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True Talent Solutions Partners

Founding Backend & Infrastructure Engineer

San Francisco

Java · Python · Kubernetes · Docker · AWS

ABOUT THE ROLE

Join an early-stage healthtech team as a founding engineer, owning the backend systems behind clinical and financial workflows. You will build infrastructure that processes complex healthcare data and supports clinical AI capabilities in production.

WHAT YOU'LL DO

  • Build and scale distributed backend systems for chart processing, claims, authorizations, denials, and payer and provider integrations.
  • Develop browser and computer-use automation for navigating medical record software and payer portals.
  • Design reliable systems to process scanned charts, PDFs, structured claims, unstructured notes, and operational data at scale.
  • Build orchestration, queuing, retry, and observability infrastructure for long-running workflows across healthcare systems.
  • Partner with research and product engineers to bring clinical intelligence capabilities into production.

WHAT WE'RE LOOKING FOR

  • At least 3 years of backend software engineering experience, with a track record of owning complex infrastructure and systems end to end.
  • Strong experience with Python, microservices, distributed systems, and backend infrastructure.
  • Background in data pipelines, workflow orchestration, or processing large and messy datasets at scale.
  • Production experience with LLMs or machine learning models, plus browser automation or complex integrations.
  • Strong computer science, mathematics, or related technical foundations, and an interest in hands-on work at an early-stage startup.
  • Authorization to work without visa sponsorship is required.

COMPENSATION &

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