{"id":2968232,"url":"https://alion.io/job/true-talent-solutions-partners-founding-engineer-backend-infrastructure-5","title":"Founding Engineer, Backend & Infrastructure","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":"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":"closed","first_seen_at":"2026-10-21T00:44:41Z","employer_posted_date":"2026-10-21","last_verified_at":"2026-10-22T03:11:40Z","board_verified":false,"closed_at":"2026-10-22T03:11:40Z","days_open":1,"trust":{"level":"not_scored","repost_count":null,"flags":[],"days_open":1},"description":"About the Role\nJoin an early-stage healthtech team as a Founding Backend Engineer, building the distributed systems behind clinical and healthcare payment workflows. You will own core infrastructure end to end and help bring clinical intelligence capabilities into production.\nWhat You'll Do\nBuild and scale backend systems for chart processing, claims, authorizations, denials, and payer and provider integrations.\n\nDevelop browser and computer-use automation for navigating electronic health record software and payer portals.\n\nDesign reliable systems for processing scanned charts, PDFs, structured claims, unstructured notes, and operational data at scale.\n\nBuild orchestration, queuing, retry, and observability systems for long-running workflows across healthcare platforms.\n\nPartner with research and product engineers to productionize clinical intelligence capabilities and establish engineering patterns.\n\nWhat We're Looking For\nAt least 3 years of backend software engineering experience focused on complex systems and infrastructure.\n\nExperience designing and owning backend systems end to end, including Python, microservices, and distributed systems.\n\nExperience building data pipelines, workflow orchestration, or systems for large and messy datasets.\n\nExperience with LLMs or machine learning models in production; browser automation or complex integrations are also relevant.\n\nBackground in a technically demanding company or startup, with the ability to work in a fast-paced, early-stage environment.\n\nA degree in computer science, mathematics, or a related field, or equivalent strong technical fundamentals.\n\nAuthorized to work in the United States. Visa sponsorship is not available.\n\nCompensation & Benefits\nBase salary is $160,000 to $200,000 annually. 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