There are hundred million dollar manufacturing companies out there tracking whole processes with pen and paper. Just sayin'.
There's multiple parts to this field of work: networking to find leads, doing discovery to understand a potential client's problem, formulating a technical solution, creating/negotiating contracts, and implementing the solution. My experience in this area was at a company that was large enough so that these pieces were split into different roles within our organization, and I was mostly on the tech/solution implementation side.