Midstream creates a foundation that connects contract pricing, rebates, and item master data within one system. Learn more today. Backed by a16z.
About the role
We're looking for someone to build the operating system that powers Midstream's go-to-market organization. You'll design and continuously improve the systems, workflows, data infrastructure, and AI-powered automations that enable Sales, Marketing, Partner Success, and Executive Leadership to operate at their best.
What they're looking for
- You have 5–8 years of experience in GTM Operations, Revenue Operations, Business Operations, or a similar role within a high-growth B2B SaaS company
- You've supported Sales, Marketing, and Partner Success through scalable operational systems and understand how commercial teams work together to drive growth
- You have experience implementing and optimizing CRM and GTM technology platforms, with a passion for building systems that simplify work rather than add complexity
- You're highly analytical and enjoy building dashboards, forecasting models, and reporting that leaders rely on to make strategic decisions
- You have a builder's mindset—you enjoy designing workflows, improving business processes, and creating scalable solutions from the ground up
- You're AI-native and constantly looking for opportunities to leverage AI and automation to increase productivity and improve the way teams work
More about this 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.
We're looking for someone to build the operating system that powers Midstream's go-to-market organization.
You'll design and continuously improve the systems, workflows, data infrastructure, and AI-powered automations that enable Sales, Marketing, Partner Success, and Executive Leadership to operate at their...
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