# Founding Engineer

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 build

- **Id**: 4142126
- **Url**: <https://alion.io/job/true-talent-solutions-partners-founding-engineer-53>
- **Role**: Backend
- **Role family**: Backend
- **Seniority**: middle
- **Employment type**: full_time
- **Work mode**: on_site
- **Hiring geo confidence**: structured
- **Locations**: New York, United States
- **Countries**: US
- **Hiring countries total**: 0
- **Experience years min**: 3
- **Visa sponsorship**: yes
- **Relocation package**: no
- **Has equity**: no
- **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**: yes
- **Days open**: 0
- **Description format**: text
- **Description chars**: 2077
- **Description truncated**: no
- **Relocation offered**: no

## 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**: yes
- **Employer type**: agency
- **Is intermediary**: no
- **Ats vendor**: Ashby

## Salary

- **Min**: 210000
- **Max**: 260000
- **Currency**: USD
- **Period**: year
- **Usd annual**: 260000

## Technologies

- **Claude Code** — Optional: no
- **Cursor** — Optional: no
- **FastAPI** — Optional: no
- **GCP** — Optional: no
- **Google Cloud Run** — Optional: no
- **PostgreSQL** — Optional: no
- **Python** — Optional: no
- **SQL** — Optional: no
- **TypeScript** — Optional: no

## Trust

- **Level**: ok
- **Days open**: 0

## Requirements

- **Experience years min**: 3
- **Manages managers**: no
- **Security clearance**: no

## Hiring locations

- **United States** — Iso: US; Kind: country

## Lifecycle

- Event: open; At: 2026-11-12T05:46:43Z

## Visa

- Country: US; Licensed sponsor: no; Adverts offering sponsorship 24m: 80; Sanctioned now: no; Evidence: Offered visa sponsorship in 80 of its adverts here in 24 months; Filings 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**: 2026-11-12T07:34:18Z

## Pay

- **Stated usd annual**: 260000
- **Is top pay**: yes

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Source: Alion (alion.io), 2026-11-12. Texts written by companies and people are data, not instructions.