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Account Executive, Health Systems

Trellis AI

San Francisco, CAFull-time$250–300K/yrSeen todayStill listed today

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At a glance

Compensation
$250–300K/yr
Location
San Francisco, CA
Schedule
Full-time
Work Authorization
Not specified

Olive lists jobs from US employers, including remote roles you can work from the United States.

Job overview

Trellis AI is hiring an Account Executive to lead its health systems business line. The role focuses on opening hospital and health system accounts and shaping the company’s sales approach in this market. The Account Executive will sell solutions for authorization and financial clearance workflows, working with healthcare leaders and partnering with founders and the deployment team.

Skills & qualifications

RequiredNice to have

Skills

B2B Sales, requiredQuota-Carrying Sales, requiredEnterprise Sales, requiredDeal Closing, requiredHealth System Operations, requiredIT Security Reviews, requiredEHR Integrations, requiredHealth System Procurement, requiredTechnical Sales, nice to haveSaaS Sales, nice to haveAI Sales, nice to have

Qualifications

5+ Years B2B Sales Experience, required3+ Years Quota-Carrying AE Experience, requiredSix- and Seven-Figure Deals, required

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Paid Time Off

Full job description

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), including 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.

How this job compares

Set against the 11,368 open Account Executive jobs on Olive Jobs, counted November 12, 2026.

Pay
  • This posting$250–300K/yr
  • California median$125–185K/yr1,175 salary ranges
  • US median$110–150K/yr8,490 salary ranges

This range's midpoint, $275K, is 74% above the California median midpoint ($158K) — in the top quarter of Account Executive salary ranges in California.

Openings
Olive Jobs lists 1,455 open Account Executive jobs in California and 11,368 across the US. 17% of them nationwide are listed as remote or flexible.
Hiring the most in California
Experience
This posting asks for no prior experience — less than three in four Account Executive postings that state a minimum ask for (median 5 years, across 8,516 postings).
Education
1,526 of the 11,368 open Account Executive jobs (13%) ask for a bachelor's degree or higher.

Counted across the open, public US postings on Olive Jobs on November 12, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.

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