Not specified
Founding Engineer
- Location
- New York, United States
- Work type
- On-site · Full-time
- Posted
- (11 hours ago)
About the role
About the Role
Join an early-stage healthtech team as its backend-leaning Founding Engineer. You will own core platform architecture and build reliable systems that support prescription pricing, claims processing, and payments.
What You'll Do
Own the backend, including APIs, database design, permissions, sensitive health data boundaries, backups, staging, observability, and deployments.
Build and operate a real-time drug pricing system that gathers prices from multiple sources and routes claims to cost-effective options.
Manage eligibility and claims flows through an adjudication engine, ensuring failures do not disrupt access to medication.
Build a claims adjudication engine and validate it against a current system using replayed claims.
Own payment infrastructure between brokers and pharmacies, with high availability and financial accuracy requirements.
Make foundational architecture and schema decisions as the platform scales.
What We're Looking For
Three to eight years of backend or full-stack engineering experience, with strong backend, architecture, and database schema design skills.
Experience building and operating production systems where downtime or errors have direct financial or operational impact, such as payments, ledgers, trading, or critical infrastructure.
Proficiency with Python, FastAPI, PostgreSQL, row-level security, GCP, Cloud Run, Cloud SQL, React, and TypeScript.
Familiarity with AI development tools such as Claude Code or Cursor.
Comfort operating as the sole engineer at an early-stage startup, making architecture decisions, and constructively challenging technical assumptions.
Startup experience alongside experience in larger technology organizations is valued. Experience in healthcare, health benefits, or pharmacy is not required.
Compensation & Benefits
Base salary: $210,000 to $260,000 annually. Visa sponsorship is not available.
Location
On-site in New York, New York.