Full-Stack Engineer (3+ years exp)

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 Fullstack 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, as well as integrations with key partners in the healthcare and pharmaceutical industry. The key focus areas for the Care Team include: 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 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 Minimum Qualifications: • 3+ years of software engineering experience in a production environment • Expertise in architecting complex systems for long-term maintainability, performance, and scalability • Proven commitment to technical best practices, including code style, documentation, code review, bug fixing, and production issue mitigation • Strong communication skills and demonstrated experience collaborating with cross functional partners to deliver exceptional products Preferred Qualifications: • Proficiency in Alto's tech stack: Ruby on Rails, 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