Senior Backend Engineer, Pharmacy - Healthtech Career

Bask Health; United States; Remote; USD 160,000 - 220,000; Full time

Job summary

Bask Health seeks a Senior Backend Engineer, Pharmacy Integrations, to design, build, and maintain backend systems that connect Bask Health’s telehealth platform with pharmacy partners and fulfillment operations. You will own complex integrations handling prescription routing, order processing, and data exchanges with external systems.

The stack centers on TypeScript, Node.js, AWS, SST, and SQL, with serverless infrastructure and event-driven design to scale with increasing transaction volumes.

Qualifications

• 5+ years of professional software engineering experience, with substantial backend focus.
• Experience building production backend services and APIs.
• Hands-on experience integrating third-party services via REST/webhooks.
• Experience with AWS serverless architectures.
• Familiarity with asynchronous processing and data reliability.

Responsibilities

• Design, develop, and maintain backend integrations with pharmacy partners.
• Build services for prescription routing, order creation, fulfillment processing, and status updates.
• Develop and maintain APIs, webhooks, and data exchange with external systems.
• Design workflows for asynchronous events, retries, timeouts, and failures.
• Write tests for APIs, backend services, and integration workflows.

Skills

Backend development

Event-driven architecture

Healthcare interoperability

AWS serverless

AI-assisted development

Tools

AWS Lambda

AWS SQS

AWS EventBridge

TypeScript

Node.js

SST

Prisma

Drizzle

Job description

Career Trajectory: This is a high-ownership senior IC role at a growth-stage healthtech startup. You'll work at the intersection of backend systems and a highly regulated domain (pharmacy/healthcare), which is a differentiating specialization. Engineers who build HIPAA-compliant, pharmacy-integrated systems are in high demand across telehealth, PBMs, and digital health platforms.

Skills You’ll Develop:

• Deep expertise in event-driven architecture (AWS SQS, EventBridge, Lambda) — transferable to any high-scale system.
• Healthcare interoperability standards (NCPDP, HL7, FHIR) — niche but highly valued in a growing sector.
• AI-assisted engineering workflows with tools like Cursor and Claude Code — a forward-looking, in-demand competency.

Compensation Context: No salary is listed, which is a yellow flag for transparency. Senior Backend Engineers in US healthtech typically earn $160,000–$220,000 annually at comparable-stage companies. Candidates should ask directly during screening.

Culture Signals: "AI-first and builder-led" with direct access to leadership suggests a small, fast-moving team (likely under 50 engineers). High ownership is a green flag for engineers who want impact; it can also mean wearing many hats and limited specialization support.

Green Flags: Real-world domain complexity, modern stack, explicit emphasis on code quality and testing. Watch for: Undefined on-call expectations for production pharmacy integrations — clarify incident response obligations.

About Bask Health

Bask Health is a software platform that enables entrepreneurs, doctors, and healthcare businesses to launch, manage, and grow direct-to-consumer telehealth businesses.

Our platform brings together patient experiences, clinical workflows, pharmacy operations, and commerce tools in one place.

We're an entrepreneurial, product-focused engineering team that values ownership, technical excellence, and building software that solves real problems. Engineers work closely with product teams and company leadership, take features from idea to production, and have a direct role in shaping the platform.

Engineering at Bask is AI-first and builder-led. We use tools like Cursor and Claude Code throughout development while maintaining high standards for reliability, testing, and software quality.

About the Role

We're looking for a Senior Backend Engineer, Pharmacy Integrations to design, build, and maintain the systems connecting Bask Health's telehealth platform with pharmacy partners and fulfillment operations.

You'll work on backend services that support prescription routing, pharmacy order processing, fulfillment updates, and the reliable exchange of information between Bask and external systems.

This role requires strong backend engineering skills and experience building integrations that handle complex workflows, asynchronous events, and third‑party dependencies.

Our engineering stack includes TypeScript, Node.js, AWS, SST, and SQL databases. You'll work with serverless infrastructure, APIs, and event-driven systems to build reliable services that can support growing transaction volumes and multiple pharmacy integrations.

You'll collaborate with engineers, product managers, pharmacy operations, and other internal teams to translate operational requirements into scalable technical solutions.

We're looking for someone who can independently own complex integrations, anticipate failure scenarios, and build systems that are observable, maintainable, and resilient.

