Senior Software Engineer — HealthTech Rails/TS, High-Impact

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

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.