Founding Backend & Infrastructure Engineer
True Talent Solutions Partners · San Francisco · onsite
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.
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.
COMPENSATION & BENEFITS
Base salary is $160,000 to $200,000 annually. Visa sponsorship is not available.
LOCATION
On-site in San Francisco, United States.