Client Roles
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.