SyndicatedFractional ExecutiveSan Francisco, California, United States
Full-time Account Executive, Health Systems, Trellis AI
FULL-TIME EXEC JOB · HEALTHTECH SECTOR · SAN FRANCISCO, CALIFORNIA, UNITED STATES

Full-time Account Executive, Health Systems at Trellis AI, based in San Francisco. Full posting below, with the day rate stated or estimated with its basis.
Full-time Account Executive, Health Systems — the posting in full
~/original-posting · verbatimsource: ashby
What the posting asks · quoted from the listing
- Years
What You'll Bring 5+ years of B2B sales experience, including 3+ years as a quota-carrying AE closing new business Required: direct experience selling enterprise software or servi…
- Must-have
You're a builder who likes owning a number. You'd rather open a new market than inherit a territory, and you're as comfortable writing a cold sequence as you are walking a VP of O…
- Must-have
You move fast, stay organized, and get curious about how things work. That means learning how a prior authorization moves through a specialty pharmacy, or how to wire up a tool th…
- Must-have
5+ years of B2B sales experience, including 3+ years as a quota-carrying AE closing new business
- Must-have
Required: direct experience selling enterprise software or services to hospitals and health systems
- Must-have
A track record of closing six- and seven-figure deals with long cycles and many stakeholders
- Must-have
Working knowledge of health system revenue cycle, pharmacy, or patient access operations
- Must-have
Experience navigating IT security reviews, EHR integrations, and health system procurement
- Must-have
Experience selling technical, SaaS, or AI products is a plus
- Must-have
Why Work With Us
- Must-have
Real impact at massive scale: We serve patients in all fifty states and are scaling to hundreds of healthcare locations. Every account you close means more patients starting thera…
- Must-have
Incredible growth and traction: We've grown revenue 10x in the past few months alone.
Trellis builds and deploys self-improving agents to get patients access to life-saving medicine.
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.
The Role
You'll lead Trellis's newest business line: selling to hospitals and health systems. Health systems run infusion centers, specialty pharmacies, and oncology service lines that depend on fast, accurate authorizations and financial clearance. You'll open our first health system accounts and shape how we win in this market.
Compensation: $250,000–$300,000 OTE (on-target earnings), based on a 50/50 split between base salary and commission, plus meaningful equity.
What You'll Do
- Own the full sales cycle, from prospecting through discovery, pilot scoping, pricing, and close
- Build pipeline across academic medical centers, regional health systems, and hospital-based cancer centers
- Sell to revenue cycle, pharmacy, infusion, and oncology service line leaders, up to CFOs and other C-suite executives
- Build ROI cases around authorization turnaround, denials, patient access, and staff capacity
- Navigate long, complex buying cycles, including IT and security review, EHR integration (e.g., Epic), value analysis, and procurement
- Partner with founders and our deployment team to define the health system playbook, from packaging to reference accounts
- About You
You're a builder who likes owning a number. You'd rather open a new market than inherit a territory, and you're as comfortable writing a cold sequence as you are walking a VP of Operations through a business case.
You move fast, stay organized, and get curious about how things work. That means learning how a prior authorization moves through a specialty pharmacy, or how to wire up a tool that saves you ten hours a week.
What You'll Bring
- 5+ years of B2B sales experience, including 3+ years as a quota-carrying AE closing new business
- Required: direct experience selling enterprise software or services to hospitals and health systems
- A track record of closing six- and seven-figure deals with long cycles and many stakeholders
- Working knowledge of health system revenue cycle, pharmacy, or patient access operations
- Experience navigating IT security reviews, EHR integrations, and health system procurement
- Experience selling technical, SaaS, or AI products is a plus
- Why Work With Us
Real impact at massive scale: We serve patients in all fifty states and are scaling to hundreds of healthcare locations. Every account you close means more patients starting therapy sooner.
Incredible growth and traction: We've grown revenue 10x in the past few months alone.
Build the playbook, not follow one: You'll help define how Trellis sells into new segments, including health systems, with real input on strategy, tooling, and hiring.
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: Sell 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.
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