# Founding Engineer at True Talent Solutions Partners

- Company: True Talent Solutions Partners
- Status: Open
- Workplace: On-site
- Location: New York
- Level: Senior
- Discipline: Backend
- Employment: Full-time
- Posted: 2026-11-05
- Skills: Client Roles
- Apply: https://jobs.ashbyhq.com/true-talent-solutions-partners/0be83668-2c3f-4551-901e-468cd182a5e4

## Description

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.

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