{"id":3982747,"url":"https://alion.io/job/true-talent-solutions-partners-fullstack-software-engineer-9","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":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":["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":"2026-11-09T17:42:21Z","employer_posted_date":"2026-11-09","last_verified_at":"2026-11-09T20:19:23Z","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 at a healthtech startup, building the platform foundations behind clinical workflows, payments, and provider and patient experiences. You will own systems end to end, from data models and APIs to production user experiences, in an environment where accuracy and reliability matter.\nWhat You'll Do\nBuild AI-enabled tools for clinical documentation, treatment planning, reassessments, supervision, and administrative work.\n\nDevelop systems for service authorization, billing, payment adjudication, and provider payouts.\n\nCreate tools for provider credentialing, contracting, compliance, payroll, scheduling, and staffing.\n\nBuild 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, compliance, reliability, AI infrastructure, and production systems.\n\nWhat We're Looking For\nFour to ten years of fullstack software engineering experience in full-time roles.\n\nStrong proficiency in Python and experience with NoSQL technologies such as MongoDB or Firebase.\n\nProduct engineering experience at a startup, including architecture decisions or system design at a Series A or later company.\n\nExperience in healthtech, fintech, or another operationally complex environment where accuracy, data integrity, and business rules are critical.\n\nA bachelor's degree and solid computer science fundamentals.\n\nAbility to model workflows as states, transitions, and invariants, and to own systems through implementation and production.\n\nCurrent work authorization that does not require employer visa sponsorship.\n\nCompensation & Benefits\nBase salary is $160,000 to $200,000 annually. Visa sponsorship is not available.\nLocation\nHybrid, based in San Francisco, California, with an expectation of working in the office three days per week. 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