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Added 5 mins ago
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Account Executive
True Talent Solutions Partners
Remote, United States
- $125,000 to $150,000 USD / year
Added 5 mins ago
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Software Engineer
True Talent Solutions Partners
Salt Lake City, UT
- $90,000 to $185,000 USD / year
Added 5 mins ago
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Founding Research Engineer, Robot Learning
True Talent Solutions Partners
San Francisco, CA
- $260,000 to $300,000 USD / year
Added 5 mins ago
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Machine Learning Infrastructure Engineer
True Talent Solutions Partners
San Francisco, CA
- $200,000 to $400,000 USD / year
Added 5 mins ago
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Software Engineer, Mid-Level to Staff+
True Talent Solutions Partners
San Francisco, CA
- $225,000 to $425,000 USD / year
Added 5 mins ago
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Senior Security Engineer
True Talent Solutions Partners
San Francisco, CA
- $200,000 to $330,000 USD / year
Added 5 mins ago
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Senior Platform Security Engineer
True Talent Solutions Partners
San Francisco, CA
- $200,000 to $330,000 USD / year
Added 5 mins ago
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Labor & Employment Partner, Environmental and OSHA
True Talent Solutions Partners
Remote, United States
- $200,000 to $350,000 USD / year
Added 36 mins ago
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Head of Software Architecture, Embodied AI Platform
True Talent Solutions Partners
Santa Clara, CA
- $250,000 to $400,000 USD / year
Added 36 mins ago
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AI Solutions Consultant
True Talent Solutions Partners
Remote, United States
- $150,000 to $200,000 USD / year
Added 36 mins ago
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Enterprise Account Executive
True Talent Solutions Partners
New York, NY
- $155,000 to $175,000 USD / year
Added 36 mins ago
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Agent Deployment Engineer
True Talent Solutions Partners
San Francisco, CA
- $175,000 to $230,000 USD / year
Added 36 mins ago
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Lead AI Engineer
True Talent Solutions Partners
New York, NY
- $175,000 to $300,000 USD / year
On-site, five days per week in New York, NY.
Added 36 mins ago
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Founding Engineer
True Talent Solutions Partners
New York, NY
- $210,000 to $260,000 USD / year
Added 36 mins ago
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Founding AI Engineer
True Talent Solutions Partners
New York, NY
- $216,000 to $250,000 USD / year
Added 36 mins ago
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Customer Success Manager
True Talent Solutions Partners
San Francisco, CA
- $130,000 to $160,000 USD / year
Added 36 mins ago
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Agent Product Engineer
True Talent Solutions Partners
San Francisco, CA
- $215,000 to $300,000 USD / year
Hybrid in San Francisco, California, with at least three days per week in the office.
Added 36 mins ago
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Forward Deployed Engineer
True Talent Solutions Partners
San Francisco, CA
- $200,000 to $325,000 USD / year
Added 36 mins ago
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Product Engineer, AI
True Talent Solutions Partners
Boston, MA
- $130,000 to $180,000 USD / year
Added 36 mins ago
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SPL Enablement Lead
True Talent Solutions Partners
San Francisco, CA
- $130,000 to $180,000 USD / year
On-site, five days per week in San Francisco, California, United States.
Added 36 mins ago
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Founding Growth Lead
True Talent Solutions Partners
San Francisco, CA
- $100,000 to $130,000 USD / year
Added 36 mins ago
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Director of Performance Marketing
True Talent Solutions Partners
New York, NY
- $280,000 to $300,000 USD / year
Added 36 mins ago
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Member of Technical Staff, Applied ML
True Talent Solutions Partners
New York, NY
- $175,000 to $350,000 USD / year
Added 36 mins ago
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Sales Engineer
True Talent Solutions Partners
San Francisco, CA
- $150,000 to $200,000 USD / year
Added 36 mins ago
Founding Engineer, Applied AI
True Talent Solutions Partners
San Francisco, CA

True Talent Solutions Partners

Founding Engineer

New York, NY, United States

$210,000 to $260,000 USD / year

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Job details

Pay: $210,000 to $260,000 USD / year
Posting language: English
Posted: Nov 10, 2026

Original job 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.
Comfort making architecture decisions, using AI development tools such as Claude Code or Cursor, and constructively challenging technical decisions.
Experience outside healthcare, health benefits, and pharmacy; strong computer science fundamentals are valued.

COMPENSATION & BENEFITS

Base salary: $210,000 to $260,000 annually. Visa sponsorship is not available.

LOCATION

On-site in New York, New York.

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More about this job

Skills

Claims processing
Python
PostgreSQL
Google Cloud
SQL
React
TypeScript
Computer science

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