Senior Software Engineer

Alto Pharmacy • Remote - Florida, FL

1d • $160,320 - $200,400 • Remote

About The Position

As a Senior Software Engineer at Fuze Health, you will join the Care Team, which builds and operates services that manage prescription processing from intake through sending an order to pharmacies for fulfillment. The team works to improve patients’ lives through a better pharmacy experience by preparing prescriptions for fulfillment and delivery quickly and accurately, using automation and efficient coordination of manual tasks when third-party input is needed. It also enables business growth by helping drug manufacturers, insurers, and providers configure billing, benefits, and clinical workflows for their use cases.

The role involves optimizing systems, architecting extensible platforms, mentoring engineers, solving complex technical problems at the intersection of healthcare and e-commerce, and contributing strategic technical direction for predictive systems. Potential projects include applying LLMs to prescription intake automation, integrating controlled-substance dispensing histories and risk scores into clinical review workflows, and optimizing drug selection to find patients the best price.

The position requires a bachelor’s degree in Engineering or equivalent experience and at least 10 years of progressive software engineering experience in a high-volume, high-throughput production environment. Candidates should have deep backend or full-stack experience, strong system-design and engineering fundamentals, and a track record of building maintainable, performant, scalable, and resilient systems while applying sound development practices. Applicants must be authorized to work for any U.S. employer; visa sponsorship is unavailable.

This is a remote role. The stated salary range is $160,320–$200,400. The role is eligible for equity but not commission or incentive/bonus compensation, and does not require travel. The position includes physical requirements such as working at a computer for extended periods, repetitive computer operation, reaching and bending, and moving light objects up to 20 pounds. Reasonable accommodations are available consistent with applicable law.

Requirements

• Bachelor’s degree in Engineering or equivalent experience.
• At least 10 years of progressive software engineering experience in a high-volume, high-throughput production environment.
• Deep background in backend or full-stack technologies.
• Expertise architecting complex systems for long-term maintainability, performance, and scalability.
• Strong engineering fundamentals and experience building high-volume, resilient systems.
• Proven track record applying technical best practices, including code style, documentation, code review, bug fixing, and production issue mitigation.
• Relentless pursuit of impact through work.
• Authorization to work for any employer in the United States; sponsorship or takeover of employment visa sponsorship is unavailable.

Nice To Haves

• Solid experience with supply chain optimization systems.
• Proficiency in Ruby on Rails, TypeScript/JavaScript, and PostgreSQL; Python experience is also highly valued for machine-learning initiatives.
• 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 desire to elevate peers.
• Passion for FuzeRx’s mission and company values.

Responsibilities

• Build and maintain services for prescription processing from intake through transmission of orders to pharmacies for fulfillment.
• Prepare prescriptions for fulfillment and delivery quickly and accurately using automation and efficient coordination of manual tasks when third-party input is needed.
• Enable partners such as drug manufacturers, insurers, and providers to configure billing, benefits, and clinical workflows.
• Optimize systems to balance low inventory on hand with high availability.
• Establish foundations for an extensible inventory management platform to support business growth.
• Mentor engineers and encourage best practices in software development and design.
• Solve complex technical problems at the intersection of healthcare and e-commerce.
• Provide thought leadership on building predictive systems.
• Contribute to projects such as LLM-based prescription intake automation, controlled-substance history and risk-score integrations for pharmacist review, and drug selection optimization.

Benefits

• Dental, vision, and multiple group medical plans.
• 401(k) retirement savings plan.
• Group life insurance and accidental death and dismemberment insurance.
• Flexible spending account and health savings account.
• Commuter benefits.
• Employer-paid short-term and long-term disability insurance.
• Supplemental insurance plans, including spouse life insurance and legal insurance.
• Employee assistance program.
• Home health testing kits.
• Fertility medication discount program.
• Flexible vacation time and accrued paid sick time.
• 10 paid holidays; two floating holidays for full-time non-exempt employees.
• Eight weeks of paid parental leave for eligible employees, with additional paid weeks for the birthing parent.
• Four weeks of paid caregiver leave.
• Monthly Lifestyle Spending Account allowance.
• Equity eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior