Summary written by USA Jobs 24 from Sierra's advert and our data on 17,030 current US jobs. How we check every job
At a glance
Sierra is hiring a Enterprise Sales Engineer - Strategic, Healthcare in San Francisco, CA; New York, NY +1. It is a full-time on-site role in Healthcare & Life Sciences, asking for at least 18 years of experience, first listed on November 1. The advertised pay is $305,000–$315,000 a year. The description mentions Salesforce. Sierra has 99 other openings in the US, 97 of them in San Francisco, CA. Across all employers on USA Jobs 24 there are 40 Healthcare & Pharma openings in San Francisco, CA today; the typical one asks for 8 years and advertises about $256,000 a year at the midpoint.
How the pay compares
Sierra advertises $305,000 to $315,000 a year, a midpoint of $310,000 a year. Where an offer lands in a range usually depends on experience and on the exact location. That is higher than about 78% of the 68 healthcare & pharma jobs in California that publish a yearly rate on USA Jobs 24, where the typical midpoint is $234,000 a year. To see roughly what this leaves after federal and California tax, try our take-home pay calculator.
Skills in this advert
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Before you apply
- Check it is still open. We found this job on Sierra's Ashby site on November 1 and checked it again November 4, 5:17 AM ET. When an employer takes a job down, we remove it at our next daily update.
- Check the location works for you. This role is based in San Francisco, CA (or one of 2 other locations). If you would need to move, ask whether relocation help is offered.
- Match the experience. The advert asks for at least 18 years of experience. If you are a little short, a close match on the skills in the advert can still win an interview.
- Tailor your resume. Use the advert's own words, such as Salesforce, wherever they are true for you. Our resume guide shows how.
- Know your number. Decide the lowest offer you would accept before the first call. Our salary negotiation guide explains how to ask for more.
- Apply only through Sierra's own site. Our Apply button goes straight to Sierra's Ashby page. If anyone contacts you about this job and asks for money, gift cards or bank details, stop and check it with our scam checker. Read how to spot a fake job offer.
About hiring at Sierra
Sierra has 100 openings on USA Jobs 24 today across 3 states. Most are in software & IT (40), sales & BD (18) and operations (7). The biggest locations are San Francisco, CA (98), New York, NY (62) and Atlanta, GA (32). 11% of them are remote, 5% are open to entry-level candidates and 93% show pay. We collect Sierra's jobs every day straight from its own careers system (Ashby), never from job boards or agencies.
The employer's advert
This is Sierra's own description of the job, copied word for word from its careers site. We have not edited it.
Show the full advert from SierraHide the advert1,116 words
About us
Sierra is the leading platform for customer-facing AI agents, working with many of the world's biggest brands — including The GAP, Rocket Mortgage, SoFi, Sutter Health, and SoftBank — to transform how they serve customers and grow their businesses. We are primarily an in-person company based in San Francisco, with growing offices across North America, Europe, and Asia.
We are guided by a set of values that are at the core of our actions and define our culture: Trust, Customer Obsession, Craftsmanship, Intensity, and a commitment to balancing Family along the way. These values are the foundation of our work, and we are committed to upholding them in everything we do.
Our co-founders are Bret Taylor and Clay Bavor. Bret currently serves as Board Chair of OpenAI. Previously, he was co-CEO of Salesforce (which had acquired the company he founded, Quip) and CTO of Facebook. Bret was also one of Google's earliest product managers and co-creator of Google Maps. Before founding Sierra, Clay spent 18 years at Google, where he most recently led Google Labs. Earlier, he started and led Google’s AR/VR effort, Project Starline, and Google Lens. Before that, Clay led the product and design teams for Google Workspace.
About the Healthcare team
Our healthcare agents already reach over 50% of U.S. families. We partner with leading health plans, providers, and healthcare platforms to deliver AI agents that handle some of the most sensitive and high stakes conversations in any industry. From helping members understand their benefits to resolving billing questions with empathy, our healthcare agents are transforming how patients and policyholders interact with the healthcare system.
Our healthcare customers include major health insurance networks, nonprofit providers, multi-site primary and urgent care practices, healthcare diagnostics companies, and healthcare financial platforms.
