Lead AI / LLM Engineer

Madrona Venture Labs; San Mateo (CA); Hybrid; USD 180,000 - 230,000; Full time

Benefits offered by this job

Health insurance

Equity

Hybrid work

Fast hiring process

Job summary

Trek Health is seeking a Lead AI/LLM Engineer to build and deploy AI systems that power our health tech platform. You’ll set technical direction, own system design, and mentor the team in a hands-on role anchored in the Bay Area.

This full-time, hybrid position requires local presence in the San Francisco Bay Area and a track record of delivering production AI/LLM solutions at scale.

Qualifications

• Built and deployed autonomous AI agents powered by LLMs to production environments.
• Optimized agent performance using in-depth knowledge of LLM.

Responsibilities

• Lead the design and deployment of AI/LLM systems powering our platform.
• Set technical direction and mentor the engineering team.

Skills

Autonomous AI agents

LLM optimization

Tools

Snowflake

SQL

JavaScript

Python

TypeScript

Next.js

React

AWS

ECS

CodeBuild

CI/CD

Job description

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)

• Seniority level

  Mid-Senior level

• Employment type

  Full-time

• Job function

  Engineering and Information Technology

• Industries

  Hospitals and Health Care