Backend Engineer, Pharmacy Integrations

Bask Health

About The Position

Bask Health is hiring a Backend Engineer to build and maintain backend systems that connect its telehealth platform with pharmacy partners and fulfillment operations. The role develops APIs, backend services, and integration workflows for prescription routing, pharmacy orders, fulfillment updates, and information exchange with external systems. The engineer will build production features, troubleshoot integration issues, and improve reliability for systems used by pharmacy operations teams. The backend stack includes TypeScript, Node.js, AWS, SST, and SQL databases, with Prisma and Drizzle used across the platform. The engineer will work with engineers, product managers, and pharmacy operations teams to translate operational requirements into reliable technical solutions. This hands-on role calls for someone who enjoys integration challenges, values data accuracy, and takes ownership of work from implementation through testing, deployment, and follow-up. Bask describes its engineering team as entrepreneurial, product-focused, AI-first, and builder-led. Engineers collaborate closely with product teams and company leadership and use tools such as Cursor and Claude Code while maintaining standards for reliability, testing, and software quality.

Requirements

At least 3 years of professional software engineering experience, including hands-on backend development.
Strong proficiency in TypeScript, JavaScript, and Node.js.
Experience building, testing, and maintaining production backend applications and APIs.
Hands-on experience with third-party APIs, webhooks, or external service integrations.
Experience with SQL databases, relational data modeling, and database schema design.
Practical experience with AWS or comparable cloud infrastructure.
Familiarity with serverless applications, background jobs, or asynchronous processing.
Experience using modern database access tools or ORMs.
Understanding of REST APIs, authentication, authorization, and secure data exchange.
Ability to implement integration workflows involving multiple systems and external dependencies.
Understanding of error handling, retries, data validation, and reliable event processing.
Experience debugging API failures, investigating production issues, and resolving integration problems.
Experience writing automated tests for backend services and integrations.
Familiarity with Git, code reviews, and modern software development workflows.
Ability to complete assigned features independently and collaborate with senior engineers on complex projects.
Comfort using AI-assisted development tools while reviewing and validating generated code.
Strong problem-solving, attention to detail, and communication skills.
Comfort working in a fast-moving environment where engineers take ownership of their work.

Nice To Haves

Experience integrating pharmacy systems, healthcare applications, or prescription fulfillment platforms.
Familiarity with pharmacy orders, prescription routing, medication fulfillment, or pharmacy operations.
Experience with SST and AWS services such as Lambda, SQS, and EventBridge.
Experience with Prisma, Drizzle, or tRPC.
Familiarity with Next.js, React, or full-stack TypeScript applications.
Experience with multi-tenant SaaS platforms or monorepo architectures.
Experience with event-driven architectures, message queues, and webhook processing.
Familiarity with HIPAA and secure handling of protected health information.
Exposure to healthcare interoperability standards such as HL7, FHIR, or NCPDP SCRIPT.
Experience implementing logging, monitoring, alerting, and integration health checks.
Experience building reconciliation processes or handling inconsistent data across external systems.
Experience developing internal tools for operations or customer support teams.
Familiarity with API testing tools such as Postman.
Experience using Cursor, Claude Code, or similar AI-assisted development tools.

Responsibilities

Build, test, and maintain backend services connecting Bask's platform with pharmacy partners and external systems.
Develop APIs, webhooks, and integration workflows for prescription routing, pharmacy orders, and fulfillment updates.
Implement backend features using TypeScript, Node.js, AWS, SST, and SQL databases.
Use third-party APIs to send, receive, validate, and process pharmacy-related information.
Maintain reliable communication between internal services and external pharmacy systems.
Develop logic for order status changes, fulfillment events, and exception handling.
Use AWS services such as Lambda, SQS, and EventBridge for background jobs and asynchronous processing.
Implement error handling, retries, validation, and safeguards against duplicate event processing.
Create and maintain database models for integration records, pharmacy orders, and fulfillment events.
Investigate discrepancies between internal records and external partner systems.
Build automated tests for APIs, integrations, and common failure scenarios.
Troubleshoot production issues, investigate failed requests, and implement lasting fixes.
Improve logging, monitoring, and visibility into integration performance.
Collaborate with pharmacy operations teams to understand workflows and recurring technical issues.
Work with product managers and senior engineers to break requirements into implementation tasks.
Participate in code reviews, technical planning, and engineering discussions.
Follow appropriate security practices when handling sensitive patient and prescription information.
Contribute to internal tools for investigating pharmacy order issues and integration failures.
Document APIs, integration behavior, and important technical workflows.
Use AI-assisted development tools such as Cursor and Claude Code for development, debugging, and testing, while carefully reviewing generated code.
Take ownership of assigned features from development through testing, deployment, and follow-up.
Help improve existing integrations and make pharmacy-related systems more reliable and maintainable.