Senior Software Engineer

Posted Yesterday
2 Locations
Remote
160K-200K Annually
Senior level
Hospitality
The Role
Build and scale backend or full-stack services supporting prescription intake, processing, fulfillment, inventory optimization, billing, benefits, and clinical workflows. Design resilient, maintainable, high-throughput systems; integrate automation, LLMs, predictive models, and service-oriented architectures; optimize pharmacy and supply chain operations; troubleshoot production issues; establish engineering best practices; and mentor other engineers.
Summary Generated by Built In
Job Summary
 
At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs.Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future. 
Job Description
 

As a Senior Software Engineer for Fuze Health 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.

Additional Information
 

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.

Work Authorization: Applicants must be authorized to work for any employer in the U.S. At this time, Fuze Health is unable to sponsor or take over sponsorship of an employment Visa.


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.

Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Fuze Health’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.


The compensation range provided reflects the applicable national market range for this role and may vary based on the candidate’s geographic location, experience, and qualifications.


Salary Range: $160, 320 to $200,400

Commission Eligible: No

Incentive/Bonus Eligible: No

Equity Eligible: Yes

Travel: No


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 


Equal Opportunity Employer

Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at [email protected]. 

Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company.


Use of Automated Decision Tools

Fuze Health recruiters and hiring managers may use automated decision tools to help identify candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. Fuze Health does not use automated decision tools to make hiring decisions; hiring decisions always involve human review and input. If you have any questions or would like to request an alternative process, please contact us at [email protected]. 


Privacy Notice

To learn about Fuze Health’s privacy practices, including compliance with applicable privacy laws, please read our Privacy Notice for Job Applicants.


#LI-Remote


Equal Opportunity Employer

Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at [email protected]. 

Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company.

Use of Automated Decision Tools

Fuze Health recruiters and hiring managers may use automated decision tools to help identify candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. Fuze Health does not use automated decision tools to make hiring decisions; hiring decisions always involve human review and input. If you have any questions or would like to request an alternative process, please contact us at [email protected]. 

Privacy Notice

To learn about Fuze Health’s privacy practices, including compliance with applicable privacy laws, please read our Privacy Notice for Job Applicants.

Skills Required

  • 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 modern software environments such as Ruby on Rails, TypeScript/JavaScript, and PostgreSQL
  • Expertise architecting complex systems for maintainability, performance, and scalability
  • Strong engineering fundamentals and experience building high-volume, resilient systems
  • Track record of technical best practices, including code style, documentation, code review, bug fixing, and production issue mitigation
  • Relentless pursuit of impact through work
  • Experience with supply chain optimization systems
  • Proficiency with Ruby on Rails, TypeScript/JavaScript, and PostgreSQL
  • Python experience
  • Experience building and integrating predictive machine learning models
  • Experience designing and implementing service-oriented architectures
  • Ability to thrive in a dynamic entrepreneurial environment and maintain a growth mindset
  • Pragmatic, impact-oriented problem-solving approach
  • Strong ownership and ability to mentor or uplevel peers
  • Passion for the company's mission and values

Alto Pharmacy Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Alto Pharmacy and has not been reviewed or approved by Alto Pharmacy.

  • Healthcare Strength — Healthcare coverage is described as comprehensive, with medical, dental, and vision plans available from the first day of employment. This breadth is also reinforced by references to insurance being available for full-time employees.
  • Leave & Time Off Breadth — Time off is positioned as generous, with paid time off and bereavement pay explicitly cited. This signals that non-wage rewards are part of the overall package for eligible roles.
  • Retirement Support — Retirement benefits are presented as available through a 401(k), with mentions of stock-related opportunities in some roles. This adds a longer-term savings component to total rewards for those who qualify.

Alto Pharmacy Insights

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The Company
HQ: San Francisco, CA
937 Employees
Year Founded: 2015

What We Do

Alto is America’s leading digital pharmacy, transforming a $500 billion industry. Founded in 2015, Alto’s better pharmacy model is centered on the critical role of pharmacists as the final link in a person’s health journey. Alto combines expert pharmacist care with purpose-built technology to deliver a more convenient and affordable experience for those who need medication. To date, Alto has fulfilled more than three million prescriptions, expanded to twelve markets, and built a mobile app experience that makes it easier than ever to manage medications and chat with a pharmacist. As Alto continues its rapid growth, it remains customer obsessed, with an industry-leading NPS score of 86.

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