Lead Technical Account Manager

About Us
👏 Team from OpenAI, DeepMind, NASA, GoogleX, Tesla, and 2 physicians: 6 exits, 2 IPOs.
🔥 Our model outperforms Claude, Gemini, and GPT-4.5 on clinical benchmarks.
📈 400+ healthcare orgs signed in 16 months.
⚡️ $25M raised from YC, Amity Ventures, Sequoia scouts, and more.
🌎 $1T+ market opportunity. We’re going after all of it.

About the Role

We are seeking a Lead Technical Account Manager to own Sully.ai’s most strategic customer relationships. You will lead the post-sale lifecycle for health systems and payers—driving onboarding, adoption, retention, and expansion. This role is equal parts builder and operator: you’ll define scalable customer success systems while personally delivering technical outcomes for high-value accounts.

Key Responsibilities

• Lead onboarding for health system and payer accounts, translating workflows into implementation plans and ensuring fast, compliant go-lives.

• Own executive-level business reviews, renewals, and expansion conversations to drive Net Revenue Retention.

• Monitor account health, proactively mitigate churn risk, and surface upsell opportunities through adoption metrics and customer feedback.

• Build scalable playbooks, KPIs, and tooling (CRM, analytics dashboards, documentation) to strengthen TAM effectiveness.

• Represent customer needs in product roadmap decisions and resolve technical blockers in collaboration with engineering.

• Mentor and grow the technical account management team while directly managing key accounts.

Hard Requirements

• 7+ years in customer-facing technical roles, ideally in B2B/enterprise SaaS with large contracts.

• Proven success in owning post-sale outcomes: onboarding, adoption, renewals, and expansions.

• Strong technical aptitude: APIs, integrations, compliance workflows, and data security.

• Track record of working cross-functionally with engineering and product to solve customer problems.

• Ownership mindset: fast, decisive, accountable, and comfortable with ambiguity.

Nice-to-Have

• Healthcare or health tech experience (compliance, procurement, buyer cycles).

• Exposure to AI/LLMs, workflow automation, or regulated deployments.

• Proficiency with analytics and customer health measurement tools.

First-Month Focus

• Audit current strategic accounts for adoption, expansion opportunities, and risk factors.

• Deliver successful onboarding for at least one major health system or payer.

• Define initial KPI framework (NRR, adoption velocity, time-to-value, churn risk).

Success OKRs (90 Days)

• Increase adoption velocity across top accounts by [Hiring Manager to provide % target].

• Deliver expansion or renewal wins totaling [Hiring Manager to provide $/ARR target].

• Establish repeatable playbook for onboarding and account health monitoring.

Culture Fit

• Persistent, driven problem solver

• Willing to push back on leadership to defend quality/timelines

• Thrives in high-ambiguity, fast-paced startup environments

Why Join Sully.ai?
🔥 Shape the Future of Healthcare: Build category-defining partnerships that enable doctors to focus on saving lives.
📈 Early-Stage Impact: Join early and play a critical role in shaping our partnership roadmap and overall company growth.
🌎 Remote-First Culture: Work with a talented, mission-driven team in a flexible, remote environment.
💰 Competitive Compensation: Enjoy a competitive salary, equity, and the opportunity to make a real difference.
🏆 Solve Scalability Challenges: Tackle complex challenges in a rapidly growing company, driving impactful change in healthcare.

Sully.ai is an equal opportunity employer. In addition to EEO being the law, it is a policy that is fully consistent with our principles. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status such as race, religion, color, national origin, sex, sexual orientation, gender identity, genetic information, pregnancy or age. Sully.ai prohibits any form of workplace harassment.