Founding Backend & Infrastructure Engineer
True Talent Solutions Partners · San Francisco · onsite
ABOUT THE ROLE
Join an early-stage healthtech team building clinical AI systems for healthcare payments. As a founding backend engineer, you will own core infrastructure and help bring clinical intelligence capabilities into reliable production workflows.
WHAT YOU'LL DO
- Build and scale distributed backend systems for chart processing, claims, authorizations, denials, and healthcare integrations.
- Develop browser and computer-use automation to navigate medical record software and payer portals.
- Design reliable infrastructure for large volumes of scanned charts, PDFs, claims, clinical notes, and operational data.
- Build orchestration, queuing, retry, and observability systems for long-running workflows across healthcare platforms.
- Partner with research and product engineers to productionize new clinical intelligence capabilities and establish reusable engineering patterns.
WHAT WE'RE LOOKING FOR
- At least 3 years of backend software engineering experience, with a focus on complex systems and infrastructure.
- Strong Python, microservices, and distributed systems experience.
- Experience owning and scaling backend infrastructure at a technically demanding company, such as in data infrastructure, fintech, or a related field.
- Ability to design and deliver backend systems end to end, with minimal direction, while remaining hands-on in day-to-day coding.
- Experience with production machine learning or LLM systems, plus data pipelines, workflow orchestration, or large and messy datasets.
- Background in browser automation or complex integrations is useful.
- Strong computer science, mathematics, or related technical fundamentals, and interest in working at an early-stage startup.
- Must be authorized to work in the United States without visa sponsorship.
COMPENSATION & BENEFITS
Base salary: $160,000 to $200,000 annually. Visa sponsorship is not available.
LOCATION
On-site in San Francisco, United States.