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 1 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 build and operate the core platform for real-time prescription pricing, claims processing, and payments, where reliability directly affects access to medication and financial transactions.

What You'll Do

  • Own backend APIs, database design, access controls, sensitive health data boundaries, backups, staging, observability, and deployments.
  • Build a real-time pricing system that gathers prices from multiple sources and routes claims to the lowest-cost option.
  • Manage eligibility and claims workflows connected to a claims adjudication system.
  • Develop an in-house claims adjudication engine and validate its results against a current system using replayed claims.
  • Build and operate payment infrastructure for transactions between business partners and pharmacies, targeting 99.99% uptime.
  • 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 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.
  • Comfort using AI development tools such as Claude Code or Cursor.
  • Startup experience, ideally including operating as a sole engineer and making systems architecture decisions as a product scales.
  • Ability to communicate candidly and challenge technical decisions when needed.
  • Experience outside healthcare, health benefits, and pharmacy, plus a computer science or related degree, is a plus.
  • Must be able to work in person in New York and have work authorization that does not require employer visa sponsorship.

Compensation & Benefits

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

Location

On-site in 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 128 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 129 open in Client Roles. 129 were posted in the last 30 days, including 6 lead roles: the team is hiring the people who run it too.

WHAT THE TEAM WORKS WITH, ACROSS ITS POSTINGS

Python (70 of 129), LLM (43 of 129), TypeScript (42 of 129), React (37 of 129), AWS (29 of 129), Machine Learning (28 of 129), JavaScript (26 of 129)

OTHER ROLES ON THIS TEAM

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

Posting history

Reposted 5 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 46,696SQL 21,790GCP 15,077TypeScript 13,139
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