--- title: 'GTM Operations at Midstream Health' canonical: 'https://feeny.ai/job/gtm-operations-midstream-health-united-states-ccg2j5d8v74g' type: 'job' last_seen: '2026-09-11' --- # GTM Operations at Midstream Health - **Company:** Midstream Health - **Location:** United States - **Employment:** full-time - **Work type:** remote - **Posted:** 2026-08-10 - **Last confirmed live:** 2026-09-11 - **Apply:** https://jobs.ashbyhq.com/midstream/d5bb22cc-47f1-4dfc-9471-bb1a3a8ec2e3 ## Job description 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 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. Working closely with our Chief Commercial Officer and Chief Customer Officer, you'll simplify complexity, improve decision-making, and build scalable solutions that help our commercial teams move faster, execute more effectively, and deliver greater value to our customers. We're looking for someone who loves building from first principles, questions inefficient processes, and sees AI as an opportunity to fundamentally improve how work gets done. As one of the early operators at Midstream, you'll play a foundational role in how we scale. Every workflow you improve, every automation you build, and every system you design will increase the speed, leverage, and effectiveness of our entire go-to-market organization. ## How you'll make an impact Build our commercial operating system Design and continuously improve the systems, processes, and workflows that power Midstream's go-to-market organization. Build scalable operational foundations that enable Sales, Marketing, and Partner Success to execute more effectively as the company grows. Own our GTM technology stack Build and evolve the infrastructure behind our commercial organization, including CRM, marketing automation, sales engagement, partner success platforms, AI tooling, integrations, and workflow automation. Ensure every system works together seamlessly to create a reliable, scalable operating environment. Enable GTM excellence Develop the operational infrastructure supporting our customer-facing teams—from opportunity management and forecasting to lead routing, customer health, and executive reporting. Continuously improve how information flows across the customer lifecycle so every team can make faster, more informed decisions. Turn data into decisions Build dashboards, forecasting models, and operational reporting that leaders trust. Improve data quality, establish a single source of truth, and provide the insights that guide company planning and commercial execution. Lead AI adoption across GTM Identify opportunities to leverage AI throughout the commercial organization. Evaluate emerging technologies, automate repetitive work, and help teams adopt new ways of working that increase productivity while maintaining operational rigor and data quality. Partner across the business Work closely with Sales, Marketing, Partner Success, Product, and Executive Leadership to understand business priorities and translate them into scalable operational solutions. You'll become a trusted partner who helps the company operate more efficiently through thoughtful systems design. ## Who you are - 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. - You're a systems thinker who naturally connects people, processes, data, and technology into cohesive operating models that scale with the business. - You thrive in fast-moving startup environments where ambiguity is expected, priorities evolve quickly, and ownership is shared. - You communicate effectively across technical and non-technical teams and can influence stakeholders without direct authority. - Healthcare experience is a plus, but not required. ## About Midstream Health ## Company Overview - **One-liner**: Midstream Health provides an AI-powered financial action platform that gives health systems real-time visibility into margin risks and enables proactive optimization of revenue and cost. - **Entity Type**: Private (venture-backed, stage not publicly disclosed) - **Headquarters**: San Francisco, CA, USA (primary office) - **Founded**: 2009 (per Built In profile; other sources indicate a more recent inception – conflicting reports) - **Founders**: Venkat Mocherla (CEO) and Sumit Kadakia (President) ## Core Business - **Primary industry**: Healthcare Financial Technology (HealthTech / FinTech for health systems) - **Target customers**: Health systems, hospitals, and managed care organizations (B2B, enterprise) - **Mission / Purpose Statement**: “Restoring