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 30 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 platform architecture and build reliable systems that support prescription pricing, claims processing, and payments.

What You'll Do

  • Own the backend, including APIs, database design, permissions, sensitive health data boundaries, backups, staging, observability, and deployments.
  • Build and operate a real-time drug pricing system that gathers prices from multiple sources and routes claims to cost-effective options.
  • Manage eligibility and claims flows through an adjudication engine, ensuring failures do not disrupt access to medication.
  • Build a claims adjudication engine and validate it against a current system using replayed claims.
  • Own payment infrastructure between brokers and pharmacies, with high availability and financial accuracy requirements.
  • Make foundational architecture and schema decisions as the platform scales.

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 building and operating production systems where downtime or errors have direct financial or operational impact, such as payments, ledgers, trading, or critical infrastructure.
  • Proficiency with Python, FastAPI, PostgreSQL, row-level security, GCP, Cloud Run, Cloud SQL, React, and TypeScript.
  • Familiarity with AI development tools such as Claude Code or Cursor.
  • Comfort operating as the sole engineer at an early-stage startup, making architecture decisions, and constructively challenging technical assumptions.
  • Startup experience alongside experience in larger technology organizations is valued. Experience in healthcare, health benefits, or pharmacy is not required.

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 · SQL

Rare in True Talent Solutions Partners's other 124 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 125 open in Client Roles. 125 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 (71 of 125), TypeScript (45 of 125), LLM (44 of 125), React (37 of 125), Machine Learning (35 of 125), AWS (28 of 125), JavaScript (25 of 125)

OTHER ROLES ON THIS TEAM

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

Posting history

Reposted 3 times since 25 October 2026: a posting for this role in New York was taken down and the role was posted again.

Salary context

49 other open postings titled Founding Engineer state a salary: median USD 156,000 to USD 250,000 a year.

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SKILLSPython 46,550SQL 21,635GCP 15,073TypeScript 13,158
PLACESNew York 6,103United States 72,815
COMPANYJobs at True Talent Solutions Partners 125

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