Senior ML Engineer
at Truemed
Remote, remote, senior, full time, USD 1,80,000–2,50,000 / year, 5+ years
posted 20 Oct 2026
- Retrieval
- Agent design
- Prompting
- LLMs
- OpenAI
- Anthropic
- Fine-tuning
- Python
About the role
Remote: yes Posted: 2026-10-20
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 would 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
What comes with it
- Comp and equity in the top decile for Series A startups. This position's pay band is $180k to $250k plus stock options
- Comprehensive medical, dental, and vision insurance with employer-sponsored HSA contributions
- 401(k), unlimited PTO, remote work
- Coworking stipend, L&D stipend
- 2x/year company offsites and 2x/year team offsites
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