Engineering Manager, Web Platform

Fuze Health Inc.; Idaho; On-site; USD 180,000 - 280,000; Full time

Benefits offered by this job

Yes – Incentive/Bonus Eligible

Yes – Equity Eligible

Job summary

Fuze Health, Idaho-based, seeks a Principal Engineer to drive architectural vision across engineering teams, shaping high-throughput, compliant healthcare platforms.

You will mentor staff, set engineering standards, and collaborate with product and operations to align technical direction with clinical goals. Expertise in AWS, PostgreSQL, Ruby on Rails, Python, and TypeScript/JavaScript is required to scale our digital pharmacy and API fulfillment.

Qualifications

• Bachelor's degree in Computer Science, Software Engineering, or a related technical discipline.
• 10+ years of progressive hands-on software engineering and systems design experience.

Responsibilities

• Define and evolve the target architecture for FuzeRx's core platforms.
• Mentor Staff, Senior, and Mid-level engineers and elevate engineering culture.
• Establish and enforce engineering standards, including CI/CD and security-by-design.
• Collaborate with Product Management, Engineering Managers, and Pharmacy Operations.
• Ensure compliance with HIPAA, SOC2, and other regulatory requirements.
• Lead performance and reliability initiatives across AWS and PostgreSQL.
• Evaluate new tools and run POCs to improve the FuzeRx ecosystem.

Skills

Technical leadership

System design

Distributed systems

Mentoring

Security & compliance

CI/CD

AWS

PostgreSQL

Ruby on Rails

Python

TypeScript/JavaScript

Education

Bachelor's degree in CS/SE

Master's degree in Computer Science

Tools

AWS

PostgreSQL

Ruby on Rails

Python

TypeScript/JavaScript

Job description

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.

As a Principal Engineer at Fuze Health/FuzeRx, you are a top-tier technical leader and individual contributor who drives the overarching technical vision and architectural strategy across our engineering organization. Reporting to the VP of Engineering, you will operate across multiple product squads, guiding the design and execution of our most complex, mission-critical systems. By setting the standard for engineering excellence and leveraging our core stack ( AWS, PostgreSQL, Ruby on Rails, Python, and TypeScript/JavaScript ), you will ensure our digital pharmacy, API-powered fulfillment, and patient care platforms are highly scalable, performant, and secure. This role is essential to our mission, directly enabling FuzeRx to process high volumes of healthcare transactions reliably while maintaining strict compliance and improving patient outcomes.

Architectural Vision & Strategy

Define and evolve the target architecture for FuzeRx's core B2B and consumer platforms. Lead the design and implementation of the most technically challenging initiatives, such as high-volume API integrations, complex pharmacy fulfillment logistics, and distributed data consistency.

Staff Mentoring

Serve as a mentor and force multiplier for Staff, Senior, and Mid-level engineers. Elevate the engineering culture by instituting rigorous design reviews, pairing sessions, and technical brown-bags.

Engineering Standards

Establish and enforce engineering standards across the organization, including coding guidelines, testing frameworks, CI/CD pipeline strategies, and security-by-design principles.

Cross-Functional Partnership

Collaborate deeply with Product Management, Engineering Managers, and Pharmacy Operations to ensure technical architectures align with long-term business goals and clinical requirements.

Regulatory & Security Compliance

Partner with the InfoSec team to architect systems that natively support strict healthcare compliance standards (HIPAA, SOC2), ensuring patient data privacy and secure messaging.

Performance & Reliability

Spearhead initiatives to optimize system performance, reduce latency, and improve database efficiency within our PostgreSQL and AWS infrastructure.

Tool Evaluation

Continuously evaluate new tools, frameworks, and AWS services, running proof-of-concepts (POCs) to determine their viability for improving the FuzeRx ecosystem.

Bachelor's degree in Computer Science, Software Engineering, or a related technical discipline.

Experience: 10+ years of progressive, hands-on experience in software engineering and systems design. Extensive background in building and scaling distributed, high-throughput, and highly available B2B SaaS or transactional systems.

Shift / Site Specific Requirements

expected to serve as a Tier 1 technical escalation point for critical architectural outages. [Insert Remote/Hybrid/On-site details].

Tools & Tech Stack

Mastery of modern cloud architectures and demonstrable, deep, hands-on expertise in AWS, PostgreSQL, Ruby on Rails, Python, TypeScript, and JavaScript. Proven ability to design and implement complex distributed systems, optimize complex relational database queries, and establish automated deployment pipelines.

Master's degree in Computer Science, System Engineering, or related field.

Other Desired Experience

Active contributions to the open-source community or experience speaking at technology conferences.

Specific Required Expertise

Deep domain expertise in HealthTech, Digital Pharmacy, or highly regulated environments.

Advanced knowledge of healthcare data interoperability standards (e.g., HL7, FHIR, NCPDP) and electronic health record (EHR) integrations.

Experience leading a major architectural paradigm shift (e.g., 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. 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.

Incentive/Bonus Eligible

Yes

Equity Eligible

Yes

Alto Pharmacy, Fuze Health, LetsGetChecked, and Fuze Care Services can not take over, transfer, or sponsor any visa type at this time.

Full-time employee 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

At Fuze Health, we are committed to fostering an inclusive environment that celebrates diversity in all its forms. We believe that the diversity of thought, background, and experience strengthens our teams and drives innovation.

We are an equal-opportunity employer and do not discriminate on the basis of race, ethnicity, religion, color, place of birth, sex, gender identity or expression, sexual orientation, age, marital status, military service status, or disability status.

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 are an E-Verify participating company.

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.