implementation team and ensure critical milestones are completed. Surface risks early, resolve blockers, and escalate with a recommendation when needed. Coordinate with Claims, Plan Operations, Network, IT, Compliance, and Finance to ensure ownership is properly assigned and dates are adhered to . Maintain a regular reporting cadence with leadership and flag anything that puts a go-live at risk. Client Communication:  Serve as the primary contact for the client, broker, and TPA throughout implementation. Lead recurring status meetings and keep a clear record of open items and decisions. Prepare client-facing implementation documentation, checklists, and readiness sign-offs. Hand off cleanly to the ongoing account owner at the end of the stabilization period, with full documentation of the group’s setup and any open items.  Playbook and Continuous Improvement:  Own XO’s implementation playbook: standard timelines, checklists, templates, and data requirements for employer and TPA onboarding. Identify manual steps and failure points in the process and work with Operations and Product to automate or remove them. Turn lessons from each implementation into playbook improvements that strengthen the process and enable scale ahead of growth. EXPERIENCE and EDUCATION: Required: 5+ years in implementation, client onboarding, or project management within self-funded health benefits, TPA operations, or a health plan. Working knowledge of self-funded medical and pharmacy plan design, and the compliance landscape that comes with it (ERISA, ACA, CAA, Mental Health Parity). Direct experience running complex, multi-party healthcare implementations on a fixed effective date. Fluency in the employer and TPA distribution channel, including how brokers, consultants, benefits administrators, and stop-loss carriers fit together. Comfort with eligibility files, enrollment data, and system configuration. You do not need to be technical, but you need to be precise and unafraid of the details. Clear, concise communicator who can confidently lead client discussions and provide leadership with direct, well-informed answers. Strong organizational skills and the judgment to prioritize when everything feels urgent.  Preferred:  Experience implementing on behalf of, or alongside, a TPA. Experience at an early-stage or high-growth company where you built the process rather than inherited it. Familiarity with health plan technology platforms, member apps, or provider directory tools. PMP or similar project management credentials.  KEY PERSONAL AND PROFESSIONAL ATTRIBUTES: Accountability: you own the outcome and say so when something is off track. Critical Thinking: you solve problems from first principles and learn what the organization needs next. Change Champion: you are committed to building and comfortable when the plan changes. Relationships: you build trust quickly with clients, partners, and colleagues.

Employer Client Account Manager About XO Health Headquartered in Alpharetta, GA, and founded in 2022, XO Health Inc. is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone—from those who receive care, to those who deliver it, to those who pay for it. We are growing a multi-disciplinary team of diverse and digitally empowered employees who are ready to rebuild trust in healthcare through comprehensive and unified transformation. Position Overview The Client Account Manager is responsible for the day-to-day management and overall client experience for assigned XO Health employer clients. This role serves as a primary point of contact for clients, ensuring timely communication, issue resolution, effective execution of client requests, and successful delivery of ongoing services and commitments. The Client Account Manager will develop strong working relationships with employer clients and their key stakeholders.  The role will collaborate closely with internal XO Health teams and external partners to address issues, coordinate activities, deliver reporting, and execute client initiatives. This is a highly collaborative, hands-on role that requires strong judgment, organization, communication skills, and the ability to manage multiple priorities in a fast-paced startup environment. The ideal candidate brings a strong understanding of self-funded employer health benefits and is comfortable taking ownership, navigating ambiguity, identifying solutions, and stepping outside of traditional role boundaries when needed to support the client and the business. Key Responsibilities Client Relationship Management Serve as the primary day-to-day point of contact for assigned employer clients. Develop and maintain strong, trusted relationships with clients and key stakeholders. Ensure client questions, requests, and concerns are acknowledged, coordinated, and resolved in a timely manner. Own client issues through resolution by partnering closely with Network, Operations, Member Experience, Claims, Clinical, Technology, Finance, Sales, and other XO Health teams to support client needs Proactively communicate status, risks, issues, and opportunities to clients and internal leadership. Facilitate regular client meetings and ensure appropriate follow-up and accountability. Lead and participate in client Open Enrollment meetings and activities. Prepare and deliver recurring client reporting packages, presentations, and operational updates. Prepare materials and presentations for client meetings, business reviews, Open Enrollment, and other client-facing activities. Project Management Lead client-specific projects and initiatives as requested by the client or XO Health leadership. Develop project plans, timelines, deliverables, and communication strategies. Coordinate cross-functional resources and maintain accountability for project milestones. Facilitate project meetings and provide regular status updates. Ensure successful transition of completed projects into ongoing operational processes. Industry & Regulatory Knowledge Maintain a deep understanding of self-funded medical and pharmacy benefit design and how benefits are administered and delivered to employer groups. Maintain knowledge of applicable regulatory requirements, including the Affordable Care Act (ACA), Consolidated Appropriations Act (CAA), ERISA, Mental Health Parity requirements, and other applicable federal and state regulations. Startup & Continuous Improvement Operate effectively in a fast-paced, evolving startup environment where priorities may change quickly. Demonstrate flexibility and willingness to take on responsibilities outside of traditional account management functions when needed. Bring a solutions-oriented mindset and the ability to operate effectively when processes or answers are not yet fully defined. Qualifications Bachelor's degree in Business, Healthcare Administration, or a related field. Minimum of 5 years of experience in employer client account management, self-funded health plan administration, health insurance operations, or a closely related role. Active Life and Health insurance license, or ability to obtain the license within 90 days of hire. Demonstrated experience managing relationships with employer clients and key stakeholders, including brokers, consultants, benefits administrators, or other healthcare partners. Demonstrated understanding of self-funded medical and pharmacy benefit design. Working knowledge of ACA, CAA, ERISA, Mental Health Parity, and other applicable regulatory requirements. Experience leading or participating in employer Open Enrollment meetings. Demonstrated ability to manage multiple priorities, projects, and client needs simultaneously. Excellent written and verbal communication skills, with the ability to communicate effectively with clients, senior leadership, and cross-functional teams. Ability to travel up to 25%, based on season and client needs. Experience and proficiency with Microsoft Office, including Excel and PowerPoint, and AI platforms such as Claude and ChatGPT. Compensation: XO Health offers a competitive salary and benefits package. Bonus/Commission: This position is eligible for bonus/commission under XO Health's applicable incentive compensation program.