Founding Account Executive

Healthcare's largest cost center runs on software that doesn't decide anything Labor accounts for roughly 56% of what American hospitals spend. Tools to manage it exist, but they are systems of record: they store the schedule, they do not build it. So coordinators still rebuild rotations by hand every week or month.

Clinicians still lose personal time to changes nobody saw coming. Executives still approve staffing and contract labor with limited visibility into what either actually costs. YouShift is building the AI-native workforce operating system for healthcare.

Our agents do the work that used to consume an entire operations team: they build and rebalance schedules, hold the line on compliance and clinician preferences, plan capacity against demand, and surface where labor spend is leaking. Scheduling is where we start with most customers. It is not where we stop.

We are 17 people, backed by Y Combinator. The product works, some of the largest physician groups in the United States are paying for it, and our founders have closed those deals themselves. What we do not have yet is someone who is not a founder closing deals repeatably. That is the job.

Why this role matters You will not be joining a mature sales organization with years of playbooks behind it. You will work directly with our leadership and founders to build the outbound engine that fuels our next stage of growth, as one of the first people on our commercial team.

That cuts both ways, and we would rather be honest about it. There is no script waiting for you, no library of proven sequences, and some of what you try will not work. In exchange, the decisions you make in your first six months will still be visible in how this company sells three years from now.

Two levels, one opening We are hiring one Account Executive and we are genuinely open at two levels. Rather than post a number we do not mean, here is exactly how we think about it. Mid-level You own the Growth segment: physician groups of roughly