Fullstack Engineer

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:

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:

• 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

Additional Physical Job Requirements

• Reading English, comprehending, and following 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.
• 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 or phone that may include the wrists, hands and/or fingers.
• Environmental Conditions: occasional exposure to low temperatures or high temperatures, outdoor elements such as precipitation and wind, and noisy environments.
• Physical Activities: 
  • Occasionally ascending or descending stairs, ramps and the like.
  • Moving about to accomplish tasks and/or moving from one worksite to another. 
  • Adjusting or moving objects up to 20 pounds in all directions. 
  • Operating motor vehicles.
  • Occasional sedentary work that primarily involves sitting/standing/driving/flying
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Salary and Benefits

Salary Range: 144,000 - 180,000

Commission Eligible: No.

Equity Eligible: Yes.

Travel: Yes. Up to 15% of the time. 

Location Requirement: Employment at Alto is limited to individuals residing in the following states: California, Connecticut, Colorado, Florida, Nevada, Illinois, New York, Kansas, Texas, Maryland, Washington (WA), Missouri, New Jersey, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Wisconsin.

Employment Requirement: Applicants must be authorized to work for any employer in the U.S.  At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa.

Benefits: Full-time: Medical, Dental, Vision, 401(k), Group Life, AD&D, Employer paid STD/LTD, generous PTO and parental leave.  

Application deadline: July 5, 2024

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