Senior Fullstack Engineer

Alto Pharmacy is a full-service, digitally-powered pharmacy that makes it simple to live your healthiest life by providing an easier, more supportive and more affordable pharmacy experience. We’re redefining what a pharmacy can do, with fast and reliable prescription delivery, tools like treatment reminders and medication bundling, direct access to care specialists, and support with insurance and cost savings. By focusing on the person behind the prescription, our model boosts adherence, improves health outcomes, and keeps our customers returning month after month. Learn more at www.alto.com.

As a Senior Full Stack Engineer on the Care Team, you will join a team that is working to improve patients’ lives through a better pharmacy experience. The Care Team owns the services that manage all of prescription processing from intake up to the moment we send an order to our pharmacies for fulfillment. The key focus areas for the Care Team include:

1. Preparing prescriptions for fulfillment and delivery as quickly and accurately as possible through a combination of automation and efficient manual task coordination when third party input is required to advance a fill
2. Enabling the growth of the business by enabling partners like drug manufacturers, insurers, and individual providers to easily configure billing, benefits, and clinical workflows tailored to their use cases

Example Projects:

• Increase Alto’s intake automation rate by leveraging LLMs to parse unstructured data from prescriptions
• Accelerate pharmacist workflows by integrating controlled substance dispensing history and risk scores into our pre-dispense clinical safety and review step
• Optimize the selection of which drug to dispense to find patients the best price

Accelerate Your Career as You

• Advance Alto’s automation and workflow orchestration systems to improve system throughput and accuracy
• Establish the foundations for an extensible pharmacy operations platform to fuel business growth
• Tackle complex technical and domain problems at the intersection of healthcare and e-commerce

A Bit About You

Minimum Qualifications:

• Bachelor's degree in Engineering or equivalent experience
• 10+ years of progressive software engineering experience in a production environment
• Background in backend or full stack technologies
• Expertise in architecting complex systems for long-term maintainability, performance, and scalability
• Strong engineering fundamentals
• Proven commitment to technical best practices, including code style, documentation, code review, bug fixing, and production issue mitigation

Preferred Qualifications: 

• Proficiency in Alto's tech stack: Rails, Python, Javascript, React, React Native
• Demonstrated ability to thrive in a dynamic entrepreneurial environment and maintain a growth mindset
• A pragmatic approach to problem solving that’s biased towards impact
• A strong sense of ownership over your work and a desire to uplevel your peers
• Passion for Alto’s mission and our company values
• Experience designing and implementing service oriented architectures

Additional Physical Job Requirements

• Read English, comprehend, and follow simple oral and written instructions.  The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.  Assessing the accuracy, neatness and thoroughness of the work assigned.
• Communicating with others to exchange information.  Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly.
• Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.
• Frequent repeating motions required to operate a computer that may include the wrists, hands and/or fingers.
• Sedentary work: Sitting most of the time, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Walking and standing are required only occasionally.

Salary and Benefits

Salary Range: $172,000 - $215,000

Commission Eligible: No

Equity Eligible: Yes

Travel: Yes - Required up to 15% of the time