Sr. Software Engineer (Python, Agentic Development)

Free Market Health; Pittsburgh (Allegheny County); On-site; USD 120,000 - 160,000; Full time

Benefits offered by this job

Unlimited PTO

100% employer-paid individual medical,

vision premiums

Employer HSA contribution

Paid parental leave

401(k) match

Transportation and parking benefits

Flexible, collaborative work环境

Job summary

Free Market Health in Pittsburgh is seeking a senior software engineer to own a core business domain and build backend services, APIs, and integrations in Python. You will become the go-to expert for your domain, guiding data flows, pharmacy integrations, and AI-enabled tooling to improve reliability and speed.

You'll collaborate with product and operations to shape solutions, review designs across teams, and help other engineers succeed in your area.

Qualifications

• 7+ years of professional software engineering experience with deep backend Python experience.
• Ownership of complex production systems and domain expert credibility.
• Experience with system integrations, data pipelines, REST APIs, event-driven architecture, and SQL Server.
• Hands-on with agentic coding tools like Claude Code or Cursor, including writing agent instructions and MCP integrations.
• Curiosity about the business and a habit of asking why before building.
• Clear writing and ability to encode knowledge into reusable tools.

Responsibilities

• Design, build, and operate backend services, APIs, and integrations in Python, with frontend work in React when needed.
• Become the subject matter expert for a business domain, including referral workflows, pharmacy integrations, and the data that moves between them.
• Partner with Product and operations teams to understand problems and shape solutions.
• Review designs and code across teams that touch your domain.
• Build and improve the agents, skills, rules, and context that help engineers work in your domain with AI coding tools.
• Bring agentic development practices to the team: spec-driven work, delegating implementation to agents, and validating what they produce.
• Improve reliability and data quality in the systems you own.

Skills

Python

Backend engineering

System integrations

Data pipelines

REST APIs

Event-driven

SQL Server

Claude Code

Cursor

Tools

Claude Code

Cursor

Job description

Why FMH

Every day, someone receives a life-changing diagnosis. Getting the right medication should be straightforward - but too often it isn’t.

Specialty medications move through a complex network of providers, health plans, pharmacies, and manufacturers. Administrative delays, disconnected systems, and limited visibility can slow treatment when time matters most.

Free Market Health exists to make that process work better.

Our technology connects stakeholders across the specialty pharmacy ecosystem, helping prescriptions reach the right pharmacy while improving visibility, reducing friction, and keeping treatment moving forward for the patients who depend on them. We focus on the most important stakeholder of all: the patient.

Your impact

At Free Market Health, our mission is to never let the process fail the patient. We build the platform that connects payers and specialty pharmacies and routes specialty medication referrals, so patients get the therapy they need. We're looking for a senior engineer who wants to go deep on a part of our platform, become the go-to expert for it, and help shape how our team builds software with AI agents.

You'll own a business domain end to end: its services, data, integrations, and the decisions about where it goes next. You'll write a lot of code, work closely with the people who use what you build, and help other engineers be successful in your area.

What You'll Do

• Design, build, and operate backend services, APIs, and integrations in Python, with frontend work in React when it's needed.

• Become the subject matter expert for a business domain, including referral workflows, pharmacy integrations, and the data that moves between them.

• Partner with Product and operations teams to understand problems and shape solutions.

• Review designs and code across teams that touch your domain.

• Build and improve the agents, skills, rules, and context that help engineers work in your domain with AI coding tools.

• Bring agentic development practices to the team: spec-driven work, delegating implementation to agents, and validating what they produce.

• Improve reliability and data quality in the systems you own.

What We’re Looking For

• 7+ years of professional software engineering experience, with deep backend experience in Python or a similar language.

• A track record of owning complex production systems and becoming the expert others rely on.

• Experience with system integrations, data pipelines, REST APIs, event-driven architecture, and relational databases such as SQL Server.

• Hands-on experience with agentic coding tools such as Claude Code or Cursor, including writing agent instructions, skills, or MCP integrations.

• Curiosity about the business, and a habit of asking why before building.

• Clear writing, and the instinct to encode what you know into tools other engineers can use.

Nice to Haves

• Healthcare technology experience, especially specialty pharmacy, PBM, payer, claims, or EDI integrations.

• Experience with Microsoft Azure, Azure Service Bus, Databricks, or Datadog.

• Experience with LLM application development or AI workflow automation.

• Familiarity with HIPAA, HITRUST, or SOC 2.

Life at FMH

We’re building more than a company. We’re building a team of ambitious, curious people who are passionate about solving meaningful problems, growing their careers, and genuinely enjoying the journey together.

Based in Pittsburgh’s Strip District, FMH draws inspiration from the city we call home. Our value of Grit isn’t just a word on a wall. It’s a mindset inspired by the city around us: showing up, rolling up our sleeves, and finding a way forward no matter the challenge.

As FMH continues to grow, so do the opportunities for our people to leave their mark. Guided by our core values of Integrity, Adaptability, Grit, and Collaboration, we foster an environment where trust is earned, new ideas are welcomed, challenges are embraced, and success is shared. You will be surrounded by people who care deeply about the work they do and the people they do it with.

Together, we’re building something special, and we’re just getting started.

Benefits

• Unlimited PTO

• 100% employer-paid individual medical, dental, and vision premiums

• Employer HSA contribution

• Paid parental leave

• 401(k) match

• Transportation and parking benefits

• Flexible, collaborative work environment

Benefit eligibility is based on employment status.

Build What’s Next With Us

Healthcare is evolving - and so are we.

Equal Opportunity Employer

Free Market Health is proud to be an Equal Opportunity Employer.

We believe that a diverse and inclusive workplace makes us better teammates and problem solvers and we encourage all qualified individuals to apply. Employment decisions are based on business needs, qualifications, and merit.

FMH is also committed to providing reasonable accommodations throughout the hiring process. If you require assistance or accommodation due to a disability, we will work with you to meet your needs.