Alto Pharmacy

Staff Software Engineer

Alto Pharmacy
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7 days ago
Remote, United StatesStaff+

Base Salary

$178k - $223k/yr

Responsibilities

  • Define the long-term technical vision, architectural roadmap, and engineering standards for FuzeRx’s B2B and consumer platforms.
  • Design and guide microservices, APIs, database schemas, data pipelines, and scalable distributed systems.
  • Write and review clean, optimized, maintainable code for critical system components and promote modern testing practices.
  • Own platform reliability and performance, including PostgreSQL query optimization and high-throughput AWS infrastructure.
  • Serve as a technical consultant, mentor, and force multiplier across multiple engineering squads.
  • Partner with Product Managers, Pharmacy Operations, and Engineering Managers on technical feasibility, roadmap risk, and technology decisions.
  • Architect privacy-focused systems that protect patient data and meet HIPAA and SOC2 requirements.
  • Evaluate emerging technologies and build prototypes or proofs of concept for new initiatives.
  • Provide critical tier-3 escalation architecture support during standard business hours when needed.

Requirements

  • Bachelor’s degree in Computer Science, Software Engineering, or a related technical field, or equivalent practical experience.
  • At least 8 years of progressive software engineering experience, including at least 2 years as a Tech Lead, Architect, or Staff Engineer designing complex systems.
  • Proven experience designing, building, and scaling high-volume API-led transactional or logistical platforms.
  • Experience building LLM-enabled applications with orchestration, evaluation, and observability tools such as LangGraph, Mastra, Temporal, LangChain, Vercel AI SDK, Braintrust, and Langfuse.
  • Strong relational database skills, including query optimization and data modeling.
  • Knowledge of cloud-native infrastructure tools including Terraform, Kubernetes, and Helm.
  • Significant product-development experience with Ruby, Python, and/or TypeScript/JavaScript is preferred.
  • Experience in Pharmacy Tech, Digital Health, or regulated FinTech/HealthTech environments is preferred.
  • Demonstrated success leading major architecture modernization projects such as monolith-to-services migrations or database overhauls is preferred.
  • Ability to communicate architectural trade-offs to technical and non-technical stakeholders and collaborate cross-functionally.
  • Applicants must be authorized to work for any employer in the United States.

Benefits

  • Full-time benefits include dental, vision, medical plans, 401(k), group life insurance, AD&D insurance, FSA, HSA, commuter benefits, short- and long-term disability insurance, and supplemental insurance plans.
  • Additional benefits include flexible vacation time, accrued paid sick time, 10 paid holidays, paid parental and caregiver leave, a monthly Lifestyle Spending Account, home health testing kits, and a fertility medication discount program.
  • Remote role, limited to residents of the states listed in the posting, with standard business hours and possible tier-3 escalation support.
  • The application deadline is August 30, 2026, subject to extension based on business needs.
Alto Pharmacy

About Alto Pharmacy

501-1,000 employees
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