---
title: 'Senior Full Stack Engineer -  Shopping at Truemed'
canonical: 'https://feeny.ai/job/senior-full-stack-engineer-shopping-truemed-remote-96p48zkpj3bp'
type: 'job'
last_seen: '2026-09-08'
---

# Senior Full Stack Engineer -  Shopping at Truemed

- **Company:** Truemed
- **Location:** Remote
- **Compensation:** $175k–$225k
- **Employment:** full-time
- **Work type:** remote
- **Posted:** 2026-05-27
- **Last confirmed live:** 2026-09-08
- **Apply:** https://jobs.ashbyhq.com/truemed/a4579427-ffce-40f1-b69b-3de37fa4729c

## Job description

## ABOUT TRUEMED

Our mission is to help people take control of their health. Today, 95% of all medical costs go to treating illness. Our goal is to empower people to invest in healthy habits today rather than treating illness in the future. We do this by supporting these 5 habits that research shows are tied to significantly improved health outcomes:

1. Eating healthy food
2. Getting an adequate quantity and quality of sleep
3. Increasing movement and exercise and reducing sedentary behavior
4. Reducing chronic stress
5. Increasing sunlight and minimizing environmental toxins

Today Truemed enables patients to use pretax HSA/FSA funds to buy healthy food, exercise equipment, and supplements. We support brands like Peloton, Eight Sleep, Momentous, and hundreds of others. We're building the infrastructure that allows health and wellness merchants to accept the $150+ billion tied up in HSA and FSA accounts. By allowing consumers to spend these pre-tax dollars on goods that make them healthier, we'll incentivize consumers to invest in their health and begin to reverse the explosion in chronic illness that's plagued the US for the last 50 years.

This is a full stack role focused on turning truemed.com http://truemed.com into a world-class consumer experience. Our engineering team is made up of extremely senior engineers who thrive when given autonomy and ownership. We plan on keeping the team small as we scale, giving each engineer the opportunity to own large efforts. The ideal candidate loves building great user interfaces, optimizing conversion, experimenting to produce data driven decisions, is knowledgeable of modern frontend technologies and concepts, and has a high level of comfort diving all the way down the stack to the backend and data layers.

Come do the best work of your career and help us transition $150B in healthcare spending towards prevention, before people get sick.

## WHAT YOU'LL DO AT TRUEMED

- Own large, user-facing features from inception to completion
- Collaborate with the product, marketing, and design teams to set the direction of truemed.com http://truemed.com
- Work with the engineering team to establish the norms and standards of our front-end
- Expand our back end systems and data models to support important product initiatives

## QUALIFICATIONS

- Senior Level experience on a great engineering team using NextJS, React, Typescript, Tailwind, or similar technologies
- Experience with Python, Django, or similar technologies
- Deep understanding of rendering behavior of frameworks such as NextJS and how to optimize page loads
- Experience using core web vitals and similar metrics to optimizing website performance
- Experience working within scaled front-end projects utilizing concepts such as component libraries, monorepos, and a headless CMS.
- Experience designing, using and expanding back end APIs and data models.
- Bonus — experience with payments systems and infrastructure.

## COMPENSATION AND BENEFITS

- Comp and equity in the top decile for Series A startups. Our Senior Engineering pay band is $175k to $225k plus stock options
- Comprehensive medical, dental, and vision insurance with employer sponsored HSA contributions
- 401(k)
- Unlimited PTO
- Remote Work
- Coworking stipend
- L&D Stipend
- 2x/year company offsites and 2x/year team offsite

Logistics: Remote, USA

## About Truemed

## Company Overview
- **One-liner**: Truemed is a payment platform that enables consumers to use HSA and FSA funds on eligible health and wellness purchases by coordinating independent clinical reviews and issuing IRS-compliant Letters of Medical Necessity (LMNs).
- **Entity Type**: Private (Series A funded)
- **Headquarters**: Austin, Texas, United States
- **Founded**: 2022
- **Founders**: Justin Mares

## Core Business
- Primary industry/industries: Financial Services / Health Technology (HSA/FSA payment enablement)
- Target customers: B2C (consumers with HSA/FSA accounts) and B2B (partner health & wellness brands seeking to offer HSA/FSA payment options)
- Mission or purpose statement: "We make your HSA/FSA work for prevention, not just prescriptions" – Truemed aims to redirect pre-tax healthcare dollars toward preventive interventions like fitness, supplements, sleep, and recovery tools.

