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True Talent Solutions Partners

Founding Backend & Infrastructure Engineer

Salary

$160K - $200K

Listed in the posting

Pays more than 22% of 218 backend engineer listings in USD.

This job
$160k–$200k
Typical
$210k
Most pay
$185k–$237k
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Skills

AI
Automation
Data Pipelines
Distributed Systems
Fintech
LLM
Machine Learning
Microservices
Observability
Python

Nice to have

Workflow Orchestration

Full job description

Description

About the Role

Join an early-stage healthtech team as a founding engineer, owning the backend systems behind clinical and financial workflows. You will build infrastructure that processes complex healthcare data and supports clinical AI capabilities in production.

What You'll Do

  • Build and scale distributed backend systems for chart processing, claims, authorizations, denials, and payer and provider integrations.

  • Develop browser and computer-use automation for navigating medical record software and payer portals.

  • Design reliable systems to process scanned charts, PDFs, structured claims, unstructured notes, and operational data at scale.

  • Build orchestration, queuing, retry, and observability infrastructure for long-running workflows across healthcare systems.

  • Partner with research and product engineers to bring clinical intelligence capabilities into production.

Location

On-site in San Francisco, United States.

Requirements

What We're Looking For

  • At least 3 years of backend software engineering experience, with a track record of owning complex infrastructure and systems end to end.

  • Strong experience with Python, microservices, distributed systems, and backend infrastructure.

  • Background in data pipelines, workflow orchestration, or processing large and messy datasets at scale.

  • Production experience with LLMs or machine learning models, plus browser automation or complex integrations.

  • Strong computer science, mathematics, or related technical foundations, and an interest in hands-on work at an early-stage startup.

  • Authorization to work without visa sponsorship is required.

Benefits

Compensation & Benefits

Base salary is $160,000 to $200,000 annually. Visa sponsorship is not available.

Apply on company site

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