Build
Founding GTM Lead
Skills
1 month ago
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Important information
Contract type:
Permanent
Salary:
$80,000 – $85,000 / year
Location:
United States
Work mode:
Remote
Published on:
30 September 2026
What they need
About Build.MD
Build.MD is a cash-pay prescription telehealth platform. We give physician practices, medspas, and wellness operators a complete prescribing program under one vendor: clinical, operations, patient CRM, retention, and billing and compliance. Clinical services are provided through a physician-owned corporation licensed in all 50 states and DC. Build.MD is physician-founded and MD-led, and launches with its first practices in late 2026.
The role
You are our first full-time commercial hire. You own the path from first conversation to a practice that is live and prescribing.
Signing a practice is the easier half of this job. Getting it live is the real work: physicians credentialed, staff comfortable with the workflow, and the first patients through the door. You own both halves.
By the end of your first year we want a repeatable motion: a defined ICP, a working outbound and word-of-mouth engine, a demo you run without the founder, and enough live practices that hiring behind you is an obvious decision rather than a bet.
What you'll own
The launch cohort. Our first practices, from first call through activation, with a direct line to the founder.
The number. Practices activated. Not meetings, not signatures alone.
Full cycle. Source, qualify, demo, sign, and drive onboarding until the practice is live.
The playbook. Written as you go: discovery, objection handling, the demo, onboarding, what a healthy practice looks like at 90 days.
The channel question. Whether medspas, fitness operators, and brands run as separate motions or one, answered with evidence.
The AI stack. List-building, research, drafting, and reporting run through n8n and GoHighLevel with a human sending every message. You inherit it, run it, and improve it.
You're a fit if
You've sold into independent physician practices, medical groups, medspas, or DPC/concierge practices and can name the deals.
You've done the follow-through, not just the close: you've gotten a practice live and kept it live.
You're comfortable in a regulated category: some claims are off-limits, and "can we say that?" sometimes gets a no. You treat that as part of the job.
You can demo to a physician and hold your own on how the clinical workflow actually works.
You write outreach a doctor actually reads.
You're not a fit if
Your background is enterprise health-system or payer sales.
You want an SDR team and inbound leads on day one.
You'd rather hand off a signed account than see it through to live.
Compensation
Base: $80,000–$85,000.
On-target earnings: $165,000, with variable paid for each practice that goes live. Accelerators above plan.
Ramp: a fixed monthly payment against variable for your first three months, whether or not you hit plan.
Health: monthly reimbursement toward individual health insurance.
To apply
Send your resume and a short note to [email protected] about the last practice or group you closed: who you met first, who signed, how long it took, and what it took to get them live.
Pay: $80,000.00 - $85,000.00 per year
Work Location: Remote
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