Relationship Sales Account Manager
Relationship Sales Account Manager
Location: Nashville, TN (hybrid)
Reports to: Director of Rev Ops
Type: Full-time
The Role
This is a high-volume, sales-focused relationship role individually managing a portfolio of 200+ clinical client accounts. These accounts benefit from a structured, proactive engagement model designed to drive product adoption, retention, and account expansion.
Unlike our new-business team, which focuses on fast-paced, high-speed acquisition, this is a “slow burn” relationship role centered on long-term retention and expansion after the initial sale. The ideal candidate comes from a relationship-based sales background — account management, relationship sales, or account executive experience — and is highly organized, proactive, and comfortable managing a large portfolio through a mix of targeted outreach, relationship-building, and consultative upselling and cross-selling
You will work closely with the new-business Sales team to ensure a smooth handoff from the initial sale into ongoing account management, retention, and growth.
What You Own
Manage a high-volume portfolio of self-pay clinic partners
Monitor customer health signals such as ordering frequency, platform usage, and engagement
Proactively reach out to customers showing signs of reduced activity or disengagement
Identify and engage upsell and cross-sell opportunities
Support clinics in placing repeat orders and maximizing value from the platform
Provide product guidance, best practices, and operational support to clinic partners
Partner with the Customer Onboarding Specialist to ensure smooth post-onboarding transitions
Identify opportunities to increase engagement and drive additional ordering activity
Maintain high-level documentation and accurate records of all customer interactions in CRM and sales tools (HubSpot, Gong)
Contribute to the development of scalable customer success programs and outreach campaigns
Share customer insights and feedback with internal teams to improve the customer experience
What Success Looks Like
Strong retention and engagement within Tier 2 and Tier 3 accounts
Increased repeat ordering and platform usage among managed clinics
Early identification and recovery of at-risk accounts
Efficient management of a large portfolio through scalable engagement strategies
What You Bring
2–5+ years of experience in a relationship-based sales role such as Account Manager, Relationship Sales Manager, or Account Executive
Experience managing a portfolio of B2B customers
Experience with identifying and closing upsell and cross-sell opportunities
Genuine interest in peptide and wellness solutions such as GLP-1s, NAD+, and IV wellness
Strong communication and relationship-building skills
Highly organized with the ability to prioritize across many accounts
Proficient with CRM and sales tools such as HubSpot and Gong, with strong, highlevel documentation habits
Proactive mindset with a focus on identifying and solving customer challenges
Preferred Experience
Experience working with healthcare providers, clinics, or medical practices in the cash pay health ecosystem
Previous startup experience and comfort Managing a lot of ambiguity and change. Self Starter.
Experience supporting SaaS platforms, marketplaces, or ordering systems
Compensation
The base salary range for this role is competitive and will be determined based on the candidate’s relevant skills, experience, and geographic location. In addition to base pay, total compensation may include performance-based incentives, benefits and company options.
Security, Privacy & Compliance
This role may handle PHI/PII and must follow HIPAA, company privacy policies, and least-privilege access practices.
EEO & Inclusion
VITL is an Equal Opportunity Employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other legally protected characteristics. If you meet most—but not all—requirements, we encourage you to apply.
About VITL
VITL is a Nashville-based healthtech company providing beautifully simple e-prescribing infrastructure for cash-pay medical practices. Through its open pharmacy marketplace, VITL connects clinics with verified 503A compounding pharmacies nationwide, enabling real-time price comparison, multi-pharmacy ordering, and Amazon-style patient tracking, all through a single, elegant interface. Founded in 2024, VITL serves over 700 clinics representing 175,000 patients across the United States. VITL is backed by Signalfire, a San Francisco based venture capital firm with $3B in AUM, which led its Series A in late 2025.
People Operations Specialist
People Operations Specialist
Location: Nashville, TN (hybrid)
Reports to: Head of Corp Ops
Type: Full-time
The Role
This is a hands-on execution role. The People Operations Specialist keeps the day-to-day people engine running cleanly, while also being proactive about identifying inefficiencies and improving processes. You support employees, managers, and leadership by making sure the basics are done right—every time. Build a seamless onboarding experience. Records are clean. Questions get answered. Nothing slips through the cracks.
