Founding Sales & Account Executive ( AI / B2B SaaS)– Aesthetic Medicine

Startup (AI / B2B SaaS)
Freelance - Fully Remote (ESP based)
Full-time preferred
Our mission is to redefine how modern brands grow in the era of AI.
We're an early-stage startup with a live product and our first paying customers in aesthetic medicine & plastic surgery. So far, sales has largely been founder-led.

Now we're looking for the person who can help turn that into a repeatable sales engine.
You won't be joining an established sales organization.
This is our first dedicated sales hire and one of the most important roles in the company.
You own the pipeline end to end: You find the clinics, you pick up the phone, you run the demo, you follow up, you close — and you bring what you hear in the market straight back to the founders.
If you're excited about joining early, taking real ownership and potentially growing into a commercial leadership role as River scales, this could be for you.

Own the full sales cycle: prospecting → first call → demo → follow-up → close
Build pipeline across aesthetic clinics & plastic surgeons, initially Spain and Europe
Cold calls, 6th follow-ups, manual research, sending the voice note on a Friday evening, whatever gets the clinic to answer
Build genuine relationships with clinic owners, doctors and industry leaders




Use modern sales automation intelligently, while being perfectly comfortable doing things manually
Show up where the industry is: congresses, clinic groups, industry communities, partner networks
Help us refine our pitch, positioning, ICP and sales playbook based on insights
You have proven hands-on B2B sales experience
You've personally done outbound sales, including cold calling and demos
You're comfortable owning the entire sales process , not just one step of it
You're persistent and understand that great sales often happen in the follow-up
You're fluent in Spanish and English
French, German or Italian is a plus

You already understand or have a network in aesthetic medicine, plastic surgery, private healthcare, medical SaaS or adjacent industries.
Early-stage startup experience or SaaS experience is another strong plus.

 A key role in an early-stage AI startup with paying customers already live
Fully remote within Spain
Freelance collaboration to start, with the opportunity to transition into a long-term full-time role.
Full-time preferred, although we're open to exceptional part-time profiles
Competitive freelance compensation with performance-based upside
Opportunity to grow into a broader commercial leadership role as River scales

📌 Founding Sales & Account Executive - (AI Native SaaS / Aesthetic Medicine) (Madrid)
🏢 River AI
📍 Madrid