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Job description
a2z Radiology AI · Remote, United States · Territory based
You already know the distance between a strong demonstration and a signed health-system agreement. It runs through a clinical champion, imaging IT, security, procurement, an economic buyer, contract language, budget timing, and a dozen moments when an interested account can quietly stop moving.
This role owns that distance.
a2z is building clinical AI that reads alongside radiologists. Our abdomen-pelvis CT triage device is FDA-cleared, and it's the first commercial system to simultaneously triage seven urgent conditions on abdomen-pelvis CT in the U.S. Backed by Khosla Ventures.
We are hiring a Regional Account Director to own enterprise radiology-AI sales from territory strategy through signed agreement. This is not an SDR seat and it is not a handoff role. You create access, run discovery, build the account-specific case for change, coordinate the clinical and technical win, navigate procurement and contracting, and own the close.
What you will own:
A U.S. territory. Health systems, IDNs, radiology groups, teleradiology companies, and outpatient imaging operators, selected deliberately rather than worked as an undifferentiated list.
The full enterprise sale. Prospecting, discovery, stakeholder mapping, clinical and economic value, demonstrations, technical validation, security review, procurement, contracting, forecast, and signature.
Competitive replacements and platform consolidation. Find the credible wedge, understand switching costs, prove why change is worth the operational effort, and build a path that a health system can actually execute.
The account team. Pull in founders, radiologists, engineers, and counsel where they change the outcome while remaining the person accountable for momentum and close.
Commercial truth. CRM stages, next steps, decision criteria, close dates, and risks that reflect buyer evidence rather than seller hope.
Who thrives here:
You have closed complex enterprise software or medical-device agreements with health systems, IDNs, or large clinical organizations.
You can build pipeline as well as close it. A sparse territory is a problem to solve, not a reason to wait for marketing.
You can hold a credible conversation with a radiology chair, a PACS administrator, a CIO, and procurement without pretending they care about the same thing.
You know how to displace an incumbent by making a better case for change, not by repeating generic competitive claims.
You forecast honestly. A deal without a decision process, economic buyer, or next buyer action is not late-stage because the demo went well.
You can sell technical and clinical evidence precisely and bring in an expert before precision becomes bluffing.
Helpful, not required: radiology AI; medical imaging software; PACS, RIS, or imaging informatics; enterprise clinical AI; FDA-cleared medical devices; six-figure or larger multi-year SaaS agreements; MEDDICC, Challenger, or Command of the Message; an existing network across radiology and health-system leadership.
Compensation:
Annual base salary: $130,000 to $160,000 USD
Target variable compensation: $130,000 to $160,000, with uncapped accelerators
On-target earnings: $260,000 to $320,000
Customer and conference travel reimbursed separately
The shape of the job: Remote within the United States, territory based, with regular customer travel and major imaging conferences. Must be authorized to work in the United States.
The interview: a commercial screen, a deal autopsy, and a fictional competitive-displacement exercise involving a health system that already uses an imaging-AI platform. We want your judgment and method, not anybody else's confidential information. Do not disclose or bring customer lists, pricing, contracts, renewal dates, CRM data, or other nonpublic information from a current or former employer.
To apply: Use the application form below. Alongside your CV, you'll answer one short question about an enterprise healthcare deal you closed.
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Who can apply
Review the original listing for work authorization, qualifications and employer requirements.