{"id":4142126,"url":"https://alion.io/job/true-talent-solutions-partners-founding-engineer-53","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":"11-50","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":"2026-11-12T02:16:59Z","employer_posted_date":"2026-11-12","last_verified_at":"2026-11-12T05:46:43Z","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 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.\nWhat You'll Do\nOwn the backend, including APIs, database design, permissions, protected health information 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 flowing through an adjudication engine, keeping failures from disrupting pharmacy transactions.\n\nBuild a claims adjudication engine and validate it against the existing system using replayed real claims.\n\nDevelop and maintain payment infrastructure for payments between brokers, the platform, and pharmacies.\n\nMake architecture and schema decisions that support growth from hundreds to tens of thousands of users and beyond.\n\nWhat We're Looking For\nThree to eight years of experience as a backend or full-stack engineer, with strong backend and system architecture skills.\n\nExperience building and operating production systems where errors or downtime have direct financial or operational impact, such as 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 making database schema and architecture decisions, ideally as a sole engineer at an early-stage startup.\n\nComfort challenging technical decisions and communicating directly with a strong-opinioned founder.\n\nFamiliarity with AI development tools such as Claude Code or Cursor.\n\nStartup experience alongside larger-company experience is valuable. Experience outside healthcare, health benefits, and pharmacy is required.\n\nCompensation & Benefits\nBase salary: $210,000 to $260,000 annually. Visa sponsorship is not available.\nLocation\nOn-site in New York, New York, United States.","description_format":"text","description_chars":2077,"description_truncated":false,"requirements":{"experience_years_min":3,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":[],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":[],"lifecycle":[{"event":"open","at":"2026-11-12T05:46:43Z"}],"visa":[{"country":"US","licensed_sponsor":false,"adverts_offering_sponsorship_24m":80,"sanctioned_now":false,"evidence":"Offered visa sponsorship in 80 of its adverts here in 24 months","filings_12m":0,"filings_prev_12m":0,"green_card_filings_12m":0,"median_offered_wage_usd":null,"route":null,"cap_exempt":false,"checked_at":"2026-11-11T07:38:50+00:00","sources":["Alion: sponsorship offered in the employer's own job adverts (24 months)"],"filings_for_role_12m":0}],"liveness":{"score":52,"band":"ok","label":"Likely open","p_open":1,"p_active":0.516,"p_room":1,"age_days":0,"expected_fill_days":4,"reasons":["conf:1","agency","win:early","comp:brand"],"computed_at":"2026-11-12T07:33:01Z"},"pay":{"stated_usd_annual":260000,"is_top_pay":true},"html_url":"https://alion.io/job/true-talent-solutions-partners-founding-engineer-53","json_url":"https://alion.io/job/true-talent-solutions-partners-founding-engineer-53.json","meta":{"generated_at":"2026-11-12T07:33:01Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":15105,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-13T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":4415660},"rest":"https://alion.io/mcp/rest/get_company?id=4415660"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Ftrue-talent-solutions-partners-founding-engineer-53"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":2,"usd":0.2},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Ftrue-talent-solutions-partners-founding-engineer-53"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Ftrue-talent-solutions-partners-founding-engineer-53"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/true-talent-solutions-partners-founding-engineer-53\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Ftrue-talent-solutions-partners-founding-engineer-53"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":4142126}},{"tool":"search_jobs","arguments":{"company":"truetalentsolutionspartners.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":4142126},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. Docs: https://alion.io/developers"}}