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Added 18 mins ago
Pulmonologist and Practice Owner
True Talent Solutions Partners
Remote, United States
Added 18 mins ago
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Senior Software Engineer
True Talent Solutions Partners
Remote, United States
- $197,000 to $207,000 USD / year
Added 18 mins ago
Forward Deployed Engineer
True Talent Solutions Partners
Remote, United States
- Willingness to travel frequently to customer sites across the UK and Europe, around three days per week during active deployments · - Must be based in the UK and authorized to work without visa sponsorship
Added 18 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 18 mins ago
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Senior Security Engineer
True Talent Solutions Partners
New York, NY
- $200,000 to $330,000 USD / year
Added 18 mins ago
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Account Executive
True Talent Solutions Partners
Remote, United States
- $125,000 to $150,000 USD / year
Added 18 mins ago
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Founding Engineer
True Talent Solutions Partners
New York, NY
- $210,000 to $260,000 USD / year
Added 18 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 18 mins ago
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Research Crawling Engineer
True Talent Solutions Partners
Remote, United States
- $160,000 to $250,000 USD / year
Added 18 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 46 mins ago
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Enterprise Account Executive
True Talent Solutions Partners
New York, NY
- $155,000 to $175,000 USD / year
Added 1 hour ago
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Software Engineer
True Talent Solutions Partners
New York, NY
- $192,500 to $258,000 USD / year
Added 1 hour ago
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Senior Forward Deployed Engineer, Operate
True Talent Solutions Partners
New York, NY
- $170,000 to $205,000 USD / year
Added 1 hour ago
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Customer Success Manager
True Talent Solutions Partners
San Francisco, CA
- $130,000 to $160,000 USD / year
Added 1 hour ago
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Software Engineer, Marketplace
True Talent Solutions Partners
San Francisco, CA
- $250,000 to $300,000 USD / year
On-site in San Francisco, California, five days per week, with flexible working hours.
Added 1 hour ago
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Senior Control Electronics Engineer
True Talent Solutions Partners
Torrance, CA
- $150,000 to $200,000 USD / year
Added 2 hours ago
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Fullstack Software Engineer
True Talent Solutions Partners
San Francisco, CA
- $160,000 to $200,000 USD / year
Hybrid, with three days per week in the office in San Francisco, California
Added 2 hours ago
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Senior Power Electronics Engineer
True Talent Solutions Partners
Torrance, CA
- $150,000 to $200,000 USD / year
Added 2 hours ago
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Growth Marketer
True Talent Solutions Partners
San Francisco, CA
- $140,000 to $185,000 USD / year
- Must be based in the San Francisco Bay Area and authorized to work without visa sponsorship
Added 2 hours ago
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Law and Motion Associate
True Talent Solutions Partners
Los Angeles, CA
- $130,000 to $185,000 USD / year
Added 3 hours ago
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Litigator / Transactional Attorney, HOA Law
True Talent Solutions Partners
Los Angeles, CA
- $155,000 to $195,000 USD / year
Added 3 hours ago
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Trusts and Estates Associate
True Talent Solutions Partners
Atlanta, GA
- $235,000 to $300,000 USD / year
Hybrid role based in Atlanta, Georgia, with an in-office schedule of at least three days per week.
Added 3 hours ago
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Litigation Associate
True Talent Solutions Partners
New York, NY
- $125,000 to $165,000 USD / year
Added 3 hours ago
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Senior Employment Law Attorney
True Talent Solutions Partners
Silicon Valley, CA
- $225,000 to $275,000 USD / year
Added 3 hours ago
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Principal Software Engineer, Perception
True Talent Solutions Partners
Alameda, CA
- $300,000 to $380,000 USD / year

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 11, 2026

Original job description

ABOUT THE ROLE

Join an early-stage healthtech company as a backend-leaning Founding Engineer. You will own core engineering systems that support real-time prescription pricing, claims processing, and reliable payments, helping ensure patients can access their medication.

WHAT YOU'LL DO

Own the backend, including 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 the lowest-cost option.
Manage eligibility and claims flowing through an adjudication engine, keeping failures from disrupting pharmacy transactions.
Build a claims adjudication engine and validate it against the existing system using replayed real claims.
Develop and maintain payment infrastructure for payments between brokers, the platform, and pharmacies.
Make architecture and schema decisions that support growth from hundreds to tens of thousands of users and beyond.

WHAT WE'RE LOOKING FOR

Three to eight years of experience as a backend or full-stack engineer, with strong backend and system architecture skills.
Experience building and operating production systems where errors or downtime have direct financial or operational impact, such as payments, ledgers, trading, or critical infrastructure.
Proficiency with Python, FastAPI, PostgreSQL, row-level security, GCP, Cloud Run, Cloud SQL, React, and TypeScript.
Experience making database schema and architecture decisions, ideally as a sole engineer at an early-stage startup.
Comfort challenging technical decisions and communicating directly with a strong-opinioned founder.
Familiarity with AI development tools such as Claude Code or Cursor.
Startup experience alongside larger-company experience is valuable. Experience outside healthcare, health benefits, and pharmacy is required.

COMPENSATION & BENEFITS

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

LOCATION

On-site in New York, New York, United States.

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