Senior ML Engineer
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Job Description
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Truemed enables health and wellness merchants to accept $150+ billion in HSA/FSA funds. At the center of this is determining whether products qualify for pretax spendingâa 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 systemsâdefining what âcorrectâ 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 ambiguityâthe 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
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Truemed
View Company ProfileTruemed (operating under truemed.com) is a healthcare payment infrastructure platform that enables consumers to purchase health-promoting products and servicesâsuch as fitness memberships, supplements, cold plunges, sleep aids, and diagnostic equipmentâusing pre-tax Health Savings Account (HSA) and Flexible Spending Account (FSA) dollars. Founded in 2022 by health and wellness entrepreneurs Justin Mares and Calley Means, Truemed bridges the gap between conventional healthcare financing and preventative wellness. The platform integrates directly into merchant e-commerce checkouts, providing compliance-backed telehealth intake surveys that connect qualified customers with independent, licensed clinicians who issue Letters of Medical Necessity (LMN). Partnering with over 3,000 premier health and lifestyle brandsâincluding Peloton, Eight Sleep, Plunge, Momentous, and 24 Hour FitnessâTruemed unlocks the $150B+ HSA/FSA market, allowing consumers to save an average of 30% on preventative health spending while increasing average order values and conversion rates for brands. Truemed is backed by leading venture capital firms, including Andreessen Horowitz (a16z), Bessemer Venture Partners, and Trust Ventures, and is headquartered in Austin, Texas.
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