Strategic Account Director

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. Why You Will Love Working Here: 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. Our Comprehensive Values: 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 Delivering on Our Promises: We do the right thing We do what we say we will do We do it with a sense of urgency and transparency Macro Thinking: 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.