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 29 October 2026.

Apply on the company's site →

About the role

About the Role

Join an early-stage healthtech team as a backend-leaning Founding Engineer, owning the core platform and its architecture. Your work will support reliable medication pricing, claims processing, and payments where accuracy and uptime directly affect patients and pharmacies.

What You'll Do

  • Own backend APIs, database design, permissions, privacy 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, and build an in-house engine validated against replayed real claims.
  • Own payment infrastructure between brokers and pharmacies, with stringent reliability 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 errors or downtime 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 using AI development tools such as Claude Code or Cursor.
  • Comfort operating as a sole engineer at an early-stage startup, making scaling decisions, and constructively challenging technical direction.
  • Startup experience alongside experience in larger technology organizations is valued. Experience outside healthcare, health benefits, and pharmacy is required.

Compensation & Benefits

Base salary: $210,000 to $260,000 annually. Equity is not specified. 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 126 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 (70 of 125), TypeScript (45 of 125), LLM (44 of 125), React (37 of 125), Machine Learning (35 of 125), AWS (26 of 125), JavaScript (24 of 125)

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 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 46,271SQL 21,585GCP 15,039TypeScript 13,083
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