True Talent Solutions Partners

Founding Backend & Infrastructure Engineer

San Francisco
Salary
$160,000 - $200,000 annually
Level
Mid
Work type
On-site · San Francisco
Visa
Not offered

Open. First seen 28 October 2026.

Apply on the company's site →

About the role

About the Role

Join an early-stage healthtech team building a clinical AI platform for healthcare payments. You will own core backend infrastructure and distributed systems that process complex clinical and financial workflows, helping bring new clinical intelligence capabilities into production.

What You'll Do

  • Build and scale distributed systems for chart processing, claims, authorizations, denials, and payer and provider integrations.
  • Develop browser and computer-use automation for interacting with medical record software and payer portals.
  • Design reliable infrastructure for scanned charts, PDFs, structured claims, unstructured notes, and operational data.
  • Build orchestration, queuing, retry, and observability systems for long-running workflows across healthcare platforms.
  • Partner with research and product engineers to bring new capabilities into production and establish sound engineering patterns.

What We're Looking For

  • At least 3 years of backend engineering experience, with a track record of owning and scaling technically complex systems.
  • Strong Python, microservices, and distributed systems experience, along with hands-on backend architecture and implementation skills.
  • Experience with data pipelines, workflow orchestration, large or messy datasets, and production LLM or machine learning systems.
  • Background in healthtech, fintech, data infrastructure, or another engineering-intensive environment.
  • A degree in computer science, mathematics, or a related field, or equivalent strong technical foundations.
  • Interest in early-stage startup work and a role involving daily hands-on coding.

Compensation & Benefits

Base salary: $160,000 to $200,000 annually. Visa sponsorship is not available.

Location

On-site in San Francisco, United States.

What this role asks for

Particular to this role

Microservices

Rare in True Talent Solutions Partners's other 59 open postings.

Standard for DevOps / SRE / cloud roles

Python

Common in DevOps / SRE / cloud postings at any company.

Compared with True Talent Solutions Partners's other open jobs.

The team: Client Roles

This role is one of 105 open in Client Roles. 105 were posted in the last 30 days, including 5 lead roles: the team is hiring the people who run it too.

WHAT THE TEAM WORKS WITH, ACROSS ITS POSTINGS

Python (56 of 105), TypeScript (43 of 105), LLM (37 of 105), React (37 of 105), Machine Learning (24 of 105), JavaScript (23 of 105), AWS (22 of 105)

OTHER ROLES ON THIS TEAM

From the team and dates on True Talent Solutions Partners's own job board.

Posting history

Reposted once since 25 October 2026: a posting for this role in San Francisco was taken down and the role was posted again.

  • 28 October 2026 – open (this posting)
  • 25 October 2026 – closed 26 October 2026

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