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 are looking for a Partner Engagement Manager to own the success and outcomes of Midstream’s health system customers.

This role is responsible for ensuring customers realize value quickly and consistently. You will serve as the primary point of contact from day one—understanding customer goals, guiding adoption, and ensuring Midstream delivers measurable impact on financial and operational performance.

This is a high-ownership customer centric role. You will work closely with customers to turn initial adoption into long-term partnership—ensuring they see continuous value, expand their use of the platform over time, and become strong advocates for Midstream.

What you'll be doing

Own customer outcomes
Partner with customers to define success, track progress, and ensure Midstream delivers clear, measurable value.

Drive adoption and engagement
Guide onboarding, usage, and ongoing engagement to ensure the product becomes embedded in customer workflows.

Proactively manage account health
Monitor signals, identify risks early, and resolve issues before they impact retention or satisfaction.

Build deep, trusted relationships
Develop strong relationships across stakeholders—from operators to executives—becoming a trusted partner over time.

Turn customers into advocates
Create positive customer experiences that lead to references, case studies, and executive sponsorship.

Support expansion through value
Identify opportunities to deepen engagement as customers realize success, partnering with the commercial team where needed.

Who you are

Experienced in customer success or customer-facing roles
You have 5+ years of experience working closely with customers in SaaS, healthcare, or enterprise environments.

Outcome-oriented
You focus on delivering measurable value and ensuring customers achieve their goals—not just managing relationships.

A strong relationship builder
You build trust across all levels of an organization, including executive stakeholders.

Proactive and solution-oriented
You anticipate challenges, ask the right questions, and bring solutions before issues escalate.

Commercially aware (but not sales-first)
You understand how value leads to expansion and can spot opportunities without forcing them.

A high-ownership operator
You take responsibility for customer success, move quickly, and thrive in a fast-paced startup environment.