About this role
Title: Customer Account Manager
(ACE 1)
Team: Sales
Location: Remote
or Hybrid with proximity to one of our hubs (Burlington, Waterloo, Houston)
About the
Role
The Customer Account Manager,
internally referred to as an ACE, owns the total commercial relationship for
Mach7’s installed base within an assigned US region and is accountable for
growing that region beyond it. This is a quota-carrying sales role, not a
support or service role.
The ACE’s mandate is threefold:
protect contracted revenue through disciplined renewals, grow existing
customers through expansion of the Mach7 Enterprise Imaging Platform, VNA,
eUnity diagnostic viewer, and digital pathology capabilities, and acquire net-new customers within the territory. Success is measured on retained revenue, expansion
revenue, and new business, with the majority of the number coming from the
install base.
Mach7 customers are health
systems, academic medical centers, imaging centers, radiology and pathology
groups, and government health organizations. These are multi-year,
multi-stakeholder, clinically consequential relationships. The ACE is the
single commercial point of accountability for those relationships in-region.
What
You'll Do
Renewals and Retention: 40%
of focus
- Own the renewal forecast for every
contract in the assigned territory; maintain a rolling 12-month renewal
calendar with no surprises inside 180 days.
- Initiate renewal conversations 9
to 12 months ahead of contract expiry for enterprise agreements; 6 months for
smaller accounts.
- Lead commercial negotiation on
renewals, including pricing, term length, uplift, scope, and service levels, in
partnership with Deal Desk, Finance, and Legal.
- Identify at-risk accounts early
using product usage, support ticket trends, executive sponsor changes, and
competitive activity. Build and execute written save plans on every red
account.
- Drive multi-year renewals and
uplift capture where the value case supports it; defend against margin erosion
and unmanaged discounting.
Account Growth and Expansion:
35% of focus
- Maintain an account plan for every account: org map, clinical and IT stakeholders, current
footprint, whitespace, competitive landscape, and a 12 to 24 month expansion
roadmap.
- Sell expansion across the
portfolio, including additional modules, service lines (cardiology, pathology,
ophthalmology, dermatology), additional facilities and affiliates, cloud
migration, storage growth, viewer seats, and professional services.
- Run structured Quarterly Business
Reviews with named accounts that connect Mach7 outcomes to the customer’s
clinical, operational, and financial goals.
- Convert customer acquisition and
affiliation activity into expansion opportunity; when a customer acquires a
hospital or imaging center, the ACE is first to that conversation.
- Cultivate reference customers,
case studies, podium speakers, and peer references the broader GTM organization
can leverage.
New Logo Development in
Territory: 25% of focus
- Own a net-new pipeline target for
the region. Prospect into health systems and imaging providers not currently on
Mach7.
- Partner with Marketing on regional
demand generation, field events, and campaign follow-up; work inbound leads to
qualification within SLA.
- Work jointly with the Partner /
Channel organization, including OEMs, resellers, systems integrators, and cloud
partners, on partner-sourced and partner-influenced opportunity in territory.
- Respond to RFPs in-region, coordinating Solution Consulting, Product,
Security, and Legal input.
- Displace incumbent PACS / VNA
vendors through a documented competitive plan and quantified business case.
Territory, Forecast, and
Cross-Functional Execution
- Own an accurate monthly forecast
across renewal, expansion, and new-logo categories; commit and upside
discipline with defensible close dates.
- Maintain CRM hygiene as a
condition of the role, keeping contacts, opportunity stages, next steps, close
dates, notes, and qualification fields current at all times.
- Feed structured voice-of-customer
back to Product and Marketing: competitive intel, feature gaps, pricing
pressure, and win / loss themes.
What We're Looking For
Required
· Bachelor’s degree or military
service
· Demonstrated track record of hitting or exceeding goals — in
sales, athletics, academics, or another competitive domain
· Strong communication skills — written, verbal, and in-person
presentation
· Comfort with ambiguity and ability to operate without a
fully defined playbook
· CRM discipline with ability to maintain clean, accurate
pipeline data
· Willingness to travel within assigned region (up to 20%)
Preferred
· 2 years or equivalent of sales experience in any B2B
environment — MedTech, SaaS, technology, or healthcare services preferred
· Prior exposure to a CRM and a structured sales methodology (MEDDIC,
Challenger, Sandler, or similar), even at an introductory level.
· Coursework, internship, or experience in healthcare IT, medical
imaging, life sciences, or health administration.
· Experience with public speaking, competitive athletics, debate, or
another activity that builds comfort with rejection and repeated practice.
We recognize
that candidates bring diverse experiences and backgrounds. If you don’t meet
every requirement, we still encourage you to apply! Many strong candidates
don’t check every box. We value potential, growth, and impact as much as experience.
About Mach7
Mach7
Technologies helps healthcare organizations bring all their medical images
together in one place so they can be easily accessed, shared, and used to
support patient care. Our enterprise imaging solutions, including a
vendor-neutral archive (VNA), enterprise PACS, the eUnity enterprise diagnostic
viewer, and teleradiology workflows, consolidate imaging from across the
enterprise into a single, accessible source of truth. Built on open standards,
including DICOM and a configurable HL7 engine, and free from proprietary data
lock-in, our technology lets providers store, view, and share images on their
own terms. The result is a simpler, more connected imaging environment that
puts data ownership back where it belongs: with the people delivering care. Your
data, your infrastructure, your choice.
AI
Expectations
· Integrate AI into daily work — leverage
AI tools to enhance efficiency, elevate quality, and support smarter, faster
decision-making.
· Apply critical human judgment to AI output — review,
validate, and take full accountability for AI-assisted work, ensuring accuracy
and reliability.
· Continuously improve through AI —
proactively identify opportunities to optimize processes, rethink workflows,
and challenge existing approaches rather than maintaining the status quo.
· Use AI responsibly and ethically — safeguard
sensitive information, adhere to company guidelines, and actively identify
risks such as bias, inaccuracies, or misuse.
CLIMBS
Culture Code
At Mach7, our culture is rooted in
CLIMBS, a mindset that guides how we show up, collaborate, and grow each
day. More than just a set of values, CLIMBS represents the standard we hold
ourselves to and the way we approach our work, our teams, and our impact.
C — Customer First
Every decision starts with the customer’s perspective. Success = customer
outcomes and satisfaction.
L — Learn &
Grow
Curiosity keeps us climbing. We embrace continuous learning, share knowledge
freely, and invest in each other’s development.
I — Innovate for Impact
We value meaningful, outcome-driven innovation over activity. We challenge the
status quo and align behind real customer benefit.
M — Minimize Complexity & Move
As complex as needed but no more. Agility beats bureaucracy. We move
fast and stay focused on what matters.
B — Build Good Sh*t
(Yes, intentionally memorable.) Extreme ownership, craftsmanship, and pride in
high-quality work.
S — Everyone Sells
Not just Sales—Engineering, Product, Support, Finance, IT. We align behind
commercial success to enable company success
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