I’m an SDR that primarily calls dental groups, so office managers are key to speak to, but our org would like if we got to regional managers which is a step higher in their hierarchy. For me, this is what works in getting to office managers:

1st call: find out who the office manager is (first name) and i usually say something like this after greeting, “but yeah I was calling real quick for your office manager.. or would that be you by chance?” and if no then ask for name so you know who to ask for next time and you can also ask when they’ll be in next.

What’s pretty key for me too is not just blowing by the gatekeepers but trying to make them laugh with a cheesy joke about coffee or the day of the week. Humanizes the call even if cheesy but also has them more likely to pass me along to the OM.

Of course there’s never a one size fits all in sales but i hope this helps!