Founding Sales & Growth Lead

About Build.MD

Build.MD is a cash-pay prescription telehealth platform. We give physician practices, medspas, and wellness operators a complete prescribing program under one vendor: clinical, operations, patient CRM, retention, and billing and compliance. Clinical services are provided through a physician-owned professional corporation whose physicians are licensed in all 50 states and DC. Build.MD is physician-founded and MD-led, with compliance built into the platform from day one. Our first practices go live in late 2026.

All the relevant skills, qualifications and experience that a successful applicant will need are listed in the following description.

The role

As our Founding GTM Lead, you help us choose the most relevant markets, win them, and keep extending our lead. You own growth end to end: how Build.MD shows up in the market, how practices find us, how deals close, and how every practice gets live and keeps growing. It's a founding role with real ownership, for someone who wants to shape the commercial side of a company, not just carry a quota inside one.

What you'll own

• The market plan. Which segments we push first, how hard, and when we move into the next one, set and adjusted on what the data shows.
• The brand. Positioning, messaging, the website, content, LinkedIn, and events. You make Build.MD the most credible name in the room.
• Pipeline. Outbound, content, referrals, and inbound, built into an engine that keeps producing.
• Partnerships and channels. DPC networks, medical societies, practice consultants, and referral partners that bring practices to us in groups instead of one at a time.
• Full-cycle sales. Source, qualify, demo, and close. Inside groups, start with a few providers and expand to the full roster.
• Activation and growth. Getting a signed practice credentialed, trained, and prescribing, then growing it. A practice counts when it's live, not when it signs.
• The AI stack. Research, list-building, drafting, publishing, and reporting run on AI agents built on n8n and GoHighLevel, so one person operates with the reach of a full team. You run it and make it better. A human sends every message.
• Systems. The CRM, pipeline tracking, and reporting. You choose them and set them up.
• The playbook. What works, written down, so the team that grows behind you starts ahead.
• The customer's voice. What practices ask for and what we should build next, brought back to product.

What's behind you

• A built platform: intake, prescribing, cash-pay checkout, patient CRM, and billing.
• A 50-state clinical network and a physician-led clinical team behind every conversation.
• Compliance done properly: a counsel-reviewed, state-by-state prescribing framework, and the legal structure practices and their compliance teams ask about.
• A partner pharmacy network across generics and compounding.
• A live marketing site and an AI-driven outreach and content stack you'll inherit.

By the end of year one

• Build.MD is a known name in our core markets.
• Pipeline comes from an engine you built, not from one-off effort.
• Practices are live, growing, and referring others.
• The commercial team is growing behind you, running the playbook you wrote.

You're a fit if

• You've sold into independent physician practices, medical groups, medspas, or DPC/concierge practices and can name the deals.
• You've built the commercial side of an early company: brand, pipeline, and revenue, not just one of the three.
• You're strong in both marketing and sales, and you enjoy doing both.
• You've gotten a customer live and kept them growing, not just closed them.
• You're ambitious and independent. You set the plan, run it, and report on it.
• You build with AI and automation tools yourself.
• You're comfortable in a regulated category. Some claims are off-limits, and you know when a question belongs with the clinical or compliance team.
• You write outreach and content a doctor actually reads.

You're not a fit if

• You do your best work with a set territory, an established playbook, and leads handed to you.
• You want to close and hand off rather than see a practice through to live.
• Your background is enterprise health-system or payer sales.

Compensation

• Base: $80,000–$85,000.
• On-target earnings: $165,000. Variable is paid on every practice that goes live, plus a bonus for each additional active prescriber.
• Uncapped, with accelerators above plan.
• Ramp: a fixed monthly payment against variable for your first three months, whether or not you hit plan. xhyhwjd

To apply

Send a short note to about a market or account you grew: how you got in, who signed, how long it took, and what it took to get them live and keep them growing.