Principal Software Engineer – ePrescribing

Job not on LinkedIn

🕒 March 20

⚔️ Virginia, Washington, +3 more states – Remote

⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $177.5k - $222.5k / year

⏰ Full Time

🔴 Lead

🧑‍💻 Full-stack Engineer

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Prescryptive Health, Inc.

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2017

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

Healthcare Insurance • SaaS • B2B

Prescryptive Health, Inc. is a healthcare technology company that operates the myPrescryptive platform to help patients, pharmacies, employers, health systems, and pharma manufacturers manage and optimize prescription medications. Its SaaS platform provides real-time patient alerts, digital prescription management (no app required), EHR integration, and AI-driven pricing tools to improve medication adherence, transparency, affordability, and pharmacy profitability. Prescryptive offers employer-facing benefit solutions (emPBM), pharmacy pricing optimization, and consumer-facing tools to compare prices and track medication spend, with security certifications such as HITRUST.

📋 Description

• Define and evolve the architecture for ePrescribing systems, ensuring scalability, reliability, and interoperability • Lead implementation of NCPDP SCRIPT standards, including multi-version support and translation services (e.g., 2017 ↔ 2023) • Design and optimize XML-based message processing, including schema strategy, transformation, and validation • Establish patterns and tooling for certification, validation, and onboarding of new partners and message types • Own complex production issues end-to-end, setting the standard for real-time troubleshooting and resolution • Partner with Operations and Customer Care to improve system transparency and reduce issue resolution time • Integrate with external networks (e.g., Surescripts, Change Healthcare) and ensure resilient partner connectivity • Identify and address systemic gaps, reducing single points of failure and improving long-term maintainability • Mentor engineers and elevate team capability in healthcare interoperability and system design

🎯 Requirements

• Bachelor’s degree in engineering, computer science, or related field • Deep, hands-on expertise in NCPDP ePrescribing (SCRIPT) standards • Proven track record designing and operating distributed, message-driven systems • Strong command of XML and schema-driven integrations • Experience owning end-to-end ePrescribing workflows and interoperability across systems • Background working with: EHR/EMR systems (e.g., Epic, Cerner) • Pharmacy Management Systems (PMS) • Retail and/or long-term care pharmacy workflows • Familiarity with ePrescribing networks/intermediaries (e.g., Surescripts, Change Healthcare) • Demonstrated ability to operate in high-urgency, production-driven environments • Strong communication skills across technical and non-technical stakeholders • Must have permission to work in the U.S. on a permanent basis.

🏖️ Benefits

• Flexible time off, including 12 paid holidays • 401k match plus 100% employer paid medical, dental, and vision premiums • Company contribution to Health Savings Account • Stock options