Senior Software Engineer

Alto Pharmacy

$148K — $185K *
US-Anywhere
+ 2 other locationsRemote
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Engineering or equivalent experience
  • 10+ years of progressive software engineering experience in a high-volume environment
  • Deep background in Backend or Full Stack technologies, specifically Ruby on Rails, TypeScript/JavaScript, and PostgreSQL
  • Expertise in architecting complex systems for long-term maintainability
  • Strong engineering fundamentals with experience in high-volume systems
  • Proven track record of technical best practices including documentation and code review
  • Relentless pursuit of impact in your work

Responsibilities

  • Prepare prescriptions for fulfillment and delivery using automation and manual coordination
  • Enable partners to configure billing, benefits, and clinical workflows
  • Increase intake automation rate leveraging LLMs to parse prescription data
  • Accelerate pharmacist workflows by integrating dispensing history into clinical reviews
  • Optimize drug selection for cost-effectiveness
  • Architect extensible inventory management platforms to support business growth
  • Mentor engineers on best practices in software development

Benefits

  • Dental, vision, and multiple group medical plans
  • 401(k) retirement savings plan
  • Flexible spending account (FSA) and health savings account (HSA)
  • Flexible vacation time and accrued paid sick time
  • 10 paid holidays and 8 weeks of paid parental leave
  • Lifestyle Spending Account allowance each month
  • Employer-paid short-term and long-term disability insurance
Full Job Description
Job Summary

As a Senior Software Engineer for FuzeRx, you will join a team that is working to improve patients' lives through a better pharmacy experience. The Care Team owns the services that manage all of prescription processing from intake up to the moment we send an order to our pharmacies for fulfillment.

The key focus areas for the Care Team include:

Preparing prescriptions for fulfillment and delivery as quickly and accurately as possible through a combination of automation and efficient manual task coordination when third party input is required to advance a fill.

Enabling the growth of the business by enabling partners like drug manufacturers, insurers, and individual providers to easily configure billing, benefits, and clinical workflows tailored to their use cases.

Example Projects:
Increase FuzeRx's intake automation rate by leveraging LLMs to parse unstructured data from prescriptions.


Accelerate pharmacist workflows by integrating controlled substance dispensing history and risk scores into our pre-dispense clinical safety and review step.

Optimize the selection of which drug to dispense to find patients the best price.

Our engineering teams own the critical services that power our entire platform-managing everything from prescription intake and processing up to the moment we send an order to our pharmacies for fulfillment.

Key focus areas for our engineers include:
  • Preparing prescriptions for fulfillment and delivery as quickly and accurately as possible through a combination of automation and efficient manual task coordination.
  • Enabling business growth by allowing partners (like drug manufacturers, insurers, and individual providers) to easily configure billing, benefits, and clinical workflows tailored to their specific use cases.

Examples of High-Impact Projects You Might Work On:
  • Increase FuzeRx's intake automation rate by leveraging LLMs to parse unstructured data from prescriptions.
  • Accelerate pharmacist workflows by integrating controlled substance dispensing history and risk scores into our pre-dispense clinical safety and review step.
  • Optimize the selection of which drug to dispense to find patients the best price.

Accelerate Your Career As You:
  • Optimize Systems: Balance low inventory on hand with high availability.
  • Architect Platforms: Establish the foundations for an extensible inventory management platform to fuel business growth.
  • Lead & Mentor: Mentor other engineers, encouraging best practices in software development and design.
  • Innovate: Solve complex technical problems at the intersection of healthcare and e-commerce.
  • Drive Strategy: Act as a thought leader on how to build world-class predictive systems.

Minimum Qualifications:
  • Education: Bachelor's degree in Engineering or equivalent experience.
  • Experience: 10+ years of progressive software engineering experience in a high-volume, high-throughput production environment.
  • Core Technologies: Deep background in Backend or Full Stack technologies, operating within modern environments (like our core stack of Ruby on Rails, TypeScript/JavaScript, and PostgreSQL).
  • System Design: Expertise in architecting complex systems for long-term maintainability, performance, and scalability.
  • Technical Fundamentals: Strong engineering fundamentals with experience building high-volume, resilient systems.
  • Quality & Best Practices: Proven track record of technical best practices, including code style, documentation, code review, bug fixing, and production issue mitigation.
  • Mindset: Relentless in pursuing impact through your work.

Preferred Qualifications:
  • Solid experience with supply chain optimization systems.
  • Proficiency in FuzeRx's merged tech stack: Ruby on Rails, TypeScript/JavaScript, and PostgreSQL (Note: Python experience is also highly valued for our ML initiatives).
  • Experience building and integrating predictive ML models.
  • Experience designing and implementing service-oriented architectures.
  • Demonstrated ability to thrive in a dynamic entrepreneurial environment and maintain a growth mindset.
  • A pragmatic approach to problem-solving that's biased towards impact.
  • A strong sense of ownership over your work and a desire to uplevel your peers.
  • Passion for FuzeRx's mission and our company values.

Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

This position requires occasional travel therefore you must be able to sit for extended periods of time on airplanes and/or in vehicles, lift and carry luggage independently, navigate long distances through airports and other travel locations independently, and adjust to different time zones and climates.

Salary Range: $148,000 - $185,000

Location Requirement:
  • FuzeRx is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin

Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S.

Benefits:
Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month.

More Benefits Information Here: Fuze Health Benefits Site

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