About MacroHealth:
MacroHealth is a healthcare technology company that operates an intelligent marketplace platform purpose-built to bring transparency, control, and strategic intelligence to healthcare purchasing. The MacroHealth Marketplace Platform connects Payers — including health plans, third-party administrators, and brokers — with a curated ecosystem of Health Market Partners such as provider networks, specialty networks, pharmacy benefit managers, and payment integrity solutions.
Through data-driven tools for network optimization, provider search, price transparency, and performance analytics, MacroHealth helps Payer's design smarter benefit strategies, reduce total cost of care, and meet compliance requirements — all through a single point of integration.
Serving 300+ enterprise clients and 7.2 million members, MacroHealth delivers an average 6–8% reduction in total cost of care and a 4:1 return on investment. With offices in the U.S. and Canada, MacroHealth is a mission-driven company focused on making the healthcare ecosystem more connected, efficient, and transparent.
About the Role:
We are hiring a senior Strategic Account Manager to own and expand a portfolio of high-value enterprise customers with $1M+ annual contract value.
This is a commercially accountable role focused exclusively on existing accounts. You will be responsible for protecting and growing significant recurring revenue through executive relationship leadership, multi-year strategic planning, and value-based expansion.
This is a quota-carrying role with responsibility for both net revenue retention and expansion of revenue.
What you will own:
Executive Relationship Strategy:
- Serve as the primary commercial owner for enterprise accounts exceeding $1M in ARR
- Own a portfolio of 7-10 Enterprise customer, representing $10M-$15M in ARR
- Build and maintain C-suite and senior executive relationships
- Lead executive-level QBRs focused on business outcomes and strategic alignment
- Develop multi-threaded relationships across business units
Revenue Retention:
- Own renewal strategy and contract negotiations
- Proactively identify and mitigate churn risk
- Develop multi-year account growth strategies
- Ensure value realization is translated into renewals and expansion opportunities
Expansion & Growth:
- This is a “land and expand” motion that centers on partnering with existing clients to understand their pain points, and then mapping our solutions to solve those problems
- Identify and close expansion opportunities ranging from $500k to $1.5M
- Build and manage a qualified expansion pipeline within assigned accounts
- Develop ROI-driven business cases aligned to enterprise initiatives
- Forecast accurately and consistently within Salesforce
Strategic Account Planning:
- Create comprehensive account plans aligned to customer enterprise strategy
- Map stakeholders, decision processes, and budget cycles
- Partner cross-functionally to deliver measurable customer outcomes
- Elevate competitive positioning within the account
Success Metrics:
- Net Revenue Retention (NRR)
- Expansion Revenue Quota Attainment
- Gross Retention Rate
- Multi-year contract growth
- Depth of executive engagement across portfolio
- Forecast accuracy
Experience:
Required Experience:
- 10+ years of enterprise account management or enterprise sales experience
- Demonstrated success managing $1M+ ARR accounts
- Proven track record of meeting or exceeding expansion revenue targets
- Experience negotiating complex enterprise agreements
- Experience engaging and influencing C-suite stakeholders
- Strong financial and business acumen
- Extensive Salesforce experience
Preferred Qualifications:
- Experience managing multi-million-dollar, multi-stakeholder enterprise portfolios
- Experience navigating procurement and legal processes
- Experience developing multi-year enterprise growth strategies
Who you are:
- Executive-level communicator with strong presence
- Commercially disciplined and strategically minded
- Comfortable driving high-stakes negotiations
- Data-driven with strong forecasting rigor
- Able to balance partnership mindset with revenue accountability
Compensation:
- $165,000 - $185,000 annual base salary plus bonus, equity, 401k match, flexible PTO and medical/dental/vision insurance.
- A people-first culture where your work directly shapes how employees experience the company.
- The opportunity to blend technology, compliance, and human connection.
- A mandate — not just permission — to experiment with and implement AI, with real influence over how we evolve our tools and ways of working.
- A chance to experiment with AI and automation to elevate efficiency and insight.
- Collaborative team that believes in continuous improvement.
- Direct impact on strategic growth and enterprise value creation.
- Executive-level visibility and influence.
- Opportunity to architect and build at scale.
- Competitive compensation package including base salary, bonus, equity, comprehensive benefits, and flexible work options.
- Mission-driven culture modernizing healthcare.
Guided by a shared vision, MacroHealth unites around a strong set of values our team embodies every day.
We Are One Team:- We act as one team with our fellow MacroMates and customers
- We value humility, low ego, and collaboration
- We are All for One, One for All
- We do the right thing
- We do what we say we will do
- We do it with a sense of urgency and transparency
- We challenge ourselves to think boldly, bigger, and into the future
- We lead with a growth mindset
- We act as a thought leader for the healthcare industry
MacroHealth is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
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