Senior ML Engineer
Truemed
Summary
Truemed enables health and wellness merchants to accept $150+ billion in HSA/FSA funds. At the center of that is determining whether products qualify for pretax spending - a classification problem with regulatory, financial, and clinical consequences at scale.
Job description
The Role
Truemed enables health and wellness merchants to accept $150+ billion in HSA/FSA funds. At the center of that is determining whether products qualify for pretax spending - a classification problem with regulatory, financial, and clinical consequences at scale.
We solve this using cutting-edge ML technologies that enable us to scale the number of merchants and product categories we can support while maintaining industry-leading accuracy requirements. As a Senior ML Engineer, you will run the experiments that decide how that system improves, and ship the winners to production.
What you'll do
- Run the experiments that move classification accuracy: form a hypothesis, test it against labeled data, and ship what wins
- Design and iterate on classifiers that evaluate products against eligibility rules, across prompting, retrieval, fine-tuning, and multi-model approaches
- Dig into misclassifications to find failure modes, and turn each one into the next experiment
- Build and extend the evaluation sets and metrics that tell us when a model is better, including how we label ground truth
- Track new models and research, and test the ones that could change our accuracy or cost curve
- Extend classification coverage to new product categories as Truemed expands
- Find new applications for our models and data beyond product classification, and prototype the ones worth pursuing
- Collaborate with clinical ops and legal teams to turn eligibility standards into labeled data and testable system behavior
- Write up results so the team makes model decisions from evidence, and help raise AI fluency across engineering
What you bring
- 5+ years of engineering or applied research experience, with at least 2 years of hands-on work with LLMs or other ML models on real problems
- A track record of rigorous experiments: clear hypotheses, sound baselines, ablations, and conclusions you would defend
- You thrive and enjoy looking at data with your eyes for hours and consider it part of the workflow in any ML work
- Comfort designing evaluation methodology for AI systems - defining what "correct" means and measuring it
- Hands-on experience with prompting, fine-tuning, retrieval, or agent design on foundation models (OpenAI, Anthropic, open-weight models)
- Fluency in Python and enough engineering depth to take an experiment to production
- Senior-level ownership: you've taken an ambiguous ML problem from first experiment to production on your own
- Comfort with ambiguity - the right approach isn't always known upfront and has to be discovered through experimentation
- Public evidence of how you run experiments: a paper, open-source ML work, or a technical write-up of results you would defend
- Bonus: experience with healthcare or regulatory classification, or multi-model orchestration
Requirements
- 5+ years of engineering or applied research experience
- At least 2 years of hands-on work with LLMs or other ML models on real problems
- A track record of rigorous experiments: clear hypotheses, sound baselines, ablations, and conclusions you would defend
- Comfort designing evaluation methodology for AI systems
- Hands-on experience with prompting, fine-tuning, retrieval, or agent design on foundation models
- Fluency in Python and enough engineering depth to take an experiment to production
- Senior-level ownership: taken an ambiguous ML problem from first experiment to production on your own
- Comfort with ambiguity
- Public evidence of how you run experiments: a paper, open-source ML work, or a technical write-up
- Bonus: experience with healthcare or regulatory classification, or multi-model orchestration
Benefits
- Stock Options
- Medical Insurance
- Dental Insurance
- Vision Insurance
- Employer-Sponsored HSA Contributions
- 401(k)
- Unlimited PTO
- Remote Work
- Coworking Stipend
- L&D Stipend
- Company Offsites
Company overview
Truemed is an innovative healthcare payment technology company that operates a specialized marketplace platform connecting consumers with HSA/FSA-eligible health and wellness products. Founded in 2001 and headquartered in Austin, Texas, the company has developed a unique business model that enables individuals to use their tax-advantaged Health Savings Account (HSA) and Flexible Spending Account (FSA) funds for a wide range of preventive health products beyond traditional medical expenses. Through their proprietary platform, Truemed facilitates the issuance of Letters of Medical Necessity (LMN) from licensed healthcare providers, allowing consumers to purchase fitness equipment, supplements, sleep products, health technology devices, and wellness services using pre-tax dollars. The company has raised $34 million in Series A funding in 2025 from prominent investors including Andreessen Horowitz, Bessemer Venture Partners, and BoxGroup. Truemed serves both consumers seeking to maximize their healthcare benefits and businesses looking to expand their customer base by accepting HSA/FSA payments. Their platform represents a significant innovation in healthcare financing, bridging the gap between traditional medical spending and preventive wellness investments while helping consumers save an average of 30% on qualified health purchases.