About the role
Midstream is an AI-native financial operating system for health systems, founded by experienced entrepreneurs and backed by top-tier investors. We give finance, supply chain, and managed care teams real-time visibility into where margin is at risk, with a precise action plan for capturing it before it's gone. Purpose-built for healthcare's complexity, Midstream transforms structured, unstructured, and external data into instant, contract-aware insights that drive smarter decisions. Our AI agents unify spend and revenue operations across the full back-office, learning and adapting with every interaction and delivering always-on intelligence that no point solution or one-off engagement can match. We're compressing months to minutes and turning post-period hindsight into in-the-moment foresight. The tempo of healthcare finance is changing, and Midstream is leading it. Opportunity We are looking for a Regional VP, Partnerships to drive enterprise customer acquisition for Midstream. You will own the full sales cycle—from initial engagement through contract execution—working with health system financial and operational leaders to help them understand how Midstream improves financial operations, reduces administrative waste, and strengthens operating margins. Midstream sells into complex healthcare organizations with long sales cycles and multi-stakeholder buying processes. This is a high-ownership, full-cycle enterprise sales role responsible for building pipeline, engaging executive buyers, and closing new customers. Early sales hires will help shape how Midstream brings AI-enabled operational systems to the healthcare market. What you'll be doing Create and develop enterprise pipeline Proactively generate pipeline through outbound prospecting, industry relationships, conferences, and targeted account engagement. Own revenue generation and deal execution Lead the full enterprise sales cycle—from discovery and qualification through negotiation, contracting, and closing. Navigate complex enterprise buying processes Manage multi-stakeholder sales cycles across health systems, including executive alignment, procurement processes, and technical validation. Engage executive healthcare buyers Build trusted relationships with CFOs, supply chain leaders, and operational executives, focusing on operational efficiency, cost containment, and margin improvement. Maintain strong sales process discipline Own opportunity qualification, forecasting, and pipeline visibility while ensuring consistent deal