Principal Engineer
Alto Pharmacy1 day ago
Remote, United StatesStaff+
Base Salary
$216k - $270k/yr
Responsibilities
- Define and evolve target architecture and technical roadmaps for FuzeRx’s B2B and consumer platforms.
- Lead implementation of high-volume API integrations, pharmacy fulfillment logistics, distributed data consistency, and other complex initiatives.
- Mentor Staff, Senior, and Mid-level engineers through design reviews, pairing sessions, and technical presentations.
- Establish engineering standards covering coding guidelines, testing frameworks, deployment pipeline strategies, and security-by-design principles.
- Partner with Product Management, Engineering Managers, Pharmacy Operations, and InfoSec to align architecture with business, clinical, privacy, and compliance requirements.
- Optimize system performance, latency, database efficiency, scalability, and reliability across PostgreSQL and AWS infrastructure.
- Evaluate tools, frameworks, and AWS services through proof-of-concepts.
- Serve as a Tier 1 technical escalation point for critical architectural outages during standard business hours.
Requirements
- Bachelor’s degree in Computer Science, Software Engineering, or a related technical discipline.
- 10+ years of progressive hands-on experience in software engineering and systems design.
- 3+ years operating at a Staff, Principal, or equivalent senior architectural level across multiple teams.
- Extensive experience building and scaling distributed, high-throughput, highly available B2B SaaS or transactional systems.
- Deep hands-on expertise in AWS, PostgreSQL, Ruby on Rails, Python, TypeScript, and JavaScript.
- Proven ability to design complex distributed systems, optimize relational database queries, and establish automated deployment pipelines.
- Experience with HealthTech, digital pharmacy, or highly regulated environments.
- Advanced knowledge of HL7, FHIR, NCPDP, and electronic health record integrations.
- Experience leading large-scale architectural shifts such as monolith-to-microservices or event-driven transformations.
- Preferred qualifications include a master’s degree, open-source contributions, or technology conference speaking experience.
- Applicants must be authorized to work for any employer in the U.S. and reside in one of the listed eligible states.
Benefits
- Full-time benefits include dental, vision, medical plans, 401(k), life and AD&D insurance, FSA, HSA, commuter benefits, and employer-paid short- and long-term disability insurance.
- Additional benefits include supplemental insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program.
- Employees receive flexible vacation time, accrued paid sick time, 10 paid holidays, eligible floating holidays, eight weeks of paid parental leave plus additional birthing-parent leave, four weeks of paid caregiver leave, and a monthly Lifestyle Spending Account allowance.
- The role follows standard business hours and is limited to residents of 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, and Wisconsin.
Tech Stack
Categories
About Alto Pharmacy
Alto Pharmacy is a privately held, San Francisco–based digital pharmacy founded in 2015. It provides software-enabled prescription fulfillment, insurance coordination, and courier or mail delivery for patients and their clinicians, with focus areas including fertility and HIV/PrEP. The business earns revenue by dispensing medications and specialty pharmacy services and integrates with provider workflows to streamline prior authorizations and refills.