{"id":4084776,"url":"https://alion.io/job/true-talent-solutions-partners-founding-backend-infrastructure-engineer-7","title":"Founding Backend & Infrastructure Engineer","company":{"id":4415660,"name":"True Talent Solutions Partners","domain":"truetalentsolutionspartners.com","url":"https://alion.io/company/true-talent-solutions-partners","size_band":"11-50","is_staffing_agency":true,"employer_type":"agency","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":null},"role":"DevOps","role_family":"DevOps","seniority":"middle","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"explicit","locations":["San Francisco, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":160000,"max":200000,"currency":"USD","period":"year","gross":null,"usd_annual":200000},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Computer Use","optional":false},{"name":"Machine Learning","optional":false},{"name":"Python","optional":false}],"status":"live","first_seen_at":"2026-11-11T17:38:19Z","employer_posted_date":"2026-11-11","last_verified_at":"2026-11-14T15:32:18Z","board_verified":true,"closed_at":null,"days_open":3,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":3},"description":"About the Role\nJoin an early-stage healthtech team building clinical AI systems for healthcare payments. You will own core backend infrastructure that processes complex clinical and financial workflows, helping bring new capabilities into reliable production systems.\nWhat You'll Do\nBuild and scale distributed backend systems for chart processing, claims, authorizations, denials, and payer and provider integrations.\n\nDevelop browser and computer-use automation to navigate medical record software and payer portals.\n\nDesign reliable systems to process scanned charts, PDFs, structured claims, unstructured notes, and operational data at scale.\n\nBuild orchestration, queuing, retry, and observability infrastructure for long-running workflows across healthcare systems.\n\nPartner with research and product engineers to put clinical intelligence capabilities into production and establish engineering patterns.\n\nWhat We're Looking For\n3 or more years of backend software engineering experience, with a focus on infrastructure and complex systems.\n\nStrong Python, microservices, and distributed systems experience, with a track record of owning backend systems end to end.\n\nExperience scaling systems at a technically complex organization, such as in data infrastructure, fintech, or healthtech.\n\nProduction experience with LLMs or machine learning models.\n\nExperience with data pipelines, workflow orchestration, large or messy datasets, browser automation, or complex integrations.\n\nA degree in computer science, mathematics, or a related field, or equivalent strong technical fundamentals.\n\nInterest in hands-on work at an early-stage startup, with a willingness to contribute code day to day.\n\nMust be authorized to work in the United States without visa sponsorship.\n\nCompensation & Benefits\nBase salary: $160,000 to $200,000 annually. 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