{"id":4142130,"url":"https://alion.io/job/true-talent-solutions-partners-fullstack-software-engineer-10","title":"Fullstack Software 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":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","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":4,"visa_sponsorship":true,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Firebase","optional":false},{"name":"Python","optional":false}],"status":"live","first_seen_at":"2026-11-12T00:16:15Z","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 a small engineering team building software for healthcare providers and patients. You will own foundational systems and end-to-end product work, helping make complex clinical and operational workflows more accurate and efficient.\nWhat You'll Do\nDesign and build AI-enabled tools for clinical documentation, treatment planning, reassessments, and administrative workflows.\n\nDevelop systems for healthcare authorizations, billing, payment adjudication, and provider payouts.\n\nBuild provider operations software for credentialing, contracting, compliance, payroll, scheduling, and staffing.\n\nCreate patient and family experiences for intake, onboarding, scheduling, communication, progress tracking, and payments.\n\nAutomate operational workflows across credentialing, billing, authorizations, and care coordination.\n\nOwn platform foundations, including data models, APIs, security, reliability, AI infrastructure, and production systems.\n\nModel complex workflows as clear states, transitions, and business rules, with careful attention to edge cases and data integrity.\n\nWhat We're Looking For\nFour to ten years of fullstack software engineering experience, including full-time product engineering work at a startup.\n\nStrong proficiency in Python and experience with NoSQL databases such as MongoDB or Firebase.\n\nExperience making architecture or system design decisions and owning products end to end.\n\nBackground in healthtech, fintech, or another operationally complex and accuracy-sensitive industry.\n\nStrong CS fundamentals, supported by a bachelor's degree or equivalent depth of education.\n\nCareful, detail-oriented engineering judgment, especially around business logic, data integrity, and money movement.\n\nCurrent work authorization that does not require employer visa sponsorship.\n\nCompensation & Benefits\nBase salary: $160,000 to $200,000 annually. Visa sponsorship is not available.\nLocation\nHybrid, with three days per week in the office in San Francisco, California. 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