About Trellis

Trellis sits at the center of the network. Our AI engine connects to every node in the care journey, automating the work that slows medicine down: extracting clinical data from messy referrals, generating letters of medical necessity, submitting prior authorizations to payer portals, flagging denials before they happen, enrolling patients in patient assistance programs (PAP) and clinical trials, and keeping patients informed at every step.

Our AI agents process billions of dollars worth of therapies annually with patients in all fifty states. 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.

The Opportunity

Trellis is looking for a Strategic Sales Director, Health Systems to own the commercial development of our health system business. This is a high-ownership individual contributor role for someone who knows how hospitals and integrated delivery networks (IDNs) buy from the inside, across revenue cycle, pharmacy, patient access, and infusion and oncology service lines; has existing relationships with health system executives; and is ready to build a direct health system revenue function.

The business has a strong foundation and real upside. Trellis already runs intake, benefits verification, and prior authorization for specialty pharmacies and infusion providers in all fifty states. Health systems run the same workflows across their infusion centers, specialty pharmacies, and oncology service lines, and every delay in authorization holds up treatment and revenue. What the business needs is a dedicated commercial leader who can win our first health system logos, expand them across sites, and own the revenue line.

Compensation

$250,000–$475,000 OTE (on-target earnings), including base salary and commission, plus meaningful equity.

What You Will Do

• Own the full commercial function for Trellis's health system business as a dedicated individual contributor
• Establish and grow direct relationships with health system executives, including CFOs and revenue cycle, pharmacy, patient access, and service line leaders; serve as the primary commercial point of contact
• Build and manage a pipeline across academic medical centers, regional health systems, and IDNs; land our first health system accounts and expand them across sites
• Engage health system buyers as a credible, consultative partner; build ROI cases around authorization turnaround, denials, patient access, and staff capacity
• Lead complex deals through paid pilots, IT and security review, EHR integration (e.g., Epic), value analysis, and procurement
• Shape our prescriber strategy: how Trellis supports health system prescribers and referral teams as they send patients to specialty pharmacy and infusion
• Partner with our product and deployment teams on packaging, pricing, and go-to-market, and bring market intelligence from health system conversations back to leadership

What You Bring

• Deep domain expertise in health system revenue cycle, pharmacy, patient access, or specialty service lines; you understand how hospitals and IDNs evaluate, pilot, and buy technology from the inside
• Established relationships with health system C-suite and VP-level leaders; the ability to walk into a CFO or VP of Revenue Cycle conversation as a credible peer and trusted partner
• A track record as an individual contributor closing six- and seven-figure, multi-year deals with health systems from prospecting through close
• Fluency in health system buying: pilots, value analysis committees, IT security reviews, EHR integration, GPOs, and procurement
• Experience growing a nascent or underdeveloped revenue line by landing first logos and expanding across sites
• A background at a revenue cycle, patient access, specialty pharmacy, or health-system-facing software or AI company

Why Trellis

• Real scale: Our AI agents process billions of dollars worth of therapies annually with patients in all fifty states, across hundreds of provider locations.
• Upside that hasn't been worked yet: A health system business built on workflows we already run in production, which has not yet had dedicated commercial focus.
• Growth and backing: We've grown revenue 10x in the past few months, and we're backed by YC, General Catalyst, Telesoft Partners, and executives at Google and Salesforce.
• Regulatory tailwind: CMS requires payers to support electronic prior authorization starting in 2027, accelerating the move away from fax and phone across payers and providers.
• Ownership: A high-ownership commercial seat with direct access to the founders and the ability to shape how the health system business is built.

Benefits

Remote-friendly, with travel to customers and our San Francisco office. Medical, dental, and vision insurance, with 99% of premiums covered. Unlimited PTO.

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.