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 3 November 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 engineering, building reliable systems for drug pricing, claims, and payments where accuracy and uptime directly affect access to medication and financial operations.

What You'll Do

  • Own backend APIs, database design, permissions, protected health information 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 the lowest-cost option.
  • Manage eligibility and claims flows through an adjudication engine, ensuring failures do not disrupt pharmacy transactions.
  • Build an in-house claims adjudication engine and validate it against an existing system using replayed claims.
  • Develop payment infrastructure for broker and pharmacy transactions, with demanding reliability requirements.
  • Make architecture and data model decisions that support growth from hundreds to tens of thousands of users.

What We're Looking For

  • Three to eight years of backend or full-stack software engineering experience, with strong backend, architecture, and database schema design skills.
  • Experience owning production systems where downtime or errors have direct financial 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.
  • Comfort operating as a sole engineer in an early-stage startup, making independent technical decisions, and constructively challenging technical leadership.
  • Experience with AI development tools such as Claude Code or Cursor.
  • Startup experience alongside experience in larger technology organizations is valued. 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, United States.

What this role asks for

Particular to this role

FastAPI · GCP · PostgreSQL · SQL

Rare in True Talent Solutions Partners's other 123 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 127 open in Client Roles. 127 were posted in the last 30 days, including 7 lead roles: the team is hiring the people who run it too.

WHAT THE TEAM WORKS WITH, ACROSS ITS POSTINGS

Python (66 of 127), LLM (48 of 127), TypeScript (46 of 127), React (44 of 127), JavaScript (27 of 127), Machine Learning (27 of 127), AWS (25 of 127)

OTHER ROLES ON THIS TEAM

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

Posting history

Reposted 6 times since 25 October 2026: a posting for this role in New York was taken down and the role was posted again.

Salary context

51 other open postings titled Founding Engineer state a salary: median USD 160,000 to USD 250,000 a year.

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SKILLSPython 46,820SQL 21,850GCP 15,079TypeScript 13,192
PLACESNew York 6,092United States 73,429
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