Join us to transform the patient experience across the healthcare system—and help build technology that makes care more accessible, more human and more affordable for everyone.
What you'll do
Go deep on a few accounts. Learn each customer's business well enough that you could be wearing their badge in their hallways
Own the end-to-end technical pre-sales process by scoping customer use cases, articulating business value, designing and demoing Sierra’s incredible platform, leading technical and architecture reviews, and serving as the trusted technical expert throughout the sales cycle
Decide when to bring in Agent Development, Product, Security, Legal, and Sierra leaders, and what each of them needs to do. You keep everyone aimed at the same goal
Raise the bar for the SE team: mentor others, set standards for demos and pilots, and write the playbooks for Strategic deals and GTM processes
Stay with the account after the sale, through the Agent Development handoff, launch, and expansion to new use cases
Share what you see across your largest accounts with Product leadership and inform roadmap
What you'll bring
7+ years experience in Sales Engineering, Solutions Engineering or customer-facing technical sales
Experience in leading the sales process with Strategic customers with deal sizes of $1M+ consistently
Past experience in demo building, and presenting, and working with customers or clients in the GTM function
Strong experience in relationship-building with prospect stakeholders, including C-suite executives and technical leaders
Experience leading architecture, integration, and security discussions with enterprise architects, engineering leaders, and security teams
Ability to leverage AI tools efficiently as a regular part of your technical sales motion — discovery prep, solution design, demo and prototype building, technical proposals. Importantly, you own the accuracy of anything you put in front of a customer, whether or not AI helped you build it
Experience growing accounts past initial sale and defining customer roadmaps to facilitate growth
Bachelor's Degree or above; bonus if in Computer Science or related field, or equivalent professional experience
Even better...
Experience translating code, technical logic and user requirements to product and engineering requirements
Selling a technical AI product
Our values
Trust: We build trust with our customers with our accountability, empathy, quality, and responsiveness. We build trust in AI by making it more accessible, safe, and useful. We build trust with each other by showing up for each other professionally and personally, creating an environment that enables all of us to do our best work.
Customer Obsession: We deeply understand our customers’ business goals and relentlessly focus on driving outcomes, not just technical milestones. Everyone at the company knows and spends time with our customers. When our customer is having an issue, we drop everything and fix it.
Craftsmanship: We get the details right, from the words on the page to the system architecture. We have good taste. When we notice something isn’t right, we take the time to fix it. We are proud of the products we produce. We continuously self-reflect to continuously self-improve.
Intensity: We know we don’t have the luxury of patience. We play to win. We care about our product being the best, and when it isn’t, we fix it. When we fail, we talk about it openly and without blame so we succeed the next time.
Family: We know that balance and intensity are compatible, and we model it in our actions and processes. We are the best technology company for parents. We support and respect each other and celebrate each other’s personal and professional achievements.
What we offer
We want our benefits to reflect our values and offer the following to full-time employees:
Flexible (unlimited) paid time off
Medical, dental, and vision benefits for you and your family
Life insurance and disability benefits
Retirement plan dependent on country of employment
Parental leave
Fertility and family building benefits through Carrot
Lunch, as well as delicious snacks and coffee to keep you energized
Discretionary benefit stipend giving people the ability to spend where it matters most
Free alphorn lessons
These benefits are further detailed in Sierra's policies, may vary by region, and are subject to change at any time, consistent with the terms of any applicable compensation or benefits plans. Eligible full-time employees can participate in Sierra's equity plans subject to the terms of the applicable plans and policies.
Be you, with us
We're working to bring the transformative power of AI to every organization in the world. To do so, it is important to us that the diversity of our employees represents the diversity of our customers. We believe that our work and culture are better when we encourage, support, and respect different skills and experiences represented within our team. We encourage you to apply even if your experience doesn't precisely match the job description. We strive to evaluate all applicants consistently without regard to race, color, religion, gender, national origin, age, disability, veteran status, pregnancy, gender expression or identity, sexual orientation, citizenship, or any other legally protected class.
USA Jobs 24 copied this listing from Sierra's official careers site on November 1, 2026 and checked it again November 4, 5:17 AM ET. Sierra will never ask you to pay to apply or to buy equipment with a check they send you. If anyone does, it is a scam.
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