{"id":4044051,"url":"https://alion.io/job/true-talent-solutions-partners-founding-engineer-52","title":"Founding Engineer","company":{"id":4415660,"name":"True Talent Solutions Partners","domain":"truetalentsolutionspartners.com","url":"https://alion.io/company/true-talent-solutions-partners","size_band":null,"is_staffing_agency":true,"employer_type":"agency","is_intermediary":false,"listed_via":null,"ats_vendor":"Ashby","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"middle","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["New York, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":210000,"max":260000,"currency":"USD","period":"year","gross":null,"usd_annual":260000},"salary_estimate":null,"experience_years_min":3,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Claude Code","optional":false},{"name":"Cursor","optional":false},{"name":"FastAPI","optional":false},{"name":"GCP","optional":false},{"name":"Google Cloud Run","optional":false},{"name":"PostgreSQL","optional":false},{"name":"Python","optional":false},{"name":"SQL","optional":false},{"name":"TypeScript","optional":false}],"status":"live","first_seen_at":"2026-11-10T17:54:44Z","employer_posted_date":"2026-11-10","last_verified_at":"2026-11-11T03:59:37Z","board_verified":true,"closed_at":null,"days_open":0,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":0},"description":"About the Role\nJoin 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.\nWhat You'll Do\nOwn backend APIs, database design, permissions, sensitive health data boundaries, backups, staging, observability, and deployments.\n\nBuild and operate a real-time drug pricing system that gathers prices from multiple sources and routes claims to the lowest-cost option.\n\nManage eligibility and claims workflows connected to an adjudication engine, where reliability is essential for patients accessing medication.\n\nBuild a claims adjudication engine and compare its results with an existing system using replayed claims.\n\nOwn payment flows between brokers, the platform, and pharmacies, with demanding uptime and financial accuracy requirements.\n\nMake architecture and schema decisions that support growth from hundreds to tens of thousands of users.\n\nWhat We're Looking For\nThree to eight years of backend or full-stack engineering experience, with strong backend, system architecture, and database schema design skills.\n\nExperience operating production systems where downtime or errors directly affect revenue, ideally in payments, ledgers, trading, or critical infrastructure.\n\nProficiency with Python, FastAPI, PostgreSQL, row-level security, GCP, Cloud Run, Cloud SQL, React, and TypeScript.\n\nExperience at an early-stage startup, including operating as a sole engineer, and exposure to larger technology organizations.\n\nComfort making architecture decisions, using AI development tools such as Claude Code or Cursor, and constructively challenging technical decisions.\n\nExperience outside healthcare, health benefits, and pharmacy; strong computer science fundamentals are valued.\n\nCompensation & Benefits\nBase salary: $210,000 to $260,000 annually. 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