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Fullstack Software Engineer

True · San Francisco

Location
San Francisco
Salary
$160,000 to $200,000
Experience
4+ years
Posted
Nov 3, 2026

True is hiring a Fullstack Software Engineer based in San Francisco. Every apply link on Engg.space goes straight to the company's own careers page - no recruiter middleman, no generic job-board form.

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Role details

ABOUT THE ROLE Join a small product engineering team building software for healthcare providers and patients. You will own core platform systems and end-to-end product work, helping make complex clinical and business workflows more reliable and efficient. WHAT YOU'LL DO - Design and build AI-supported workflows for clinical documentation, treatment planning, reassessments, and administrative work. - Develop systems for healthcare authorizations, billing, payment adjudication, and provider reimbursement. - Build tools that support provider operations, including credentialing, contracting, compliance, payroll, scheduling, and staffing. - Create patient and family experiences for onboarding, scheduling, communication, progress tracking, and payments. - Automate operational workflows across billing, authorizations, credentialing, and care coordination. - Own platform foundations, including data models, APIs, security, reliability, and production systems. WHAT WE'RE LOOKING FOR - Four to ten years of fullstack software engineering experience, including full-time startup product engineering experience. - Strong proficiency in Python and experience with NoSQL technologies such as MongoDB or Firebase. - Experience making architecture or system design decisions and owning products from data model through user experience. - Background in healthtech, fintech, insurance, or another operationally complex domain where correctness and data integrity matter. - A bachelor's degree and solid computer science fundamentals. - Strong attention to detail and current work authorization that does not require employer visa sponsorship. COMPENSATION & BENEFITS Base salary: $160,000 to $200,000 annually. Visa sponsorship is not available. LOCATION Hybrid, based in San Francisco, California, or New York City.

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