Lead AI / LLM Engineer
Listed on 2026-08-10
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Software Development
AI Engineer (Applied/Software)
About Trek Health
Trek Health is a health technology startup helping provider organizations secure better reimbursement rates and stronger financial performance. Our AI-driven Price Transparency Platform unites Contract Intelligence with Pricing Intelligence to support the full payer negotiation lifecycle — from pre-negotiation opportunities to post-signature impact. We're backed by $11M in Series A funding from Madrona, Lionheart Ventures, Altman Capital, and Founder Collective.
About the Role
Full-time, hybrid, based in the San Francisco Bay Area.
Candidates must be local to Bay Area. As Lead AI/LLM Engineer, this is a hands-on role, you'll build and deploy the AI systems powering our platform, set technical direction, and mentor the team.
Mandatory Skills
- Built and deployed autonomous AI agents powered by LLMs to production environments.
- Optimized agent performance using in-depth knowledge of LLM.
Resumes that don't clearly demonstrate the above two mandatory skills won't be considered.
Highly Desirable Skills
- Built robust data pipelines using advanced SQL and data warehousing
- Snowflake — SQL and stored procedures (JavaScript, Python)
- Event-driven data pipelines — streams, tasks, queues, async orchestration
- Performance bench marking and optimization — API and Snowflake procedure latency
- System design and architectural decision-making
- AWS (S3, Code Build, ECS) — deployment, file storage, CI/CD
- Next.js + React 19 + Type Script 5 — SSR, Server Components, API routes
- React Query — server state management
Nice to Have
- Healthcare, payer/provider data, or pricing/contracts
- Early-stage startup experience
Benefits
- Opportunity to work on latest and greatest tech in AI / LLM
- Industry standard compensation, equity, health / dental / life insurance
- Quick hiring process (1 tech screen, 1 HM / HR screen)
- Seniority level
Mid-Senior level - Employment type
Full-time - Job function
Engineering and Information Technology - Industries Hospitals and Health Care
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