Software Engineer - FuzeRx

About Fuze Health
At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs.

Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next‑generation solutions that patients and healthcare partners need today and into the future.

Alto, a Fuze Health Company
Alto/FuzeRx provides an easier, more efficient and more affordable pharmacy experience for patients, providers, and partners. Our full‑service, digitally‑powered pharmacy makes it simple for patients to live their healthiest life, while our technology empowers partners with automated and customizable solutions for the entire pharmacy value stream.

To learn more about Alto/FuzeRx, you can review our Founders’ Story and our Values.

Full Stack Software Engineer – Alto/FuzeRx Pharmacy
We are looking for a highly skilled full‑stack software engineer to join our engineering team at Alto/FuzeRx Pharmacy. The engineers are thought leaders and have a passion to build elegant software with high impact. You will work on industry‑disrupting platforms, complex technical challenges that solve customer problems, together with talented colleagues. This position involves working on internal applications that serve commercial external customers, with a focus on both the backend and frontend. The ideal candidate will have experience with monolithic applications, Rails, and a strong passion for building scalable and high‑performing software solutions. A background in health tech, pharmacy, or commerce technology is highly preferred.

Responsibilities

Design, build, and maintain scalable full‑stack solutions for internal and external users.

Collaborate with product and business teams to deliver customer value.

Write clean, maintainable, and efficient code in Ruby on Rails and other modern programming languages.

Contribute to AI and machine learning initiatives and leverage them into existing platforms for better automation and prediction.

Ensure high availability, performance, and security of applications.

Troubleshoot and debug issues across high volume, high throughput, highly performant, and direct user‑interacting systems.

Passion for observability and operationalization, building alerting, and measuring the impact of the code you build.

Collaborate with cross‑functional teams to drive innovation in software solutions.

Stay up‑to‑date with the latest software development trends and technologies.

Minimum Qualifications

Bachelors degree in Computer Science or related field.

Minimum of 5+ years of experience as a Full Stack Software Engineer.

Experience building and deploying applications in Ruby on Rails and decoupling them into externalized services with API interfaces.

Experience working with databases, both SQL and NoSQL.

Ability to troubleshoot and optimize both frontend and backend systems.

Strong interest in AI technologies or experience integrating AI solutions.

Passion for building scalable, efficient, and high‑quality software.

Preferred Qualifications

Experience in health tech or pharmacy‑related industries.

Experience in supply chain or commerce technology.

Familiarity with cloud services (AWS, GCP, or Azure).

Understanding of CI/CD processes and modern development workflows.

Implementation and maintenance of backend‑for‑frontend (BFF) architectures.

Strong communication skills and ability to collaborate in a fast‑paced environment.

Physical Requirements
Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, periodically move away from the computer terminal for in‑person meetings, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move objects up to 50 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions.

ADA Statement
Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Alto/FuzeRx’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.

Salary and Benefits
Salary Range: $124,800 – $156,000.

Full‑time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, AD&D insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer‑paid short‑term (STD) and long‑term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays (2 floating holidays for full‑time non‑exempt employees), and up to 16 weeks of paid parental leave for a birthing parent, up to 8 weeks of paid bonding leave for non‑birthing parents, and up to 12 weeks of family caregiver leave, including 4 paid, to support care for a family member, and a Lifestyle Spending Account allowance each month.

Equal Opportunity Statement
At Fuze Health, we are committed to fostering an inclusive environment that celebrates diversity in all its forms. We believe that the diversity of thought, background, and experience strengthens our teams and drives innovation. We are an equal‑opportunity employer and do not discriminate on the basis of race, ethnicity, religion, color, place of birth, sex, gender identity or expression, sexual orientation, age, marital status, military service status, or disability status. Our goal is to ensure that everyone feels valued and empowered to thrive.

Location and Eligibility
Employment at Alto/FuzeRx is limited to individuals residing in the following states: Arizona, Arkansas, California, Colorado, Florida, Kansas, Maryland, Missouri, Nevada, New Jersey, New York, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Washington (WA), and Wisconsin. Applicants must be authorized to work for any employer in the U.S. At this time, Alto/FuzeRx is unable to sponsor or take over sponsorship of an employment Visa.

Travel: No required up to 0% of the time.

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