True Talent Solutions Partners

Founding Engineer

New York
Salary
$210,000 - $260,000 annually
Level
Mid
Work type
On-site · New York
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 as its backend-leaning Founding Engineer. You will own core systems for drug pricing, claims, and payments, helping ensure reliable access to medication while shaping the platform's technical foundations.

What You'll Do

  • Own backend APIs, database design, permissions, health data boundaries, backups, staging, observability, and deployments.
  • Build and operate a real-time drug pricing system that collects prices from multiple sources and routes claims to the lowest-cost option.
  • Manage eligibility and claims flows through the adjudication system, maintaining reliability for pharmacy transactions.
  • Build a claims adjudication engine and validate it against an existing system using replayed claims.
  • Develop payments infrastructure for broker and pharmacy transactions, supporting high availability and significant payment flows.
  • Make foundational architecture and schema decisions to support growth from hundreds to tens of thousands of users.

What We're Looking For

  • Three to eight years of backend or full-stack engineering experience, with strong backend architecture and database schema design skills.
  • Experience owning production systems where downtime or errors have direct financial or operational consequences, such as payments, ledgers, trading, or critical infrastructure.
  • Proficiency with Python, FastAPI, PostgreSQL, row-level security, GCP, Cloud Run, Cloud SQL, React, and TypeScript.
  • Experience operating as a sole engineer or taking broad ownership at an early-stage startup, alongside exposure to larger technology organizations.
  • Comfort making architecture decisions, working with AI development tools such as Claude Code or Cursor, and constructively challenging technical direction.
  • Experience outside healthcare, health benefits, and pharmacy is preferred. A computer science or related degree is a plus.

Compensation & Benefits

Base salary: $210,000 to $260,000 annually. Visa sponsorship is not available.

Location

On-site in New York, New York.

What this role asks for

Particular to this role

FastAPI · GCP · PostgreSQL

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

Standard for software engineering roles

Python

Common in software engineering 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 New York was taken down and the role was posted again.

Salary context

60 other open postings titled Founding Engineer state a salary: median USD 153,000 to USD 250,000 a year.

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