financial clarity to healthcare by surfacing what matters, when it matters.” ## Products & Services - **AI-Powered Financial Action Platform**: A SaaS platform that ingests fragmented contract, pricing, rebate, and payer data to surface margin opportunities (e.g., missed rebates, underpayments, pricing variances). Features include 24/7 AI agents, natural-language query, real-time scenario planning, and verified traceability back to source data. Designed for supply chain, pharmacy, managed care, and finance teams. ## Market Standing - **Valuation / Market Cap**: Not publicly disclosed - **Key Metrics**: - Over **$80B in net patient revenue** managed through the platform (as of late 2025) - **1,461+** opportunities surfaced (likely metric) - **90 days** to realise value? (incomplete data) - **Funding**: Not publicly available. Notable advisors include Mo Kaushal (Advisor to General Catalyst), suggesting VC backing. - **Notable Investors / Partners**: Advisors include Mo Kaushal (General Catalyst), Vance Moore (ex-President Mercy), Mitch Morris (ex-Vice Chairman Deloitte), Nancy McCutchen (ex-SVP Optum), Debby Meredith (ex-VP Engineering Netscape), and Andy Murphy (Partner Chartis). Customer reference: CommonSpirit Health (CIO Daniel Barchi). - **Growth Signals**: Emphasis on “measurable margin impact in days”; platform deployment is fast (“no multi-year implementation”); hiring across engineering, product, and partnerships (7 open roles as of July 2025). ## Competitive Advantages - **Purpose-built for healthcare**: Integrates with existing health system workflows; fills critical data gaps with proprietary datasets. - **Speed to value**: AI agents surface opportunities that can be acted on in days, not months. - **Closed-loop execution**: Not just analytics – every opportunity is traced to source data, enabling leaders to act immediately. - **Domain‑trained AI**: Continuously learns from contract, pricing, and rebate data to become smarter over time. - **Strong advisory network** with deep healthcare and technology expertise. ## Strategic Focus - **Proactive vs. reactive**: Shift health system finance from post-period hindsight to real-time foresight. - **Data completeness**: Build proprietary datasets to complement fragmented health system data. - **Agentic optimization**: Expand AI agent coverage across supply chain, pharmacy, and managed care. - **Scaled impact**: Target larger health systems and multi-hospital networks (e.g., CommonSpirit Health). ## Why Work Here - **Culture**: Small, tight-knit team with values of transparency, collaboration, ownership mindset, and speed. “We build with, not for, each other.” - **Work model**: Hybrid office in San Francisco (employees split time between remote and on-site). Some roles listed as remote. - **Perks**: Competitive pay & equity, full medical/dental/vision, flexible PTO & family leave, commuter benefits, pet-friendly office, daily team lunches, professional development stipends, weekly social events. - **Engineering culture**: “We ship early and often” – emphasis on fast iteration and ownership of outcomes. Team includes operators, engineers, and health system experts. ## Sources 1. [midstream.health](https://www.midstream.health/) – Company landing page 2. [midstream.health/careers](https://www.midstream.health/careers) – Careers page with perks and job openings 3. [midstream.health/about](https://www.midstream.health/about) – About page with leadership, advisors, and values 4. [builtin.com/company/midstream-health](https://builtin.com/company/midstream-health) – Company profile including founded year, office location, and job listings 5. [jobs.ashbyhq.com/midstream](https://jobs.ashbyhq.com/midstream) – Active job postings ## Other roles at Midstream Health - [Applied AI Solutions Architect](https://feeny.ai/job/applied-ai-solutions-architect-midstream-health-san-francisco-32etbt1vhf4r) — San Francisco, CA - [Partnership Engagement](https://feeny.ai/job/partnership-engagement-midstream-health-united-states-kxe9cqcerzee) — United States - [Product Lead](https://feeny.ai/job/product-lead-midstream-health-san-francisco-wj7rm4tg0b99) — San Francisco, CA - [Software Engineer, Product](https://feeny.ai/job/software-engineer-product-midstream-health-san-francisco-94aqgd3mksw7) — San Francisco, CA - [GTM Operations](https://feeny.ai/job/gtm-operations-drivetrain-india-ckagc55ywev4) — India - [GTM Operations](https://feeny.ai/job/gtm-operations-cognition-san-francisco-hvyzdkqgmhzc) — San Francisco, CA