What You’ll Do

• Design, develop, and maintain backend integrations between Bask's platform and pharmacy partners.
• Build services supporting prescription routing, pharmacy order creation, fulfillment processing, and status updates.
• Develop and maintain APIs, webhooks, and other integration mechanisms for exchanging data with external systems.
• Design workflows that reliably handle asynchronous events, retries, timeouts, duplicate messages, and third‑party service failures.
• Build and maintain backend applications using TypeScript, Node.js, AWS, SST, and SQL databases.
• Use AWS services such as Lambda, SQS, and EventBridge to support event‑driven processing and background workflows.
• Design data models and database schemas for pharmacy orders, fulfillment events, and integration records.
• Implement validation, error handling, and reconciliation processes to maintain data accuracy across systems.
• Build monitoring, logging, alerting, and operational tools to identify and resolve integration failures.
• Improve the reliability and performance of existing pharmacy‑related backend services.
• Collaborate with pharmacy operations teams to understand fulfillment workflows, operational constraints, and recurring issues.
• Work with product managers to translate integration requirements into technical specifications and implementation plans.
• Coordinate with external technical partners to understand API specifications, integration behavior, and testing requirements.
• Build secure data exchange workflows with appropriate authentication, authorization, and protection of sensitive information.
• Support the development of internal tools that help teams investigate order issues and monitor integration status.
• Write automated tests covering successful workflows, failure scenarios, and integration edge cases.
• Investigate production incidents, identify root causes, and implement long‑term fixes.
• Review code, provide technical guidance, and contribute to backend engineering standards.
• Take ownership of integrations from initial design and development through deployment, monitoring, and ongoing maintenance.
• Use AI‑assisted development tools such as Cursor and Claude Code to accelerate engineering work while independently validating correctness, security, and reliability.
• Help establish reusable integration patterns that can support additional pharmacy partners and future platform capabilities.

Requirements

• 5+ years of professional software engineering experience, including substantial backend development experience.
• Experience designing, building, and maintaining production backend applications and APIs.
• Hands‑on experience integrating third‑party services using REST APIs, webhooks, or similar integration technologies.
• Experience working with AWS services and serverless architectures.
• Familiarity with AWS Lambda, SQS, EventBridge, or comparable event‑driven infrastructure.
• Strong experience with SQL databases, relational data modeling, and database schema design.
• Experience with modern database access tools or ORMs such as Prisma or Drizzle.
• Understanding of asynchronous processing, message queues, distributed systems, and integration architecture.
• Ability to design reliable systems that handle retries, failures, duplicate events, and inconsistent external data.
• Experience implementing authentication, authorization, secure API communication, and sensitive‑data protection.
• Strong debugging and troubleshooting skills, including investigating production integration failures.
• Experience writing automated tests for APIs, backend services, and integration workflows.
• Ability to independently own complex engineering projects from technical design through production deployment.
• Strong understanding of performance, reliability, monitoring, and maintainability in production systems.
• Experience making architectural decisions and evaluating technical tradeoffs.
• Familiarity with Git, code reviews, CI/CD workflows, and modern software development practices.
• Ability to use AI‑assisted development tools effectively while independently validating generated code.
• Strong written and verbal communication skills, including the ability to coordinate technical work with internal teams and external partners.
• Comfortable working in a fast‑moving environment with significant ownership and responsibility.

Nice to Have

• Experience building integrations with pharmacies, pharmacy management systems, or healthcare technology platforms.
• Familiarity with electronic prescribing, prescription fulfillment, medication orders, or pharmacy workflow systems.
• Understanding of HIPAA, healthcare data privacy, and secure handling of protected health information.
• Experience with pharmacy‑related interoperability standards such as NCPDP SCRIPT.
• Experience with healthcare interoperability standards such as HL7 or FHIR.
• Familiarity with SST and serverless development on AWS.
• Experience working with tRPC, Next.js, React, or full‑stack TypeScript applications.
• Experience with multi‑tenant SaaS platforms or monorepo architectures.
• Experience building event‑driven integrations with queues, webhooks, and background processing.
• Experience designing reconciliation systems, audit trails, and operational monitoring dashboards.
• Experience integrating multiple external vendors with different APIs, data formats, and reliability requirements.
• Experience building internal tools for operational teams.
• Familiarity with pharmacy fulfillment, shipping status updates, and order exception handling.
• Experience mentoring engineers or establishing reusable integration architecture.

The job posting lists the United States as the location without specifying a physical office, strongly suggesting it is a remote position. Candidates should confirm remote work details and any timezone requirements during the interview process.

Is this role fully remote? The job posting lists the United States as the location without specifying a physical office, strongly suggesting it is a remote position. Candidates should confirm remote work details and any timezone requirements during the interview process.

The engineering stack includes TypeScript, Node.js, AWS (Lambda, SQS, EventBridge), SST, and SQL databases. Familiarity with ORMs like Prisma or Drizzle and tools like tRPC or Next.js is a bonus.

What is the tech stack for this position? The engineering stack includes TypeScript, Node.js, AWS (Lambda, SQS, EventBridge), SST, and SQL databases. Familiarity with ORMs like Prisma or Drizzle and tools like tRPC or Next.js is a bonus.

It is listed as "nice to have" rather than required. The core requirements focus on strong backend engineering, AWS serverless architecture, and third‑party API integration experience.

Is healthcare or pharmacy experience required? It is listed as "nice to have" rather than required. The core requirements focus on strong backend engineering, AWS serverless architecture, and third‑party API integration experience.

The role requires 5+ years of professional software engineering experience with substantial backend focus, the ability to own complex projects end‑to‑end, and experience making architectural decisions.

What level of seniority is expected? The role requires 5+ years of professional software engineering experience with substantial backend focus, the ability to own complex projects end‑to‑end, and experience making architectural decisions.

The posting mentions investigating production incidents and identifying root causes, implying some production support responsibility. Specific on‑call obligations are not detailed and should be clarified with the hiring team.

Remote work & career advice that actually works.