Senior Software Engineer

Alto Pharmacy

. Improve patients’ lives through a better pharmacy experience .

Posted 10/23/2026full-timeRemote • United StatesSenior💰 $160,320 - $200,400 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in backend and full-stack technologies, with a focus on Ruby on Rails, TypeScript/JavaScript, and PostgreSQL. Proven ability to architect complex systems for maintainability and scalability while optimizing pharmacy operations through automation and predictive modeling.

Highest-signal resume keywords

Backend DevelopmentRuby On RailsTypeScript/JavaScriptPostgreSQLSystem Architecture

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Software EngineeringPrescription ProcessingAutomationInventory ManagementPredictive ModelingService-Oriented ArchitectureSupply Chain OptimizationTechnical Best PracticesCode ReviewBug Fixing

Soft Skills

MentoringCommunicationProblem Solving

Tools & Technologies

FuzeRxLLMsHealthcare SystemsE-Commerce Platforms

Certifications & Qualifications

Bachelor's Degree In Engineering

Industry Keywords

Pharmacy ExperienceControlled Substance DispensingClinical WorkflowsHigh-Volume Production EnvironmentResilient Systems

Tech Stack

Tools & technologies

JavaScriptPostgresPythonRubyRuby on RailsTypeScript

About the role

Key responsibilities & impact

Improve patients’ lives through a better pharmacy experience
Own services managing prescription processing from intake through sending orders to pharmacies for fulfillment
Prepare prescriptions for fulfillment and delivery quickly and accurately using automation and manual task coordination
Enable partners such as drug manufacturers, insurers, and providers to configure billing, benefits, and clinical workflows
Increase FuzeRx intake automation by using LLMs to parse unstructured prescription data
Integrate controlled substance dispensing history and risk scores into pharmacist pre-dispense safety and review workflows
Optimize drug selection to find patients the best price
Balance low inventory on hand with high availability
Establish foundations for an extensible inventory management platform
Mentor engineers and encourage software development and design best practices
Solve complex technical problems at the intersection of healthcare and e-commerce
Provide technical thought leadership for predictive systems

Requirements

What you’ll need

Bachelor's degree in Engineering or equivalent experience
10+ years of progressive software engineering experience in a high-volume, high-throughput production environment
Deep background in backend or full-stack technologies
Experience with Ruby on Rails, TypeScript/JavaScript, and PostgreSQL
Expertise architecting complex systems for long-term maintainability, performance, and scalability
Strong engineering fundamentals and experience building high-volume, resilient systems
Proven track record of technical best practices, including code style, documentation, code review, bug fixing, and production issue mitigation
Applicants must be authorized to work for any employer in the United States
Fuze Health is unable to sponsor or take over sponsorship of an employment visa
Ability to work at a computer terminal with monitor, keyboard, and mouse for extended periods
Ability to stoop, bend, reach, and perform frequent repetitive wrist, hand, and finger motions
Ability to lift, carry, push, pull, and move light objects up to 20 pounds
Ability to communicate verbally, discern auditory information, and visually perceive details
Preferred: experience with supply chain optimization systems
Preferred: experience building and integrating predictive ML models
Preferred: experience designing and implementing service-oriented architectures
Preferred: Python experience for ML initiatives

Benefits

Comp & perks

Dental insurance
Vision insurance
Multiple group medical plans
401(k) retirement savings plan
Group life insurance
Accidental death and dismemberment (AD&D) insurance
Flexible spending account (FSA)
Health savings account (HSA)
Commuter benefits
Employer-paid short-term disability (STD) insurance
Employer-paid long-term disability (LTD) insurance
Supplemental spouse life insurance
Legal insurance
Employee assistance program
Home health testing kits
Fertility medication discount program
Flexible vacation time
Accrued paid sick time
10 paid holidays
2 floating holidays for full-time non-exempt employees
8 weeks of paid parental leave for eligible employees
Additional paid weeks for the birthing parent
4 weeks paid caregiver leave
Monthly Lifestyle Spending Account allowance
Equity eligible
Flexible remote work arrangement