# 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: 2026-11-03
- Skills: Go, Kubernetes
- Apply: https://jobs.ashbyhq.com/true-talent-solutions-partners/d9c1b4f1-e312-48c2-a840-3fd456a4a323

## Description

ABOUT THE ROLE

Join an early-stage healthtech team as its backend-leaning Founding Engineer. You will own core engineering systems that support real-time drug pricing, claims processing, and payments, helping ensure people can access their medication reliably.


WHAT YOU'LL DO

 - Own backend APIs, database design, permissions, protected health information 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 competitive options.

 - Manage eligibility and claims workflows connected to an adjudication engine, with a focus on reliable processing.

 - Build a claims adjudication engine and validate its behavior against an existing system using replayed claims.

 - Develop payment infrastructure for transactions between brokers, the platform, and pharmacies.

 - Make foundational architecture and schema decisions to support growth from hundreds to tens of thousands of users.


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 skills.

 - Experience building and operating production systems where errors or downtime affect revenue, such as payments, ledgers, trading, or critical infrastructure.

 - Proficiency with Python, FastAPI, PostgreSQL, row-level security, GCP, Cloud Run, Cloud SQL, React, TypeScript, and AI development tools such as Claude Code or Cursor.

 - Startup experience, ideally including work as a sole engineer at an early-stage company

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