Senior Software Engineer

Alto; California; On-site; USD 160,000 - 200,000; Full time

Job summary

Fuze Health is seeking a Senior Software Engineer to join the Care Team, building critical services that handle prescription processing from intake to fulfillment. You will contribute to automation initiatives and collaborate with partners to tailor billing, benefits, and clinical workflows.

We value strong backend/full-stack skills, depth in Rails, TypeScript/JavaScript, and PostgreSQL, and a proven ability to design scalable systems.

Qualifications

• Bachelor's degree in Engineering or equivalent.
• 10+ years of progressive software engineering in high-volume environments.
• Deep background in Backend or Full Stack with Rails/TS-JS/PostgreSQL.
• Expertise in architecting complex systems for maintainability and scalability.
• Strong fundamentals and experience building resilient systems.
• Proven track record of technical best practices and production issue mitigation.

Responsibilities

• Own services powering prescription intake to fulfillment.
• Lead architectural decisions and mentor other engineers.
• Improve automation and clinician workflows through robust software solutions.
• Partner with drug manufacturers, insurers, and providers to configure billing and clinical workflows.

Skills

Ruby on Rails

TypeScript/JavaScript

PostgreSQL

System design

Code quality

Education

Bachelor's degree in Engineering

Tools

Python

Job description

Job Summary

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.Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future.

Job Description

As a Senior Software Engineer for Fuze Health you will join a team that is working to improve patients’ lives through a better pharmacy experience. The Care Team owns the services that manage all of prescription processing from intake up to the moment we send an order to our pharmacies for fulfillment.

The key focus areas for the Care Team include:

Preparing prescriptions for fulfillment and delivery as quickly and accurately as possible through a combination of automation and efficient manual task coordination when third party input is required to advance a fill.

Enabling the growth of the business by enabling partners like drug manufacturers, insurers, and individual providers to easily configure billing, benefits, and clinical workflows tailored to their use cases.

Example Projects:

Increase FuzeRx’s intake automation rate by leveraging LLMs to parse unstructured data from prescriptions.

Accelerate pharmacist workflows by integrating controlled substance dispensing history and risk scores into our pre-dispense clinical safety and review step.

Optimize the selection of which drug to dispense to find patients the best price.

Our engineering teams own the critical services that power our entire platform—managing everything from prescription intake and processing up to the moment we send an order to our pharmacies for fulfillment.

Key focus areas for our engineers include:

• Preparing prescriptions for fulfillment and delivery as quickly and accurately as possible through a combination of automation and efficient manual task coordination.
• Enabling business growth by allowing partners (like drug manufacturers, insurers, and individual providers) to easily configure billing, benefits, and clinical workflows tailored to their specific use cases.

Examples of High-Impact Projects You Might Work On:

• Increase FuzeRx’s intake automation rate by leveraging LLMs to parse unstructured data from prescriptions.
• Accelerate pharmacist workflows by integrating controlled substance dispensing history and risk scores into our pre-dispense clinical safety and review step.
• Optimize the selection of which drug to dispense to find patients the best price.

Accelerate Your Career As You:

• Optimize Systems: Balance low inventory on hand with high availability.
• Architect Platforms: Establish the foundations for an extensible inventory management platform to fuel business growth.
• Lead & Mentor: Mentor other engineers, encouraging best practices in software development and design.
• Innovate: Solve complex technical problems at the intersection of healthcare and e-commerce.
• Drive Strategy: Act as a thought leader on how to build world-class predictive systems.

Minimum Qualifications:

• Education: Bachelor's degree in Engineering or equivalent experience.
• Experience: 10+ years of progressive software engineering experience in a high-volume, high-throughput production environment.
• Core Technologies: Deep background in Backend or Full Stack technologies, operating within modern environments (like our core stack of Ruby on Rails, TypeScript/JavaScript, and PostgreSQL ).
• System Design: Expertise in architecting complex systems for long‑term maintainability, performance, and scalability.
• Technical Fundamentals: Strong engineering fundamentals with experience building high‑volume, resilient systems.
• Quality & Best Practices: Proven track record of technical best practices, including code style, documentation, code review, bug fixing, and production issue mitigation.
• Mindset: Relentless in pursuing impact through your work.

Preferred Qualifications:

• Solid experience with supply chain optimization systems.
• Proficiency in FuzeRx's merged tech stack: Ruby on Rails, TypeScript/JavaScript, and PostgreSQL (Note: Python experience is also highly valued for our ML initiatives) .
• Experience building and integrating predictive ML models.
• Experience designing and implementing service‑oriented architectures.
• Demonstrated ability to thrive in a dynamic entrepreneurial environment and maintain a growth mindset.
• A pragmatic approach to problem‑solving that’s biased towards impact.
• A strong sense of ownership over your work and a desire to uplevel your peers.
• Passion for FuzeRx’s mission and our company values.

Work Authorization

Applicants must be authorized to work for any employer in the U.S. At this time, Fuze Health is unable to sponsor or take over sponsorship of an employment Visa.

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. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

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.

The compensation range provided reflects the applicable national market range for this role and may vary based on the candidate’s geographic location, experience, and qualifications.

Salary Range: $160, 320 to $200,400

Commission Eligible: No

Incentive/Bonus Eligible: No

Equity Eligible: Yes

Travel: No

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

Equal Opportunity Employer

Equal Opportunity Employer

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 .

Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E‑Verify participating company.

Use of Automated Decision Tools

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. Fuze Health does not use automated decision tools to make hiring decisions; hiring decisions always involve human review and input. If you have any questions or would like to request an alternative process, please contact us a t .

Privacy Notice

To learn about Fuze Health’s privacy practices, including compliance with applicable privacy laws, please read our Privacy Notice for Job Applicants.

Use of Automated Decision Tools

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. Fuze Health does not use automated decision tools to make hiring decisions; hiring decisions always involve human review and input. If you have any questions or would like to request an alternative process, please contact us a t .

Privacy Notice

To learn about Fuze Health’s privacy practices, including compliance with applicable privacy laws, please read our Privacy Notice for Job Applicants .