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Senior Software Engineer - FuzeRx

Fuze Health (Alto/FuzeRx) is a digitally-powered pharmacy and healthcare technology company combining leaders in digital health, diagnostics, and pharmacy to improve patient outcomes and access. We are seeking a Senior Full Stack / Backend Engineer to join the Care Team to design, build, and operate high-throughput prescription-processing services that accelerate fulfillment, automate intake, and enable customizable billing and clinical workflows for partners.

Skills

  • Proven experience building high-volume, high-throughput backend systems
  • Strong architecture and system design for maintainability, performance, and scalability
  • Proficiency with Rails, Python, and PostgreSQL (or similar stacks)
  • Experience integrating predictive/ML models and working with LLMs or unstructured data parsing
  • Knowledge of service-oriented architectures and supply chain/fulfillment optimization concepts
  • Excellent debugging, monitoring, and production-incident mitigation skills
  • Ability to mentor peers and influence engineering standards

Responsibilities

  • Design and implement backend and full-stack services that manage prescription intake through fulfillment
  • Increase automation of intake using modern techniques including LLMs and structured parsing of unstructured prescription data
  • Integrate clinical safety checks, controlled substance history, and risk scoring into pre-dispense workflows
  • Optimize drug selection and pricing logic to deliver best-value options for patients
  • Architect and evolve an extensible inventory management platform balancing low inventory with high availability
  • Mentor engineers, drive best practices in code quality, testing, code review, and incident response
  • Collaborate with product, clinical, and operations teams to translate business needs into scalable technical solutions

Education

  • Bachelor's degree in Engineering, Computer Science, or equivalent experience
  • Equivalent practical experience accepted in lieu of formal degree

Benefits

  • Medical, dental, and vision plans with multiple options
  • 401(k) retirement savings plan
  • Employer-paid short- and long-term disability and group life/AD&D insurance
  • Flexible Spending Account (FSA) and Health Savings Account (HSA)
  • Flexible vacation, accrued sick time, 10 paid holidays and floating holidays
  • Paid parental leave (up to 16 weeks birthing parent, up to 8 weeks bonding), family caregiver leave
  • Lifestyle Spending Account allowance, commuter benefits, and supplemental insurance options
  • Employee assistance program and fertility medication discount program
To read the complete job description, please click on the ‘Apply’ button
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$166500 / YEARLY (est.)
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$148000K
$185000K

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SENIORITY LEVEL REQUIREMENT
TEAM SIZE
SALARY RANGE
$148,000/yr - $185,000/yr
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
April 11, 2026
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