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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.