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Strategic Account Director

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MacroHealth

Healthcare

Strategic Account Director

Remote
On-site
Full-time
Posted Sep 17, 2026
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Account Management
On-site

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. 

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. 

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MacroHealth

Company profile

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Headquarters

Kirkland, Washington, United States

Team size

200

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