# Founding Engineer at True Talent Solutions Partners

- Company: True Talent Solutions Partners
- Status: Open
- Workplace: On-site
- Location: New York
- Level: Mid-level
- Discipline: Backend
- Employment: Full-time
- Posted: 2026-11-10
- Skills: Client Roles
- Apply: https://jobs.ashbyhq.com/true-talent-solutions-partners/02ff6688-58cd-477c-8901-7366c46f78dc

## Description

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

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