Sales Director, Hospital & Physician RCM
Own the East Coast territory and a $2M annual new-revenue number. Hunt it, close it, get paid on it. Uncapped commission.
The role
What this job actually is
You own the East Coast territory and a hard number: $2M in new annual revenue. This is full-cycle hunting: build your own pipeline into hospitals and physician groups, run discovery with revenue cycle and finance leaders, and sign multi-year engagements. Your first close lands inside 90 days, any size, same bar as every other seller here. A senior partner works your deals with you, so you are selling capability you can point at rather than a brochure. Commission is uncapped and accelerates past quota.
Ownership
What you will own
$2M in new annual revenue
Own the East Coast number end to end and close it. Territory planning, account selection and pricing all serve that figure.
Speed to first close
One signed deal inside 90 days. Any size. Non-negotiable for every quota carrier.
Self-sourced pipeline
Disciplined outbound into named hospital and physician group accounts, plus inbound from our content engine.
Consultative discovery
Denial patterns, AR aging, DNFB, coding accuracy, front-end leakage. Quantify the problem before proposing the fix.
Deal quality
Price with discipline and scope what delivery can ship.
Territory presence
Regional conferences and onsite client meetings across the territory.
Ramp
Your first 90 days
First 30 days
Learn the offering, build the territory plan, and get into live conversations inside the first two weeks.
By day 60
Working pipeline across the territory with a senior partner alongside you on discovery.
By day 90
One signed deal on the board and pipeline at coverage. The first close is the bar.
Requirements
What we look for
- MANDATORY: one signed deal inside your first 90 days. Any size. Every seller here clears that bar, and it is how we know the hire is working.
- Five or more years selling revenue cycle, medical billing or healthcare technology into hospitals or physician groups
- Documented record of hitting and beating quota, with specifics
- Full-cycle selling capability from sourcing through close
- Fluent in hospital and physician revenue cycle economics
- Willing to travel across the territory, roughly 30 percent
Bonus
Strong plus, not required
- Existing East Coast provider finance relationships
- Experience selling outsourced services
- Familiarity with DNFB, denial and AR metrics at hospital scale
The money
How you get paid
We pay for closed revenue. Not activity, not pipeline volume, not effort. If you put signed business on the board, you should earn more here than you would carrying the same bag somewhere larger and slower.
Commission structure
- Uncapped commission. There is no ceiling and no clawback on the upside. Close more, earn more, every quarter.
- Accelerators past target. Your rate steps up once you clear quota, so the back half of a strong year pays disproportionately.
- Quarterly payout. You are paid on signed and booked revenue on a quarterly cadence, not held to an annual true-up.
- First-close bonus. Land your first signed deal inside 90 days and it is recognised separately from your ramp.
- Multi-year deals count in full. We sell multi-year engagements and you are compensated on the contract you signed.
Base, commission rate and accelerator thresholds are confirmed in the first conversation and calibrated to experience. What does not change is the structure: uncapped, quarterly, and weighted toward people who close.
Accountability
How this role is measured
| Measure | What it means |
|---|---|
| $2M new annual revenue | Your number, tracked quarterly. |
| First close inside 90 days | One signed deal, any size, no exceptions. |
| Qualified pipeline generated | Self-sourced coverage. |
| Win rate | By segment. |
| Average contract value | Deal quality and pricing discipline. |
| Sales cycle | Qualified to signature. |
Why ASP-RCM
Why this seat is different
We are senior-led by design. A senior partner is named on accounts and shows up in the work, which is why clients renew and why this role carries real authority rather than a title. Our AI suite is in production, not in a roadmap deck, and our compliance posture is independently audited: SOC 2 Type II with HITRUST, ISO 27001 and HIPAA.
We pay for certifications and run upskilling cohorts, because coding and revenue cycle are crafts that need investment. You will work across Dallas HQ, six US states and Chennai, India, with colleagues who have run these functions at scale.