
501 - 1000 employees
Founded 2015
💼 Consulting
📦 Logistics
🏥 Healthcare
💰 Convertible note on 2024-12
Consulting • Logistics • Healthcare
Alto Pharmacy is a digital, patient-focused pharmacy that reimagines prescription fulfillment by combining mobile app ordering, insurance/payment coordination, and same-day courier or nationwide home delivery. It provides specialty pharmacy services for complex conditions and fertility medications, offers pharmacist support seven days a week, and partners with providers and employers to streamline medication management and patient education.
🔥 0 minutes ago
🦀 Maryland, Minnesota, +2 more states – Remote
💵 $209.6k - $262k / year
⏰ Full Time
🔴 Lead
🧑💻 Full-stack Engineer
🦅 H1B Visa Sponsor
👻 Ghost score 0%
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501 - 1000 employees
Founded 2015
💼 Consulting
📦 Logistics
🏥 Healthcare
💰 Convertible note on 2024-12
Consulting • Logistics • Healthcare
Alto Pharmacy is a digital, patient-focused pharmacy that reimagines prescription fulfillment by combining mobile app ordering, insurance/payment coordination, and same-day courier or nationwide home delivery. It provides specialty pharmacy services for complex conditions and fertility medications, offers pharmacist support seven days a week, and partners with providers and employers to streamline medication management and patient education.
• Define and evolve the target architecture for FuzeRx’s core B2B and consumer platforms • Drive the technical roadmap for transitioning legacy systems into modern, scalable, cohesive architectures • Lead design and implementation of technically challenging initiatives, including high-volume API integrations, pharmacy fulfillment logistics, and distributed data consistency • Mentor Staff, Senior, and Mid-level engineers • Institute design reviews, pairing sessions, and technical brown-bags • Establish and enforce coding, testing, CI/CD, and security-by-design standards • Collaborate with Product Management, Engineering Managers, and Pharmacy Operations • Architect systems supporting HIPAA and SOC2 compliance, patient data privacy, and secure messaging • Optimize system performance, reduce latency, and improve PostgreSQL and AWS database efficiency • Evaluate tools, frameworks, and AWS services through proof-of-concepts • Report to the VP of Engineering and operate across multiple product squads
• 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, driving technical initiatives across multiple teams • Extensive background building and scaling distributed, high-throughput, and highly available B2B SaaS or transactional systems • Standard business hours; expected to serve as a Tier 1 technical escalation point for critical architectural outages • Mastery of modern cloud architectures • Deep, hands-on expertise in AWS, PostgreSQL, Ruby on Rails, Python, TypeScript, and JavaScript • Familiarity with Slack, GSuite, and Jira • Exceptional communication skills to explain complex technical trade-offs to non-technical executives and stakeholders • Strong bias for action and pragmatism over architectural purity • Proven ability to design and implement complex distributed systems, optimize complex relational database queries, and establish automated deployment pipelines • Advanced knowledge of healthcare data interoperability standards such as HL7, FHIR, and NCPDP, and EHR integrations • Physical ability to work at a computer terminal for extended periods and perform the listed physical requirements • Must be authorized to work for any employer in the U.S.; no visa sponsorship or transfer available
• Dental, vision, and multiple group medical plans • 401(k) retirement savings plan • Group life insurance • Accidental death and dismemberment (AD&D) insurance • Flexible spending account (FSA) • Health savings account (HSA) • Commuter benefits • Employer-paid short-term (STD) and long-term disability (LTD) insurance • Supplemental spouse life insurance • Legal insurance • Employee assistance program • Home health testing kits • Fertility medication discount program • Flexible vacation time • Accrued paid sick time • 10 paid holidays • 2 floating holidays for full time non-exempt employees • Eight weeks of paid parental leave for eligible employees, with additional paid weeks for the birthing parent • 4 weeks paid caregiver leave • Lifestyle Spending Account allowance each month
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