Staff Software Engineer

Alto Pharmacy; California (MO); Hybrid; USD 178,000 - 223,000; Full time

Benefits offered by this job

Dental

Vision

401(k)

Job summary

Fuze Health is seeking a Staff Software Engineer to lead architectural evolution and engineering standards for its digital pharmacy platforms. You will drive API design, microservices, and data pipelines, while ensuring security, scalability, and reliability across B2B and consumer services.

The role blends deep technical leadership with healthcare domain understanding, guiding multiple agile squads and partnering with Product, Pharmacy Operations, and engineering leaders to achieve strategic

Qualifications

• Bachelor’s degree in Computer Science, Software Engineering, or related field.
• 8+ years of software engineering with 2+ years in Tech Lead/Architect roles.
• Experience designing and scaling API-led platforms.
• Experience with LLM-enabled applications and orchestration tools.
• Strong SQL and data modelling skills; PostgreSQL experience.
• Cloud-native infra: Terraform, Kubernetes, Helm.

Responsibilities

• Define long-term technical vision and architectural roadmap for B2B and consumer platforms.
• Lead clean code practices, reviews, and testing standards.
• Own reliability and performance of core platforms on AWS.
• Mentor engineers across squads and translate complex problems into executable plans.
• Collaborate with Product, Pharmacy Operations, and Engineering Managers on roadmaps.

Skills

Technical Leadership

System Design

API Design

PostgreSQL

AWS

Kubernetes

Code Quality

Communication

Education

Bachelor’s degree in CS/Software Engineering

Tools

Terraform

Kubernetes

Helm

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

We are actively recruiting for a Staff Software Engineer. As a Staff Software Engineer at FuzeRx, you are a principal technical leader within our technology organization, responsible for defining the architectural evolution, technical strategy, and engineering standards of our digital pharmacy platforms. Being on the Platform Team, your primary responsibility will be creating leverage through increasing developer productivity and system stability. This is a highly technical individual contributor (IC) role. You will serve as a force multiplier across multiple agile squads, tackling our most complex distributed systems challenges and ensuring our API-driven pharmacy platform is secure, highly scalable, and resilient. By blending deep technical expertise with a strong understanding of healthcare systems, you will directly influence how millions of patients access vital medications.

Key Responsibilities

• Technical Leadership & Architecture: Define the long-term technical vision and architectural roadmap for FuzeRx’s B2B and consumer platforms. Drive decisions around microservices design, API design, database schemas, and data pipelines.
• Engineering Excellence & Code Quality: Lead by example by writing clean, highly optimized, and maintainable code for critical system components. Establish engineering standards, champion rigorous code reviews, and advocate for modern testing practices.
• System Scalability & Performance: Own the reliability and performance of our core platforms. Diagnose and resolve complex systemic issues, optimize heavy PostgreSQL workloads, and architect high-throughput infrastructure on AWS.
• Cross-Squad Force Multiplier: Act as a technical consultant and mentor to engineers across multiple squads. Break down ambiguous, massive technical problems into actionable execution phases that junior and senior engineers can successfully deliver.
• Cross-Functional Collaboration: Partner closely with Product Managers, Pharmacy Operations, and Engineering Managers to evaluate technical feasibility, de-risk complex roadmaps, and align technology choices with business objectives.
• Security & Compliance Safeguarding: Architect systems with privacy by design. Ensure our codebase, data-at-rest, and data-in-transit adhere strictly to healthcare regulations (e.g., HIPAA, SOC2), safeguarding sensitive patient data.
• Innovation & R&D: Evaluate emerging technologies, frameworks, and patterns. Build prototypes and proofs-of-concept (POCs) to derisk new initiatives before they are rolled out to the wider engineering team.

Minimum Qualifications

• Education: Bachelor’s degree in Computer Science, Software Engineering, or a related technical field (or equivalent practical experience).
• Technical Experience: 8+ years of progressive experience in software engineering, with at least 2+ years acting as a Tech Lead, Architect, or Staff Engineer designing complex systems.
• System Design Background: Proven track record of designing, building, and scaling high-volume API-led transactional or logistical platforms.
• AI Fluency: Experience building LLM-enabled applications including the use of orchestration, evaluation, and observability tools (e.g. LangGraph, Mastra, Temporal, LangChain, Vercel AI SDK, Braintrust, Langfuse)
• Relational DB Mastery: Strong relational database skills including query optimization and data modeling
• Infrastructure Proficiency: Knowledge of cloud native infrastructure tools such as Terraform, Kubernetes, and Helm
• Communication & Influence: Exceptional ability to articulate complex architectural trade-offs to both highly technical engineers and non-technical stakeholders (e.g., clinical, product, and operational leaders).
• Cross-functional Expertise: Demonstrated success collaborating with partners across the business (e.g. Product Management, Design)
• Shift / Site Specific Requirements: Standard business hours; available for critical tier-3 escalation architecture support if needed.

Preferred Qualifications

• Programming Languages: Significant history of product development with Ruby, Python, and/or TypeScript/JavaScript.
• Industry & Domain Experience: Prior engineering experience within Pharmacy Tech, Digital Health, or highly regulated FinTech/HealthTech environments.
• Measurable Impact: History of successfully leading major architecture modernization projects (e.g., monolith-to-services migrations, database overhauls).

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.

Salary Range

$178,400 to $223,000

Location Requirement

FuzeRx (Truepill / Fuze Care Services) is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin

Employment Authorization Requirement

Applicants must be authorized to work for any employer in the U.S. Alto Pharmacy, Fuze Health, LetsGetChecked, and Fuze Care Services can not take over, transfer, or sponsor any visa type at this time.

Benefits

Benefits - Fuze Health Full-time employee benefits include:

• dental
• vision
• 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
• additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program)
• flexible vacation time
• accrued paid sick time
• 10 paid holidays
• (2 floating holidays for full time non-exempt employees)
• eight weeks of paid parental leave for eligible employees
• additional paid weeks for the birthing parent
• 4 weeks paid caregiver leave
• a Lifestyle Spending Account allowance each month
• More Benefits Information Here: Fuze Health Benefits Site

Application deadline

The application deadline is August 30, 2026. This application deadline may be extended based on business needs.

#LI-Remote

At Fuze Health, we are committed to fostering an inclusive environment that celebrates diversity in all its forms. We believe that the diversity of thought, background, and experience strengthens our teams and drives innovation. We are an equal-opportunity employer and do not discriminate on the basis of race, ethnicity, religion, color, place of birth, sex, gender identity or expression, sexual orientation, age, marital status, military service status, or disability status. Our goal is to ensure that everyone feels valued and empowered to thrive.

Fuze Corporate Inc. and its subsidiaries respects your privacy and is committed to protecting your personal information. Please read our Candidate Privacy Notice which explains how we collect, use, disclose, and protect personal information about job applicants during the recruitment and hiring process.

Security Notice: Individuals are impersonating Fuze Health recruiters and executives. Verify all communications originate from @fuzehealth.com.

Additional Information #LI-Remote 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 [e-mail].

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.

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

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.