Strategic Account Director

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 Director 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.

Responsibilities

• 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: 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.

Requirements

• 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