Senior Software Engineer, Healthcare Platform & ML

Alto; Sacramento (CA); On-site; USD 160,000 - 200,000; Full time

Benefits offered by this job

Flexible vacation time

Paid sick time

10 paid holidays

Floating holidays

Paid parental leave

Birthing parent leave

Caregiver leave

Lifestyle Spending Account

Job summary

Fuze Health in the United States is seeking a Senior Software Engineer to join the Care Team, building services that manage prescription intake through to fulfillment for multiple pharmacies. You will design scalable back-end and full-stack components using Ruby on Rails, TypeScript/JavaScript, and PostgreSQL, with a focus on reliability and maintainability.

You will mentor peers, drive architectural decisions, and collaborate with drug manufacturers, insurers, and providers to configure

Qualifications

• Bachelor's degree in Engineering or equivalent experience.
• 10+ years of progressive software engineering experience in a high-volume, high-throughput production environment.
• Deep background in Backend or Full Stack technologies (Ruby on Rails, TypeScript/JavaScript, PostgreSQL).
• Expertise in architecting complex systems for long-term maintainability, performance, and scalability.
• Strong engineering fundamentals with experience building high-volume, resilient systems.
• Proven track record of technical best practices, including code style, documentation, code review, bug fixing, and production issue mitigation.

Responsibilities

• Own and drive core services powering prescription intake and fulfillment platforms.
• Mentor other engineers and promote best practices in software development and design.
• Architect scalable platforms to enable extensible inventory and pharmacy workflows.
• Collaborate with partners (manufacturers, insurers, providers) to configure billing, benefits, and clinical workflows.
• Lead initiatives on improving intake automation, safety reviews, and cost-effective dispensing.

Skills

10+ years software engineering

Education

Bachelor's degree in Engineering or equivalent experience

Tools

Ruby on Rails

TypeScript/JavaScript

PostgreSQL

Job description

Fuze Health in the United States is seeking a Senior Software Engineer to join the Care Team, building services that manage prescription intake through to fulfillment for multiple pharmacies. You will design scalable back-end and full-stack components using Ruby on Rails, TypeScript/JavaScript, and PostgreSQL, with a focus on reliability and maintainability.

You will mentor peers, drive architectural decisions, and collaborate with drug manufacturers, insurers, and providers to configure