## Products & Services
- **Truemed Platform**: A checkout-integrated payment solution that allows consumers to pay with HSA/FSA cards or receive reimbursement. For dual-use items, a clinical intake form is reviewed by an independent licensed clinician who may issue a Letter of Medical Necessity (LMN) to substantiate the purchase. The service covers fitness, supplements, saunas, cold plunges, health tech, and more.

## Market Standing
- **Valuation/Market Cap**: Not publicly available (private company).
- **Key Metric**: Total funding of $3.5 million (seed round closed September 2023) plus a Series A round led by Andreessen Horowitz (amount not disclosed). [linkedin.com](https://www.linkedin.com/company/truemedpayments)
- **Notable Investors/Partners**: Andreessen Horowitz (Series A lead), with earlier seed round from a single undisclosed investor. Partners include thousands of brands (3,000+), such as Garmin (mentioned as a partner brand). [truemed.com/about](https://www.truemed.com/about)
- **Growth Signals**: Over 1.5 million customers served; 67 employees (+85% year-over-year headcount growth); 9,358 LinkedIn followers (+48.8% YoY). Actively hiring with 4 open roles as of mid-2025. [linkedin.com](https://www.linkedin.com/company/truemedpayments)

## Competitive Advantages
- **Regulatory & Compliance Moat**: SOC 2 Type II certified; every LMN issued by an independent licensed practitioner (not Truemed employees) and meets IRS substantiation requirements, reducing risk for partners and consumers.
- **Network Effects**: With 3,000+ partner brands and 1.5M+ customers, Truemed has built a two-sided marketplace that becomes more valuable as more merchants and consumers join.
- **First-Mover in 'Prevention' Spending**: Focuses on making preventive health products (gym memberships, saunas, supplements) HSA/FSA-eligible, a historically underserved area dominated by prescription/doctor-visit spending.

## Strategic Focus
- Expanding partner brand integrations and deepening the clinical review process to cover more product categories.
- Scaling the platform to unlock the $150B+ in annual pre-tax healthcare dollars for preventive and performance health purchases. [truemed.com/about](https://www.truemed.com/about)
- Building out the engineering and product team to enhance checkout flow, compliance automation, and user experience.

## Why Work Here
- **Culture & Mission**: "Senior team of engineers, designers, and operators building the most exciting company in healthcare" – backed by a16z (also backed Coinbase, Airbnb, Stripe, Figma, GitHub, Databricks). [truemed.com/careers](https://www.truemed.com/careers)
- **Growth Trajectory**: Rapid headcount growth (+85% YoY) signals scaling phase, offering career advancement opportunities.
- **Remote/Hybrid Policy**: Not explicitly stated, but headquarters is Austin, TX and roles may be remote or hybrid. Open positions listed include Senior Solutions Engineer, Product Designer, and Customer Success roles.
- **Notable Perks**: Working on a platform that directly helps consumers save ~30% on health purchases; strong focus on compliance and clinical quality; high-ownership environment typical of early-stage venture-backed companies.

## Sources
1. [truemed.com](https://www.truemed.com/)
2. [truemed.com/about](https://www.truemed.com/about)
3. [truemed.com/careers](https://www.truemed.com/careers)
4. [linkedin.com](https://www.linkedin.com/company/truemedpayments)
5. [builtin.com](https://builtin.com/company/truemed)

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