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Salary
$120k – $170k per year
Location
Hybrid (United States)
Seniority
Middle · 3+ years exp
Visa
No sponsorship (stated in the posting)
Employment
Full-Time

Confirmed on the employer's own hiring board on Oct 13, 2026. First seen by Alion on Oct 8, 2026.

Overview
Company
Impact
Profile match
VIVIO is a PBM Alternative that helps employers lower drug costs with data-driven open-market products that improve health outcomes and reduce waste.

About VIVIO

VIVIO Health, a Public Benefit Corporation, is revolutionizing pharmacy benefits management through data and technology. Our foundational principle - "The Right Drug for the Right Person at the Right Price" - drives everything we do. Since 2016, our evidence-based approach has delivered superior health outcomes while reducing costs for self-insured employers and health plans. By ensuring each patient receives the most appropriate medication for their specific condition at a fair market price, we're replacing the obsolete PBM Model with innovative solutions that work better for everyone.

Why Join VIVIO?

  • Innovation: Challenge the status quo and shape healthcare's future
  • Impact: Directly influence patient care and help change healthcare delivery
  • Collaboration: Work with passionate teammates dedicated to making a difference
  • Culture: Enjoy autonomy and reliability in a micromanagement-free environment
  • Growth: Expand your opportunities as we expand our business

Position Overview

We're seeking a mission-aligned Software Engineer to help build and improve our products. You'll build and support the Python services that run our business: pharmacy claims processing, medical claims processing, batch data pipelines, and internal web applications. You'll take ownership of real features early and learn the pharmacy benefits domain by building in it.

This role can be hybrid (minimum 3 in-office days per week) from our Hayward, CA office, or fully remote for candidates outside the Bay Area. Remote team members maintain core overlaps with Pacific Time hours and join periodic team onsites in Hayward.

Key Responsibilities:

  • Build and maintain Python services: REST APIs (FastAPI), batch jobs, and shared libraries
  • Implement features in our claims, eligibility, and drug-pricing workflows
  • Ensure high-quality deliverables through well-designed, maintainable, and unit-tested code
  • Write and tune SQL against our MySQL databases: queries, reports, and stored procedures
  • Participate in the full application lifecycle: design, code review, deployment, and production support
  • Collaborate across departments to align technical solutions with business goals
  • Use AI-assisted development tools to accelerate delivery while owning the correctness, testing, and review of your work

Required Qualifications:

  • BS or advanced degree in Computer Science or equivalent practical experience
  • 3+ years of hands-on Python development experience
  • Solid computer science fundamentals: data structures, testing, and version control (git)
  • Care and discipline working with sensitive data; HIPAA/PHI experience is a plus
  • Experience with relational databases and SQL (MySQL preferred)
  • Experience building RESTful APIs in Python (FastAPI, preferred)
  • Experience with Atlassian toolset and Agile development methodologies
  • Comfort working in Linux environments; AWS exposure is a plus
  • Healthcare industry experience is a plus, not a requirement; we will teach you the pharmacy benefits domain
  • Experience working with AI coding tools (Claude Code, ChatGPT, Cursor, or similar), including judgment about when to trust their output and when not to

Key Attributes:

  • Active problem solver with a "figure it out" mindset
  • Clear and proactive communicator
  • Exceptional attention to detail
  • Eagerness to learn a complex, regulated business domain
  • Openness to feedback and collaborative code review

VIVIO does not provide employer support or sponsorship for any immigration related employment benefit for this role.

Applicants must be currently authorized to work in the United States on a fulltime basis without the need for employer support, visa transfer support, DSO documentation or sponsorship now or in the future. This includes having the legal right to work in the United States without the need for VIVIO support or sponsorship for any immigration related employment authorization (e.g., H1B, O1, E3, H1B1, TN, F1 OPT, F1 STEM OPT, F1 CPT, E-2, E-3 etc.) now or in the future.

Compensation and Benefits:

  • The anticipated salary range for this position is $120,000-$170,000 per year. The actual salary offered will be determined by a variety of factors, including the candidate’s qualifications, experience, and the position's geographic location.
  • Bonus Eligible
  • Comprehensive Benefits Package:
  • Medical, Pharmacy, Dental, Vision
  • Life Insurance
  • Stock Options
  • 401(k) with Company Match
  • PTO
  • Full-time position
  • Dynamic, collaborative work environment
  • Opportunity to make a real impact at a growing Public Benefit Corporation

VIVIO Health is an Equal Opportunity Employer. All information will be kept confidential according to EEO guidelines.

Please be advised that job opportunities will only be extended after a candidate submits a completed job application and goes through our interview process, including 1:1 and/or group interviews via phone, video conferencing, and/or in-person. All legitimate correspondence from a VIVIO employee will come from our Smart Recruiter Applicant Tracking System "@smartrecruiter.com" or "@viviohealth.com" email accounts.

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