Senior Manager, Key Accounts

Big Health
Big Health

Administration · Full-time

United States · Remote

USD 120k-160k / year + Equity

Posted on Oct 14, 2026
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Our Mission
At Big Health, our mission is to help millions back to good mental health by providing fully digital, non-drug options for the most common mental health conditions. Our FDA-clear digital therapeutics - SleepioRx for insomnia and DaylightRx Treatment for anxiety - guide patients through first-line recommended, evidence-based cognitive and behavioral therapy anytime, anywhere. Our digital program, Spark Direct, helps to reduce the impact of persistent depressive symptoms.
In pursuit of our mission, we’ve pioneered the first at-scale digital therapeutic business model in partnership with some of the most prominent global healthcare organizations, including leading Fortune 500 healthcare companies and Scotland’s NHS. Through product innovation, robust clinical evaluation, and a commitment to equity at scale, we are designing the next generation of medicine and the future of mental health care.
Our Vision
Over the next 5-10 years, we believe digital therapeutics will transform the delivery of healthcare worldwide by providing access to safe and effective evidence-based treatments. Big Health is positioned to take the lead in this transformation.
Big Health is a remote-first company, and this role can be based anywhere in the US.
Position Summary
Prescription digital therapeutics are one of the newest categories in healthcare. Medicare has created billing codes for digital mental health treatment, providers want evidence-based, non-drug options for insomnia and anxiety, and our treatments are FDA-cleared. Health systems and large provider groups are starting to order. What they need now is someone who can get them fully bought in and keep orders growing.
That's this role. You'll own Big Health's key provider accounts after they go live, from large health systems to large practices and provider groups. Pricing is set by contract, but revenue comes from one place: prescribers ordering SleepioRx and DaylightRx and patients activating. You'll build the relationships that get accounts committed to the program, clear the billing and workflow friction that slows ordering, and find the next site, service line, and provider group to grow into. These accounts aren’t in steady state yet. Your job is to get them there, which means billing calls, workflow fixes, and chasing down the site that stalled.
If you've grown provider ordering before, whether cardiac monitoring patches, home sleep tests, CGM, or remote monitoring, you know the motion: win over the prescribers, get the practice's workflow and billing team comfortable, and keep orders growing long after the contract is signed. You'll report directly to our Chief Revenue Officer, take accounts from Provider Experience and Clinical Transformation (Implementation) once they're live and ordering, and work closely with Sales, Provider Growth, and Market Access.

Why This Role

  • Get in early on a new category. Prescribers order, practices bill, patients use the treatment. It's a motion you know, and you'll help build the market, not maintain one.
  • A step up in scope. This isn't a territory role. You'll own a book of our most important provider accounts and shape how we grow them.
  • First in seat. You'll build the playbook, and as the business grows, you'll hire and lead the team.
  • Paid for growth. Base salary plus a variable incentive tied to year-over-year order growth on your accounts, plus equity.
  • Real visibility. You'll report to the CRO, and your results will show up directly in company growth.

Key Responsibilities

  • Account Ownership and Growth
  • Get accounts bought in, then grow them. Build relationships with executives, provider leaders, practice managers, and clinical champions so accounts are committed to the program, not just signed up. Build account plans with clear order growth targets, risks, and next steps.
  • Know every account down to the prescriber: who's ordering, who stopped, who never started, and why.
  • Expand. Find the next site, service line, provider group, or product inside each account and make the case to clinical and operational leaders. Partner with Sales on contract amendments and pricing.
  • Flex your coverage. High-touch for health systems. For large practices and provider groups, use scaled approaches such as group training, office hours, and practice-ready resources where they fit.
  • Provider Engagement
  • Drive repeat ordering. Diagnose what's slowing adoption, such as workflow breaks, staff turnover, reimbursement friction, or a lost champion, and fix it with named owners and dates.
  • Take the friction out of billing. Help practice billing and revenue cycle teams get comfortable ordering and billing a newer type of treatment, from charge capture and coding to denials. Spot problems early, bring in Market Access, who own reimbursement and payer strategy, and make sure the practice knows how to handle it next time.
  • Train and retrain prescribers and practice staff as teams change, in partnership with Clinical and Implementation. Track the impact on ordering and activation.
  • Internal Stakeholder Management
  • Take a clean handoff from Implementation. Work alongside PECT as implementation wraps up, then own the account once it's live and ordering. Bring implementation back in when an expansion needs new workflows or EHR work.
  • Be the customer's primary point of contact and escalation. Drive resolution across Sales, Market Access, Clinical, Product, and Legal.
  • Keep leadership and customer sponsors informed with clear, executive-ready updates.
  • You’ve worked hand in hand with sales, implementation, and reimbursement teams, and you know how to get things done without authority.
  • Reporting and Documentation
  • Run business reviews with clinical, operational, revenue cycle, and executive sponsors, built on order and activation data and clear next steps.
  • Keep Salesforce current on accounts, contacts, opportunities, and forecast. Use dashboards to spot adoption risk and growth.
  • Partner with Finance on account reporting, forecasting, and practice invoice issues.

Required Skills and Experience

  • Required
  • 5-7+ years in healthcare field account management, key account management, or clinical sales, including 4+ years at a med device, diagnostics, or digital health company where revenue depended on providers ordering. Think ambulatory cardiac monitoring, home sleep testing and PAP, CGM, or remote patient monitoring.
  • A track record of growing order or utilization volume across health systems and large practices or provider groups. Show us your attainment, rank, and account growth.
  • You're a seller and a relationship builder. You've won over skeptical prescribers and practice managers, and you've kept accounts growing after the sale.
  • Hands-on knowledge of how practices bill and get paid: fee-for-service, HCPCS/CPT, charge capture, and denials. You've helped a billing team work through a new or unfamiliar code, and you understand what it means for a practice to carry reimbursement risk.
  • Credibility with health system executives, and just as comfortable with a group practice's practice manager.
  • The ability to turn utilization data into an action plan and an ROI story. Salesforce experience; Looker or similar a plus.
  • Bachelor's degree required. An MBA, MPH, or clinical background is a plus. A clinical license is not required.
  • Willingness to travel 25-30% for onsite provider engagement, training, and account reviews.
  • Nice to Have
  • Consistent top-of-region ranking or President's Club.
  • You've trained, mentored, or led others, or built a playbook from scratch.
  • Sleep medicine or behavioral health experience.

What Success Looks Like

  • Year-over-year order growth across your book and in each account.
  • Percentage of accounts hitting agreed ordering targets.
  • Growth in active and repeat prescribers.
  • Patient activation rate against agreed account goals.
  • Expansion into new sites, service lines, or provider groups.
We at Big Health are on a mission to bring millions back to good mental health, in order to do so, we need to reflect the diversity of those we intend to serve. We’re an equal opportunity employer dedicated to building a culturally and experientially diverse team that leads with empathy and respect. Additionally, we will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the San Francisco Fair Chance Ordinance.
Big Health participates in E-Verify for all new hires in the United States.

120000 - 160000 USD a year

The US base salary range for this full-time position is $120,000 - $160,000, plus a variable growth incentive tied to year-over-year order growth on the accounts you manage. Additional compensation may include equity and benefits.

Our compensation ranges are determined by role, level, and location. The posted salary range reflects base pay across US locations. Individual compensation is determined by factors including relevant experience, skills, and qualifications.

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