Client Roles
ABOUT THE ROLE
Join an early-stage healthtech team as its backend-leaning Founding Engineer. You will own core platform architecture and build reliable systems that support medication pricing, claims processing, and payments.
WHAT YOU'LL DO
- Own backend APIs, database design, permissions, sensitive health data 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 workflows connected to an adjudication engine, where reliability is essential for patients accessing medication.
- Build a claims adjudication engine and compare its results with an existing system using replayed claims.
- Own payment flows between brokers, the platform, and pharmacies, with demanding uptime and financial accuracy requirements.
- Make architecture and schema 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, system architecture, and database schema design skills.
- Experience operating production systems where downtime or errors directly affect revenue, ideally in payments, ledgers, trading, or critical infrastructure.
- Proficiency with Python, FastAPI, PostgreSQL, row-level security, GCP, Cloud Run, Cloud SQL, React, and TypeScript.
- Experience at an early-stage startup, including operating as a sole engineer, and exposure to larger technology organizations