Director of Engineering
Trellis AI
Director of Engineering
Trellis AI
Transforms unstructured data to structured SQL
Our AI agents process billions of dollars worth of therapies annually with patients in all fifty states. We do this by automating document intake, prior authorizations, and appeals at scale to streamline operations and accelerate care. We classify medical referrals, understand chart notes, and automate contract and reimbursement search to provide patients with accurate coverage determinations and cost responsibility. Think of us as the infrastructure behind how patients get their medications.
Trellis is a spinout from Stanford AI Lab and is backed by leading investors including YC, General Catalyst, Telesoft Partners, and executives at Google and Salesforce.
We went from 6 to 8 figures of revenue in less than a year. Engineering is 15 people today in three pods (platform, deployed, and product), and we want to double the team by the end of the year. We're hiring a Director of Engineering to lead that growth and help us scale from here.
The question we're hiring against: what would someone who has taken a company from zero to nine figures in two or three years want to change here? You'll set the engineering bar, make the high-leverage technical and organizational calls, and build a team that ships fast without breaking the things patients depend on. You'll report to Jacky (Co-founder & CTO).
Scale the team: Hire, onboard, and grow engineers and engineering managers as we double headcount, and set the bar for who we hire
Set how we build: Own engineering practices, including dev environments, testing, code review, and how we ship, so the team gets faster as it grows
Make the big technical calls: Drive architecture and vendor decisions across our agent platform, Windows session fleet, and integrations (TypeScript, AWS, Temporal)
Keep the system reliable: Make sure our infrastructure scales past the $10B of therapies we process today
Unblock the team: Remove what slows engineers down, and keep platform, deployed, and product pods aligned on what matters most
Partner across the company: Work with the founders, deployments, and GTM to turn customer needs into a roadmap the team can deliver
You're early in a steep career curve: you've grown fast because you're very good, not because you've waited your turn. You've led engineering at an early-stage company that moved quickly, and you still like being close to the code. You want to build the team and the culture, not inherit a process.
Experience leading engineering teams at a fast-growing early-stage startup (seed to Series B), ideally through a period of rapid headcount growth
A strong technical background and credibility with senior engineers; you can still go deep on architecture
A track record of hiring and developing great engineers
Experience setting engineering practices that increased speed and quality
Experience with distributed systems, cloud infrastructure, or AI/agentic products is a plus
Healthcare experience is a plus
High ownership, clear communication, and comfort with ambiguity
Real impact at massive scale: We serve patients in all fifty states and are scaling to hundreds of healthcare locations. When the team ships, thousands of patients feel it the next day.
Incredible growth and traction: We've grown revenue 10x in the past few months alone.
Work with the founding team: Partner directly with founders and F500 customers, alongside healthcare operations leaders who have overseen 50+ locations.
Be at the forefront of AI in healthcare: Work on production-grade agentic systems that make critical healthcare decisions, not a demo.
World-class team: Join teammates who have won international physics olympiads, published economics research, were founding engineers at unicorn startups, and taught AI classes to hundreds of Stanford graduate students.
Compensation & Benefits
The salary range above is our good-faith estimate. Your final level and base salary will reflect what you bring: your skills, your experience, and how much ownership you’re ready to take on. Base pay is only one part of the package. Every full-time teammate also gets meaningful equity, because the people building Trellis should share in what it becomes. We are committed to keeping you healthy and supported so you can do the best work of your career. Here are some of the benefits & perks we offer:
Comprehensive medical, dental, and vision coverage
Flexible PTO & Sick Time
Daily meals in the office
Team offsites
Equal Opportunity at Trellis
At Trellis, we’re building AI agents that help patients get life-saving medicine faster. The patients and providers we serve come from every background, and our team should too. Trellis is an Equal Opportunity Employer. We hire based on talent, curiosity, and drive, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other legally protected characteristic.
If you need an accommodation at any point in our hiring process, let your recruiter know and we’ll take care of it.
Transforms unstructured data to structured SQL
Trellis AI provides an AI-powered data platform that converts unstructured enterprise data—from documents, calls, images, and emails—into structured, SQL-ready information for analytics and automated workflows. Its engine uses large language models to extract text and vision models to pull data from tables and layouts, with routing to balance cost and speed, plus anomaly detection and reference links for accuracy. Trellis also offers Trellis AI Studio, a spreadsheet-like no-code interface that lets business users design and scale document workflows without coding. By focusing on unstructured data and end-to-end document-to-SQL transformation, the company aims to speed underwriting, improve healthcare processes, and empower data teams to analyze information previously inaccessible.
Explore more opportunities at Trellis AI