# Founding Backend & Infrastructure Engineer at True Talent Solutions Partners

- Company: True Talent Solutions Partners
- Status: Open
- Workplace: On-site
- Location: San Francisco
- Level: Mid-level
- Discipline: Backend
- Employment: Full-time
- Posted: 2026-11-03
- Skills: Java, Python, Kubernetes, Docker, AWS
- Apply: https://jobs.ashbyhq.com/true-talent-solutions-partners/328028bb-161f-47ac-8564-c87e8a14eb5e

## Description

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 & 

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