# 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
- Salary: $210K–260K
- Posted: 2026-11-12
- Skills: Python, Django, PostgreSQL, AWS, Docker
- Apply: https://jobs.ashbyhq.com/true-talent-solutions-partners/c465f1a9-0e36-4b20-baf0-72ad71e3fdb3

## Description

ABOUT THE ROLE

Join an early-stage healthtech company as a backend-leaning Founding Engineer. You will own core engineering systems that support real-time prescription pricing, claims processing, and reliable payments, helping ensure patients can access their medication.


WHAT YOU'LL DO

 - Own the backend, including 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 the lowest-cost option.

 - Manage eligibility and claims flowing through an adjudication engine, keeping failures from disrupting pharmacy transactions.

 - Build a claims adjudication engine and validate it against the existing system using replayed real claims.

 - Develop and maintain payment infrastructure for payments between brokers, the platform, and pharmacies.

 - 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 and system architecture skills.

 - Experience building and operating production systems where errors or downtime have direct financial or operational impact, 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 making database schema and architecture decisions, ideally as a 

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