miramace - Director of Sales

• We're looking for a Sales Director to own provider partnerships end to end across mid-size specialty practices and hospital health systems. This is our first dedicated go-to-market hire, and there is no playbook yet. You'll write it. • Nobody you sell to will ever write us a check. Mira Mace is covered by Medicare, so the practice pays nothing. No budget line, no procurement cycle, no ROI model to win. What you're selling is a change in how a clinic or a discharge team works, and costs nothing to the customers you are selling into. • You won't start cold everywhere. Our field physician liaison team already has live referral volume from hospitals, SNFs, home health agencies, and specialty practices. In those accounts you walk in with proof and sell upward, turning one-doctor-at-a-time relationships into contracted, top-down programs. In the practice segment you hunt cold, with no SDR and no marketing behind you. • You'll report to the founder, who has been carrying this sale himself. • You have 5+ years of quota-carrying, full-cycle healthcare sales into provider organizations. Specialty practices, hospitals, health systems, SNFs, or home health. • You've sold adoption, not signatures. You know the difference between a yes in a conference room and a referral that shows up every week, and you've gone back into a building to make the second one happen. • You've done real cold outbound. You built the list, found the contacts, and opened the door yourself, with no SDR and no marketing team behind you. • You've hit a number with no playbook and no cover. That might be first or second seller at a Series A. It might just as easily be a device, hospice, home health, or post-acute territory you built from nothing. We care that you've created referral flow where none existed. • You can build the sales infrastructure yourself. ICP definition, pain mapping, pitch and deck narrative, stage definitions, customer journey. • You can sell on the outcomes providers actually care about: rehospitalization, appointment adherence, prior auth burden, case manager and admin workload. • You have relationships in the provider and post-acute ecosystem you can activate in week one, and you know that access is the start of the work, not the end of it. • You're willing to be paid on referral volume rather than closed logos. • You can hold up under sharp questioning from a health system leadership group without softening the pitch. • Experience running both motions in one seat: mid-size practices and enterprise health systems. • Background at a healthcare AI or services company with a usage- or volume-based revenue model, where you personally created the demand instead of receiving it • Domain knowledge in prior authorization, patient engagement, care navigation, or post-acute placement. • Experience working alongside a field liaison team and converting field relationships into contracts. • Enough EHR integration experience to know when integration is worth pushing for and when it isn't. • A hunter and an evangelist. You get energy from changing how a room works, and you keep showing up until the workflow actually changes. • Comfortable with no. Gatekeepers, "send us something," "we already have a vendor," a champion who goes quiet. None of it moves you off the account. • Honest about pipeline. You'd rather tell the founder a deal is dead than carry it another month. • Built for ambiguity. The playbook doesn't exist yet, and that's the reason you want the job.