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 3 November 2026.

Apply on the company's site →

About the role

About the Role

Join an early-stage healthtech team as a founding engineer, owning the backend systems behind clinical and financial workflows. You will build infrastructure that processes complex healthcare data and supports clinical AI capabilities in production.

What You'll Do

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

What We're Looking For

  • At least 3 years of backend software engineering experience, with a track record of owning complex infrastructure and systems end to end.
  • Strong experience with Python, microservices, distributed systems, and backend infrastructure.
  • Background in data pipelines, workflow orchestration, or processing large and messy datasets at scale.
  • Production experience with LLMs or machine learning models, plus browser automation or complex integrations.
  • Strong computer science, mathematics, or related technical foundations, and an interest in hands-on work at an early-stage startup.
  • Authorization to work without visa sponsorship is required.

Compensation & Benefits

Base salary is $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 125 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 126 open in Client Roles. 126 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 (63 of 126), LLM (49 of 126), TypeScript (45 of 126), React (40 of 126), Machine Learning (31 of 126), JavaScript (27 of 126), AWS (26 of 126)

OTHER ROLES ON THIS TEAM

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

Posting history

Reposted 2 times since 25 October 2026: a posting for this role in San Francisco was taken down and the role was posted again.

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