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 4 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 engineering systems that support real-time drug pricing, claims processing, and payments, helping ensure people can access their medication reliably.

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 competitive options.
  • Manage eligibility and claims workflows connected to an adjudication engine, with a focus on reliable processing.
  • Build a claims adjudication engine and validate its behavior against an existing system using replayed claims.
  • Develop payment infrastructure for transactions between brokers, the platform, and pharmacies.
  • Make foundational architecture and schema decisions to support growth from hundreds to tens of thousands of users.

What We're Looking For

  • Three to eight years of experience as a backend or full-stack engineer, with strong backend, architecture, and database schema skills.
  • Experience building and operating production systems where errors or downtime affect revenue, such as payments, ledgers, trading, or critical infrastructure.
  • Proficiency with Python, FastAPI, PostgreSQL, row-level security, GCP, Cloud Run, Cloud SQL, React, TypeScript, and AI development tools such as Claude Code or Cursor.
  • Startup experience, ideally including work as a sole engineer at an early-stage company, and the judgment to make and challenge architectural decisions.
  • Experience outside healthcare, health benefits, and pharmacy is required; fintech or infrastructure experience and a computer science or related degree are helpful.
  • Must be authorized to work without employer visa sponsorship.

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 125 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 7 lead roles: the team is hiring the people who run it too.

WHAT THE TEAM WORKS WITH, ACROSS ITS POSTINGS

Python (63 of 125), LLM (48 of 125), TypeScript (44 of 125), React (39 of 125), Machine Learning (31 of 125), JavaScript (27 of 125), AWS (26 of 125)

OTHER ROLES ON THIS TEAM

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

Posting history

Reposted 7 times since 25 October 2026: a posting for this role in New York was taken down and the role was posted again.

Salary context

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

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SKILLSPython 46,880SQL 21,930GCP 15,138TypeScript 13,202
PLACESNew York 6,116United States 73,580
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