1,746,461open jobs
102,985companies
263,631added this week
Browse all
Salary
$148k – $185k per year
Location
Remote (Iowa, Florida, Illinois, Arkansas, Connecticut, United States)
Seniority
Senior · 10+ years exp
Visa
H-1B filings in 12 months: 3 · for this role: 1
Employment
Full-Time

Confirmed on the employer's own hiring board on Oct 15, 2026. First seen by Alion on Sep 15, 2026.

Overview
Company
Impact
Profile match
Alto Pharmacy is a US digital pharmacy headquartered in San Francisco that fills prescriptions and delivers medication to patients, with auto refill, medication bundling, insurance and cost support and direct access to pharmacists. Founded in 2015 by Jamie Karraker and Matt Gamache-Asselin, it operates in about 12 US cities and is part of Fuze Health, a group that also includes LetsGetChecked and Truepill. The shared Fuze Health job board lists pharmacists, pharmacy technicians, fulfillment and inventory staff, care supervisors, product managers, security and software engineers and finance roles, many for the FuzeRx pharmacy business.

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.

FuzeRx provides an easier, more efficient and more affordable pharmacy experience for patients, providers, and partners. Our full-service, digitally-powered pharmacy makes it simple for patients to live their healthiest life, while our technology empowers partners with automated and customizable solutions for the entire pharmacy value stream. To learn more about FuzeRx, you can review our Founders’ Story and our Values.

Job Description

As a Senior Software Engineer for FuzeRx, 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.

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.

This position requires occasional travel therefore you must be able to sit for extended periods of time on airplanes and/or in vehicles, lift and carry luggage independently, navigate long distances through airports and other travel locations independently, and adjust to different time zones and climates.

Salary Range: $148,000 - $185,000

Location Requirement:

  • FuzeRx 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.

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

#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

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 [email protected].

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 at [email protected].

Privacy Notice

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

Free account
Stop reading job ads. Get the ones that fit.
One free account turns this page into a shortlist built around your stack, your level and your pay.
Match on every job. Stack, seniority, pay and location, scored against your profile.
1,746,461 open roles. Read straight off company career pages, refreshed every day.
Unlimited applications. Every one you send is tracked in one place, on-site or on a company board.
3 tailored CVs a month. Rewritten for the exact job you are applying to. Included free.
Create a free account Continue with Google
Free forever. No card. Under a minute.

Your match

How well do you fit this role?
Two answers are enough for a real match. No account needed.
Check my fit
Answers stay in this browser until you create an account.

Recommended for you based on this role

Backend
Similar stack
Same company
United States
≈ $146k – $266k per year (Estimated) • In office • Secret • 10+ years exp • Bachelor's Degree • Huntsville
Management
Confluence
Jira
Agile
Apply
≈ $19k – $34k per year (Estimated) • Remote (likely EAEU) • Moscow
Python
1C
AI/ML
Claude
LLM
RAG
OpenAI
Management
Confluence
Jira
Apply
$131k – $237k per year • In office • TS/SCI • Full-Time • 12+ years exp • Chantilly
JavaScript
Java
TypeScript
Java
Spring Boot
Databases
ElasticSearch
Frontend
Angular
DevOps
Jenkins
Git
AWS
Amazon EC2
Linux
Analytics
ETL/ELT
Management
Confluence
Jira
Agile
Scrum
QA
Selenium
Apply
Software Engineer 26 days ago
$87k – $157k per year • In office • Top Secret • Full-Time • 4+ years exp • Bachelor's Degree • San Diego
Python
DevOps
Ansible
Red Hat
Platform Engineering
KVM
Linux
Cybersecurity
LDAP
Apply
$131k – $237k per year • In office • Secret • Full-Time • 12+ years exp • Bachelor's Degree • Huntsville
Python
C++
C++
Qt
DevOps
VMWare
CI/CD
GitLab
Linux
Cybersecurity
Wireshark
Management
Jira
Agile
Apply
≈ $17k – $37k per year (Estimated) • In office • 3+ years exp • Saint Petersburg
Python
JavaScript
TypeScript
Node JS
Python
FastAPI
Asyncio
Databases
PostgreSQL
DevOps
Prometheus
CI/CD
Docker
Kubernetes
Grafana
Apply
≈ $31k – $55k per year (Estimated) • Remote (likely EAEU) • Moscow
Python
JavaScript
TypeScript
C#
C#
ASP.NET Core
Databases
PostgreSQL
Qdrant
RabbitMQ
ElasticSearch
AI/ML
LLM
RAG
Frontend
Next.js
React.js
DevOps
Rest API
Docker Compose
CI/CD
Docker
SLI/SLO/SLA
Linux
Design
Figma
QA
Swagger
Apply
Remote (Philippines, AEST hours) • Full-Time • Manila
JavaScript
PHP
TypeScript
SQL
PHP
Laravel
Symfony
Databases
PostgreSQL
Frontend
React.js
JQuery
DevOps
CI/CD
AWS
Linux
Windows
Management
Agile
Apply
In office • Full-Time • Bengaluru
Python
JavaScript
TypeScript
C++
Frontend
Angular
React.js
Apply
≈ $25k – $53k per year (Estimated) • Remote (Spain) • Spain
Python
JavaScript
Databases
PostgreSQL
PostGIS
DevOps
Rest API
SpaceTech
GDAL
QGIS
GRASS GIS
Apply
Principal Engineer 4 days ago
$216k – $270k per year • Remote (United States) • Full-Time • 10+ years exp • Bachelor's Degree • United States
Python
JavaScript
TypeScript
Ruby
Ruby
Ruby on Rails
Databases
PostgreSQL
DevOps
CI/CD
AWS
Cybersecurity
SOC 2
HIPAA
Management
Slack
Jira
Apply
$178k – $223k per year • Remote (United States) • Full-Time • 8+ years exp • Bachelor's Degree • United States
Python
JavaScript
TypeScript
Ruby
Databases
PostgreSQL
AI/ML
LangGraph
LangChain
Langfuse
LLM
Braintrust
Mastra
Vercel AI SDK
DevOps
Rest API
Terraform
Helm
AWS
Kubernetes
Cybersecurity
SOC 2
HIPAA
Management
Agile
Apply
$128k – $160k per year • Remote (United States) • Full-Time • 4+ years exp • New York • Washington
Analytics
Looker
Apply
$128k – $160k per year • Remote (United States) • Full-Time • 4+ years exp • United States
Analytics
Looker
Apply
$50k – $56k per year • In office • Full-Time • 2+ years exp • Ireland
DevOps
SOPS
Cybersecurity
CAPA
Management
Microsoft Office
Apply
$70k – $126k per year • Remote (United States) • Full-Time • 9+ years exp • Bachelor's Degree • United States
Apply
$102k – $184k per year • Remote (United States) • Full-Time • 11+ years exp • Bachelor's Degree • United States
Management
Agile
Scrum
Apply
Equity • In office • High School Diploma • United States
Management
Outlook
Microsoft Office
Apply
≈ $63k – $170k per year (Estimated) • In office • Full-Time • High School Diploma • United States
Apply
≈ $40k – $90k per year (Estimated) • In office • High School Diploma • United States
Apply
See all jobs
This is one of many
1,746,461 more open roles from verified company boards, updated every day.