Fullstack Software Engineer [Short Term Assignment]

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.


About Alto / FuzeRx
Alto 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, you can review our Founders’ Story and our Values.

We are looking for a highly skilled Full Stack Software Engineer to join our engineering team at Alto Pharmacy. At Alto the engineers are thought leaders and have a passion to build elegant software with high impact. You will work on industry disrupting platforms, on complex technical challenges that solve complex customer problems, together with your talented colleagues. This position will involve 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.

Short Term Assignments typically last up to 6 months.

Job Description

Job Description

Accelerate Your Career as You

• 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.

A Bit About You

Minimum Qualifications:

• Bachelors 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.

• Excellent knowledge of full-stack development, including frontend (HTML, CSS, JavaScript) and backend (databases, APIs, server-side technologies. multi-tenancy, workflow orchestration and choreography. long running saga patterns)

• 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

• Implement and maintain backend-for-front-end (BFF) architectures

• Strong communication ski