This role is ideal for someone early-to-mid career in HR who wants real ownership, exposure to the full employee lifecycle, and a front-row seat to how a company scales. You’ll play a critical role in ensuring operational excellence, building trust through precision, responsiveness, and consistency. The culture at this stage is still heavily founder-driven and relationship-driven, not policy-driven. The systems should support the culture, not replace it.
What You Own
Employee Lifecycle Support
Execute seamless onboarding and offboarding processes end-to-end
Maintain compliant, audit-ready employee records, files, and documentation (exs., I-9, payroll, benefits, etc.)
Ensure accuracy across HR systems, payroll inputs, and benefits administration
Employee Support
Serve as the first point of contact for employee HR questions
Provide clear, timely answers or route issues appropriately
Help employees navigate benefits, policies, and internal processes
People Operations Systems
Support and maintain HRIS and people tools
Track key HR data (headcount, turnover, onboarding status) via our HR platform Rippling.
Partners with leadership on audits, compliance initiatives, reporting, and scaling people systems
Hiring & Onboarding Logistics
Working with our ATS (Ashby), internal teams, any external recruiters to facilitate both building a company database of potential hires and keeping the recruiting process running seamlessly.
Coordinate interview scheduling and candidate communications
Drafting offer letters and new hire paperwork
Ensure new hires are set up and productive on day one
Culture & Process Support
Assist with performance review cycles and feedback collection
Help operationalize culture initiatives and internal communications
Identify process gaps and propose improvements
What You Bring
2–4 years of experience in HR, people operations, or a related operations role
Must have experience with ATS systems (ideally ashby) and employee management systems (ideally rippling)
Must understand and execute all state level labor requirements
Strong organizational skills and attention to detail
Comfort handling confidential information
Clear written and verbal communication
Ability to manage multiple tasks without losing precision
Startup or high-growth environment experience is a must.
How You Work
Detail-oriented and dependable
Responsive and service-minded
Organized, methodical, and consistent
Comfortable learning new systems and processes
Low ego, high accountability
Compensation
The base salary range for this role is competitive and will be determined based on the candidate’s relevant skills, experience, and geographic location. In addition to base pay, total compensation may include performance-based incentives, benefits and company options.
Security, Privacy & Compliance
This role may handle PHI/PII and must follow HIPAA, company privacy policies, and least-privilege access practices.
EEO & Inclusion
VITL is an Equal Opportunity Employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other legally protected characteristics. If you meet most—but not all—requirements, we encourage you to apply.
About VITL
VITL is a Nashville-based healthtech company providing beautifully simple e-prescribing infrastructure for cash-pay medical practices. Through its open pharmacy marketplace, VITL connects clinics with verified 503A compounding pharmacies nationwide, enabling real-time price comparison, multi-pharmacy ordering, and Amazon-style patient tracking, all through a single, elegant interface. Founded in 2024, VITL serves over 700 clinics representing 175,000 patients across the United States. VITL is backed by Signalfire, a San Francisco based venture capital firm with $3B in AUM, which led its Series A in late 2025.
Product Manager, Integrations & API (Senior/Staff/Principal)
Product Manager, Integrations & API (Senior/Staff/Principal)
Location: Hybrid (Nashville, TN) or Remote (US), Remote (Canada)
Reports to: Head of Product & Engineering
The Role
This role owns how VITL connects to the outside world: the EHR/EMR and practice-management systems clinics use, the pharmacy network that fulfills orders, and the public API that partners and customers build on.
Expect a full-spectrum day: a technical call with an EHR partner's developer in the morning, a deal-structuring conversation with Business Development in the afternoon, and a call with a pharmacy's operations lead that evening to unblock a go-live. You sit at the center of the rectangle (BD, sales, engineering, ops) and you are accountable for making the math work across all four sides. An engineering team handles the deep implementation; your job is to create the specificity and strategy that lets that work land.
What You’ll Own
EHR/EMR integrations. Own the integrations that connect VITL to the EHR/EMR and practice-management systems clinics use. You will get to know how practitioners and their teams actually work, then build integrations they can lean on.
Pharmacy integrations. Own the integrations that connect VITL to our pharmacy network. You will work shoulder to shoulder with pharmacy operations teams, turning the messy realities of fulfillment into something dependable that patients feel without ever seeing it.
Public API and developer experience. Own everything partner developers touch: the API, SDKs, docs, sandbox, webhooks, auth flows, and data models. The bar is that a partner developer can self-serve from first call to first successful test transaction without an engineer holding their hand.
