Opportunity:

At Thoughtful AI, Account Leads act as General Managers for our largest customer engagements, leading the full lifecycle of delivery from contract signing through scaled AI automation.

You will own the operational launch and financial success of each engagement, standing up human-driven RCM operations and progressively transitioning those workflows to AI-powered automation.

This role requires a rare blend of operational leadership, financial ownership, cross-functional coordination, and strategic customer management.

You will manage the P&L, oversee human and AI resource deployment, ensure operational excellence during service delivery, and drive continuous optimization as automation expands.

This is a unique opportunity to shape the future of healthcare automation — one customer at a time.

Learn more about our Warrior culture.

Key Responsibilities:

• Stand up human-led RCM operations post-contract execution, ensuring operational excellence from day one
• Own account P&L, managing financial health and profitability across the human delivery and AI automation phases
• Forecast and deploy human and AI resources based on evolving delivery needs and automation milestones
• Lead the phased transition from manual workflows to AI-driven processes, optimizing for scalability and margin improvement
• Monitor KPIs and operational metrics, proactively identifying risks and driving strategic adjustments
• Serve as the operational and strategic lead with customer executives, aligning on milestones, financial goals, and automation roadmaps
• Coordinate cross-functionally across engineering, platform, and customer success teams to ensure seamless execution

Minimum Qualifications:

• Bachelor’s degree in Business, Operations, Finance, or a related field, or equivalent practical experience
• 7+ years in general management, delivery management, operations leadership, or account management roles
• Experience managing P&L and scaling service delivery models, ideally in complex or regulated industries
• Strong project management, financial modeling, and resource forecasting skills
• Excellent communication and executive stakeholder management abilities
• Highly analytical, operationally rigorous, and comfortable with high-accountability environments

Preferred Qualifications:

• Background in healthcare, revenue cycle management (RCM), or healthcare operations
• Experience managing transitions from human-driven operations to technology-driven automation
• Familiarity with SaaS platforms, automation technologies, and/or healthcare tech ecosystems
• Proven ability to build and lead cross-functional teams without direct authority

Thoughtful AI Benefits

• Market-leading base salary and bonus
• Employee stock options
• Medical, dental, and vision insurance for you and your dependents
• We expect you to unwind and disconnect for three weeks per year while still getting paid