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.

Opportunity

This role sits at the intersection of Sales, Product, Engineering, and Partner Success, serving as the technical bridge between prospective customers and Midstream’s AI-native platform. You will lead technical discovery, solution architecture, architecture discussions, and technical validation—helping customers understand how Midstream integrates into complex healthcare environments and how our platform delivers measurable operational and financial outcomes.

As a trusted technical advisor, you will guide executive stakeholders, enterprise architects, security teams, and technical leaders throughout the customer journey—from initial discovery and solution design through implementation planning and deployment. You’ll help customers evaluate technical approaches, navigate enterprise architecture decisions, and build confidence that Midstream can integrate securely and scale within their existing technology ecosystem.

This is a high-impact, customer-facing role. Beyond supporting strategic customer engagements, you will help establish the technical foundation that enables Midstream to scale by developing repeatable architecture patterns, demonstration environments, implementation frameworks, and technical assets that elevate the entire commercial organization while shaping the evolution of our product.

How you'll make an impact

Lead technical discovery
Partner with prospective customers to understand their technical landscape, business objectives, integration requirements, AI governance considerations, and long-term technology strategy.

Design enterprise solutions
Develop solution architectures, AI implementation strategies, and phased deployment approaches that demonstrate how Midstream integrates within complex healthcare environments while delivering measurable business value

Own technical validation
Lead technical discovery sessions, architecture reviews, executive workshops, product demonstrations, security discussions, and technical evaluations throughout the enterprise buying process

Serve as a Trusted Technical Advisor
Guide enterprise customers through their AI adoption journey, helping executives, architects, security teams, and operational leaders evaluate technical tradeoffs, implementation approaches, and long-term architecture decisions.

Develop AI Evaluation Frameworks
Help customers define evaluation criteria, success metrics, governance models, and implementation approaches that enable safe and successful deployment of AI within healthcare environments

Build and maintain scalable technical assets
Continuously improve demonstration environments, technical documentation, reference architectures, integration patterns, implementation playbooks, and reusable technical frameworks that enable Midstream to scale.

Shape the product
Partner closely with Product and Engineering to identify recurring implementation patterns, customer needs, and integration opportunities that inform product strategy and future platform capabilities.

Build the Technical GTM Foundation
Create repeatable demonstrations, technical messaging, architecture patterns, and implementation methodologies that reduce technical risk, accelerate enterprise sales cycles, and enable every commercial team member to succeed

Who you are

Passionate About Applied AI
You are energized by helping organizations responsibly adopt AI. You stay current on modern AI architectures, LLM capabilities, agentic workflows, and emerging enterprise AI patterns, and enjoy translating these innovations into practical business outcomes.

A trusted technical advisor
You build credibility quickly with executives, enterprise architects, security teams, and technical stakeholders.

Experienced in enterprise software
You've worked as a Solutions Architect, Solutions Consultant, Applied AI Architect Sales Engineer, or similar customer-facing technical role supporting complex enterprise software.

A systems thinker
You understand APIs, cloud architecture, enterprise integrations, identity management, data engineering, and AI workflows, and can translate technical concepts into business outcomes.

An exceptional communicator
You are equally comfortable leading executive strategy conversations, whiteboarding architecture with engineering teams, facilitating technical workshops, and presenting live demonstrations.

A builder
You enjoy creating reusable demonstrations, implementation patterns, documentation, and technical assets that make the entire organization more effective—not just yourself.

Customer obsessed
You view every customer conversation as an opportunity to reduce risk, build trust, and improve the product.

Cross-functional team member
You thrive at the intersection of Sales, Product, Engineering, and Customer Success, balancing competing priorities while aligning diverse stakeholders around a common technical vision

Preferred Experience

• Experience supporting enterprise AI, machine learning, analytics, or cloud platform deployments.

• Familiarity with modern LLMs, AI agents, evaluation frameworks, retrieval-augmented generation (RAG), or enterprise AI architecture.

• Experience designing secure cloud-native architectures and integrating enterprise applications through APIs.

• Python experience or the ability to prototype technical workflows.

• Healthcare interoperability, ERP, finance, supply chain, payer, or enterprise healthcare systems experience is strongly preferred.

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.

Opportunity

We're looking for a Product Marketing Manager to define how Midstream's product and technology are understood in the market. This is a highly visible, high-impact role, and its output is tied directly to our growth: the messaging, positioning, and enablement you build become the pipeline our sales team converts.

Sitting at the intersection of Product, Sales, and Marketing, you'll be the translator—taking Midstream's platform and AI-enabled capabilities and distilling complex technical ideas into clear, concise narratives for healthcare's financial and operational leaders. You'll own our Ideal Customer Profile, product positioning, and messaging, making sure both internal teams and external audiences understand how Midstream improves financial operations and reduces administrative complexity.

You'll also help the market understand how agentic AI systems actually operate inside healthcare workflows—translating sophisticated technology into concrete operational and financial outcomes.

Reporting to the Head of Marketing.

How you'll make an impact

Define the Ideal Customer Profile and buyer personas Partner with Product, Sales, and leadership to define Midstream's ICP, conduct persona research, and pinpoint the financial and operational pain points that drive buying decisions.

Own product positioning and messaging Develop the core product narrative, value proposition, and differentiation strategy – the foundation every downstream asset and campaign is built on.

Drive competitive intelligence and differentiation Map the landscape of point solutions, consulting engagements, and legacy tools. Build the differentiation narrative, competitive battlecards, and objection-handling frameworks that help Sales win against the alternatives.

Build sales and client enablement Create the materials that power enterprise sales and account expansion: one-pagers, solution briefs, data sheets, FAQs, playbooks, messaging frameworks, and competitive insights. Train sales and client-facing teams so they can carry the narrative with confidence.

Translate product capabilities into clear storytelling Develop narratives and visuals that explain how Midstream's platform and AI agents operate within financial and operational workflows—and why our data foundation, not just the AI layer, is the durable advantage.

Bring new capabilities to market Partner with Product and Marketing to launch new products and features with sharp messaging, sales readiness, and customer-facing materials.

Fuel the pipeline Work with demand generation to turn positioning into integrated campaigns that communicate Midstream's value to buyers and build pipeline for Sales.

Who you are

A product storyteller and translator You turn complex technology into clear narratives that resonate with enterprise buyers, and you're energized by being the person who makes the complicated feel obvious.

Experienced in B2B product marketing 5+ years in product marketing, ideally in software/SaaS, with demonstrated mastery of the foundational PMM toolkit: messaging and positioning, GTM strategy, audience segmentation, competitive intelligence, sales enablement, and content creation.

Comfortable with technical, AI-driven products You can clearly explain platforms involving AI, automation, and complex workflows—and you're genuinely curious about how they work.

Strategic and scrappy Strong strategic, analytical, and problem-solving instincts paired with a "do-what-it-takes" bias for action. You're comfortable producing high-quality materials yourself while shaping the broader go-to-market narrative.

A proven cross-functional partner A track record of influencing Product, Sales, Sales Ops, and Marketing—and of successfully launching new products and features.

An exceptional communicator Outstanding written and verbal communication skills. Fluent in PowerPoint and Google Slides; proficiency with Figma and/or Adobe design tools a plus.

Bonus: healthcare fluency Familiarity with health system finance, revenue cycle, supply chain, or managed care is a strong plus.