Integration roadmap, intake, and strategy. Own the full intake funnel, develop a prioritization framework, and the roadmap that falls out of it. Weigh demand against commercial value and engineering cost to decide what we build and in what sequence. Hold the line against randomization to protect existing high-priority commitments.
Commercial partnership with BD and sales. For every partnership that touches integrations or the API, you are the technical-economic voice in the room: what is buildable, by when, at what cost, and under what constraints. You will partner directly with sales, business development, and engineering on every commercial conversation where an integration is the fulcrum.
Scoping and delivery. Run technical discovery calls with counterparts at partners. Produce discovery summaries that hold up, and carry them through to shipping. Negotiate realistic timelines and commitments, and drive phased rollouts with staged customer comms.
Partner relationships and escalations. Define pilots, run validations, and build the go / no-go checklist. After launch, you quarterback each integration through quality, migrations, incidents, and escalations. Track adoption, identify stuck partners, and feed gaps back into the roadmap.
What Success Looks Like
Intake and prioritization run themselves within 90 days. Every integration request and partner ask lands in one funnel with a documented prioritization framework. BD, sales, and engineering align on what we are building and what we are not.
The team trusts your scoping. Because of your technical scoping, post-signature surprises are rare because you asked the hard questions up front.
Integrations ship and stick. Each launched integration hits its go-live date, clears its quality bar, and shows real adoption inside 60 days. Stuck partners get unstuck quickly.
The integration engine compounds. By month 12 you have built the intake, scoping, rollout, and post-launch playbooks that let the next partner onboard faster than the last.
What You Bring
Integrations and API depth. 5+ years shipping integrations, developer-facing APIs, or large-scale partner connections. You have run the full lifecycle from discovery to production and you know where the landmines are. Bonus points if you have built developer SDKs or reusable integration frameworks.
Product instincts for developer surfaces. You think about API design, SDK ergonomics, and developer onboarding the way other PMs think about UI flows. You can articulate what makes a developer surface good, and you have shipped a few.
Healthcare integration fluency. Familiarity with healthcare interoperability and e-prescribing standards is a strong plus. Direct experience with EHR integrations, e-prescribing, pharmacy systems, or cash-pay telemedicine sets you apart. If some of this is new, you come hungry to learn it fast.
Technical fluency. You read API docs, test endpoints in Postman, understand webhooks and auth flows, and can hold a technical call with a partner developer without needing an engineer in the room. You do not need to write production code, but you can prototype well.
Regulatory aptitude. You are curious about regulatory complexity. You can read a dense requirements document and turn it into a spec. You can sit with an auditor and leave the conversation with a clearer path forward than you came in with. Prior EPCS and HIPAA experience is a plus.
Customer-facing poise. You run tight calls. You make recommendations that partners and internal stakeholders both accept. You can push back and still keep the deal alive.
Operator energy. You close loops. You notice when a thread has gone quiet for three days and restart it. You shield engineering from noise so they stay heads-down. You ship constantly.
AI-native instincts. You use AI and no-code tools (Claude Code, Cursor, n8n, Make) to draft, prototype, spec, and accelerate every part of the job.
Positive intensity. You operate with urgency and care at the same time. You have the courage to say “not yet” to a deal and the warmth to keep stakeholders and customers excited anyway.
Compensation
The base salary range for this role is competitive and will be determined based on the candidate’s relevant skills, experience, and geographic location. In addition to base pay, total compensation may include performance-based incentives, benefits and company options.
Security, Privacy & Compliance
This role may handle PHI/PII and must follow HIPAA, company privacy policies, and least-privilege access practices.
EEO & Inclusion
VITL is an Equal Opportunity Employer. We consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other legally protected characteristics. If you meet most—but not all—requirements, we encourage you to apply.
About VITL
VITL is a Nashville-based healthtech company providing beautifully simple e-prescribing infrastructure for cash-pay medical practices. Through its open pharmacy marketplace, VITL connects clinics with verified 503A compounding pharmacies nationwide, enabling real-time price comparison, multi-pharmacy ordering, and Amazon-style patient tracking, all through a single, elegant interface. Founded in 2024, VITL serves over 700 clinics representing 175,000 patients across the United States. VITL is backed by Signalfire, a San Francisco based venture capital firm with $3B in AUM, which led its Series A in late 2025.
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