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 5 November 2026.

Apply on the company's site →

About the role

About the Role

Join an early-stage healthtech company as its backend-leaning Founding Engineer. You will own core platform engineering across claims, pricing, and payments, helping ensure people can access their medications reliably.

What You'll Do

  • Own backend APIs, database design, permissions, PHI boundaries, backups, staging, observability, and deployments.
  • Build and operate a real-time drug pricing system that regularly gathers prices from multiple sources and routes claims to cost-effective options.
  • Manage eligibility and claims workflows with a focus on reliability and uninterrupted pharmacy transactions.
  • Build a claims adjudication engine and validate it against an existing system using replayed claims.
  • Develop payment infrastructure connecting brokers and pharmacies, with high availability and financial accuracy requirements.
  • Make architecture and schema decisions that support growth from hundreds to tens of thousands of users and beyond.

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 design skills.
  • Experience building and operating production systems where downtime or errors directly affect revenue, such as payments, ledgers, trading, or critical infrastructure.
  • Comfort working as a sole engineer at an early-stage startup, making architecture decisions, and constructively challenging technical direction.
  • 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.
  • Startup experience, including work outside healthcare, health benefits, and pharmacy. Strong computer science fundamentals are valued.
  • Must be authorized to work in the United States without 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.

What this role asks for

Particular to this role

FastAPI · GCP · SQL

Rare in True Talent Solutions Partners's other 124 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 (66 of 125), LLM (50 of 125), TypeScript (44 of 125), React (39 of 125), Machine Learning (30 of 125), JavaScript (28 of 125), AWS (25 of 125)

OTHER ROLES ON THIS TEAM

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

Posting history

Reposted 8 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 155,000 to USD 250,000 a year.

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SKILLSPython 47,541SQL 22,250GCP 15,304TypeScript 13,265
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