# Founding Engineer at True Talent Solutions Partners

- Company: True Talent Solutions Partners
- Status: Open
- Workplace: On-site
- Location: New York
- Level: Junior
- Discipline: Backend
- Employment: Full-time
- Posted: 2026-11-01
- Skills: Client Roles
- Apply: https://jobs.ashbyhq.com/true-talent-solutions-partners/a93a7115-3d18-4f45-80e9-a3df1c8f1129

## Description

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 experie

More True Talent Solutions Partners roles: https://deviantjobs.com/companies/true-talent-solutions-partners