{"id":2047607,"url":"https://alion.io/job/free-market-health-in-hs-sr-software-engineer-python-agentic-development","title":"Sr. Software Engineer (Python, Agentic Development)","company":{"id":673717,"name":"Free Market Health","domain":"freemarkethealth.com","url":"https://alion.io/company/freemarkethealth","size_band":"11-50","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Rippling","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":"full_time","work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Pittsburgh, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":121000,"max_usd":224000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":3667},"experience_years_min":7,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AI Agents","optional":false},{"name":"Claude Code","optional":false},{"name":"Cursor","optional":false},{"name":"Model Context Protocol","optional":false},{"name":"Python","optional":false},{"name":"React.js","optional":false},{"name":"Rest API","optional":false},{"name":"SQL","optional":false},{"name":"Azure","optional":true},{"name":"Databricks","optional":true},{"name":"Datadog","optional":true},{"name":"HIPAA","optional":true},{"name":"JavaScript","optional":true},{"name":"LLM","optional":true},{"name":"SOC 2","optional":true}],"status":"live","first_seen_at":"2026-10-07T19:19:28Z","employer_posted_date":"2026-10-07","last_verified_at":"2026-10-27T12:20:52Z","board_verified":true,"closed_at":null,"days_open":19,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":19},"description":"Why FMH\nEvery day, someone receives a life-changing diagnosis. Getting the right medication should be straightforward - but too often it isn’t.\nSpecialty 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.\nFree Market Health exists to make that process work better.\nOur 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.\nYour impact\nAt 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.\nYou'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.\nWhatYou’llDo\nDesign, build, and operate backend services, APIs, and integrations in Python, with frontend work in React when it's needed.\nBecome the subject matter expert for a business domain, including referral workflows, pharmacy integrations, and the data that moves between them.\nPartner with Product and operations teams to understand problems and shape solutions.\nReview designs and code across teams that touch your domain.\nBuild and improve the agents, skills, rules, and context that help engineers work in your domain with AI coding tools.\nBring agentic development practices to the team: spec-driven work, delegating implementation to agents, and validating what they produce.\nImprove reliability and data quality in the systems you own.\nWhatWe’reLooking For\n7+ years of professional software engineering experience, with deep backend experience in Python or a similar language.\nA track record of owning complex production systems and becoming the expert others rely on.\nExperience with system integrations, data pipelines, REST APIs, event-driven architecture, and relational databases such as SQL Server.\nHands-on experience with agentic coding tools such as Claude Code or Cursor, including writing agent instructions, skills, or MCP integrations.\nCuriosity about the business, and a habit of asking why before building.\nClear writing, and the instinct to encode what you know into tools other engineers can use.\nNice to Haves\nHealthcare technology experience, especially specialty pharmacy, PBM, payer, claims, or EDI integrations.\nExperience with Microsoft Azure, Azure Service Bus, Databricks, or Datadog.\nExperience with LLM application development or AI workflow automation.\nFamiliarity with HIPAA, HITRUST, or SOC 2.\nLife at FMH\nWe’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.\nBased 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.\nAs 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.\nTogether, we’re building something special, and we’re just getting started.\nBenefits\nUnlimited PTO\n100% employer-paid individual medical, dental, and vision premiums\nEmployer HSA contribution\nPaid parental leave\n401(k) match\nTransportation and parking benefits\nFlexible, collaborative work environment\n Benefit eligibility is based on employment status. \nBuild What’s Next With Us\nHealthcare is evolving - and so are we.\nIf you’re excited by meaningful challenges, collaborative teammates, and the opportunity to help build a growing healthcare technology company, we’d love to hear from you.\nEqual Opportunity Employer\nFree Market Health is proud to be an Equal Opportunity Employer.\nWe 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.\nFMH is also committed to providing reasonable accommodations throughout the hiring process. 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