Senior Account Executive

PayGround; Arizona; Remote; USD 120,000 - 180,000; Full time

Job summary

PayGround is seeking a Senior Account Executive to own the full sales cycle with hospitals, clinics, and healthcare organizations. You will craft ROI-based business cases that connect PayGround to the buyer’s financial outcomes, and navigate multi-stakeholder cycles to close contracts.

The role demands urgency, ownership of the number, and a deep understanding of healthcare payments. Remote work or Gilbert, AZ HQ are available options, with collaboration across Partnerships, Operations and

Qualifications

• 5+ years closing experience in payments/fintech or healthcare tech.
• Proven ability to build ROI-driven business cases for economic buyers.
• Experience navigating long, multi-stakeholder sales cycles.

Responsibilities

• Own full-cycle sales from prospecting to close with health systems and providers.
• Build and present ROI/value cases tied to financial outcomes for buyers.
• Identify and engage CFOs, VPs of Revenue Cycle, and other stakeholders.
• Maintain disciplined forecast and CRM hygiene to guide deals forward.
• Collaborate with Partnerships, Operations and Product to align on deals and feedback.

Skills

Closing experience

ROI-based selling

Multi-stakeholder sales

Forecasting

CRM discipline

Job description

Job Description for: Senior Account Executive

Location: Remote or Corporate HQ - Gilbert, Arizona

About PayGround

PayGround provides patient payment technology for healthcare providers, helping organizations make it simple for patients to pay and for providers to get paid. We are scaling fast in a complex market and working towards our vision of a single place for patients and families to manage their medical bills.

About the Role

The Senior Account Executive owns full-cycle sales into hospitals, clinics, and healthcare organizations, from first conversation to signed contract. You will sell on ROI, not features: building the value case, reaching the economic buyer, and navigating long, multi-stakeholder healthcare sales cycles. You will work closely with Partnerships, Operations and Product, and you will help shape how PayGround sells as our GTM model evolves.

This is a role for someone who brings urgency without being told to, owns their number completely, and is or wants to become an expert in healthcare payments.

What You’ll Do at PayGround

• Own a quota and run full-cycle deals with health systems and healthcare organizations, from prospecting through close.
• Build and present custom ROI and value cases that connect PayGround to the buyer’s financial outcomes.
• Identify, access and influence economic buyers (CFOs, VPs of Revenue Cycle) alongside clinical, IT and operational stakeholders.
• Manage a long, competitive sales cycle with discipline: accurate forecasting, clean CRM hygiene and clear next steps on every deal.
• Partner with Partnerships, Operations and Product to align on deals, implementations and customer feedback.
• Translate complex payments and revenue-cycle concepts into plain language for any audience, from a CFO to a clinic administrator.
• Learn the healthcare payments and RCM landscape deeply, and bring market insight back to the team.
• Contribute to how PayGround sells by testing new approaches, sharing what works and adapting as strategy changes.

What We Are Looking For

• 5+ years of closing experience in payments, fintech or healthcare technology, with a track record of meeting or exceeding quota.
• Proven experience selling to economic buyers and building ROI-based business cases, not feature pitches.
• Command of complex-sale mechanics: multi-stakeholder deals, long cycles, pipeline management and forecasting.
• Hunger and ownership. A clear pattern of going beyond the role, self-starting, and taking full accountability for wins and misses.
• Integrity. Honest with customers and teammates, open about mistakes, and never over-claims a win. Patient financial trust depends on it.
• Adaptability. Comfortable with ambiguity and changing priorities, with examples of pivoting without losing momentum.
• Coachability. Specific examples of seeking feedback and changing how you work because of it.
• Clear communication. Precise and structured in writing and in conversation.
• Collaboration. You share information, credit teammates and have won deals cross-functionally.
• Resilience. You can describe a lost deal or stalled cycle and how you recovered from it.

Nice to Have

• Experience selling into health systems, hospitals or provider organizations.
• Working knowledge of revenue cycle management (RCM), patient financial experience or healthcare payments.
• Experience selling alongside or through channel and technology partners.
• A history of ramping quickly in a new industry through self-driven learning.

Payments and/or Healthcare or HIT experience is a plus but not required. We care more that you have done your homework on our market and can demonstrate why you are the best candidate.

Benefits

Our benefits package is designed to reward contribution and loyalty and to attract the kind of talented individuals who have their pick of employers. We offer a highly competitive package comprising:

• Competitive base salary plus commission
• Core benefits including: medical, dental, vision