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Lead AI / LLM Engineer

Trek Health
Posted Aug 6, 2026
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Lead AI / LLM Engineer

Trek Health Pleasanton, CA

Lead AI / LLM Engineer

Trek Health Pleasanton, CA 1 month ago 110 applicants

See who Trek Health has hired for this role

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, CodeBuild, ECS) — deployment, file storage, CI/CD
  • Next.js + React 19 + TypeScript 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)


How to Apply

Apply via LinkedIn or send your detailed notes / example on the mandatory skills to hr@trekhealth.io

  • Seniority level

    Mid-Senior level

  • Employment type

    Full-time

  • Job function

    Engineering and Information Technology

  • Industries

    Hospitals and Health Care

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