Senior Software Engineer

Prescryptive Health, Inc.•Washington, DC

About The Position

Prescryptive is the healthcare technology company enabling the direct access marketplace for prescription drugs. Our platform aligns incentives so affordability, choice, and patient access become the natural outcome of a functioning system. Learn more about us by following us on LinkedIn or visiting Prescryptive.com. About this role As a Senior Software Engineer, you build, run, and evolve the systems that power our business end-to-end: framing problems, designing and shipping solutions, and keeping them healthy in production. You work across our stack, from backend services to customer-facing applications, and you bring strong judgment about what to build and what to leave alone. You partner with other engineers, domain leads, directors, and technical product managers. We are looking for someone who walks into ambiguity and leaves with a clear technical path, flags risks early, and raises the bar for the people around them.

Requirements

5+ years of software development experience, owning ambiguous problems and shipping work that lasts
Strong experience building production APIs and integrating with external systems
Deep expertise in at least one of C#, Go, or TypeScript
Have written and shipped production code in at least one additional language, ideally another from our stack
Working knowledge of React, or comparable modern frontend framework
Experience with cloud services and modern cloud development practices (Azure preferred)
Solid understanding of SQL databases and caching technologies (Redis preferred)
You have a strong instinct for what not to build, and you make sound calls when priorities conflict
You take on problems outside your expertise, in code you did not write
You take ownership of more than your code: the systems, docs, and standards around it
Other engineers route their hard problems through you
You raise risk early, keep your manager informed, and admit when you do not know
Enthusiasm for leveraging AI-assisted development tools and emerging technologies
Must have permission to work in the US on a permanent basis

Nice To Haves

You work across backend and frontend, with meaningful production experience on both sides
Experience working in regulated industries such as healthcare or fintech
Experience with GraphQL
Experience with healthcare data standards (HL7, FHIR)
Experience with B2B SaaS platforms and customer management systems
Advanced DevOps practices, including Infrastructure as Code, containerization, and observability tooling

Responsibilities

Own features end-to-end: framing, design, construction, testing, deployment, and production operations
Develop and enhance APIs, backend services, and internal platforms
Build and maintain integrations with third-party systems
Create web applications and workflow tools that hold up in production
Troubleshoot complex issues across the full stack, especially those that span service boundaries
Anticipate failure modes and design for clarity, testability, and reversibility
Improve our development infrastructure: CI/CD, environment management, and observability
Raise the bar through code reviews, design input, and the standard your own work sets
Translate technical reality into language product and leadership can act on
Participate in on-call rotation and own production health for what you ship