Your impact

At Free Market Health, our mission is to never let the process fail the patient. We build the platform that connects payers and specialty pharmacies and routes specialty medication referrals, so patients get the therapy they need. We're looking for a senior engineer who enjoys building great software and helping a team ship it together.

As a Team Lead, you'll spend most of your time hands-on: designing, building, and running production software. You'll also guide your team's delivery, shaping the work, clearing blockers, and keeping everyone moving in the same direction. Your Engineering Manager owns people management, so you can stay close to the code.

What You’ll Do

• Design, build, test, and operate full-stack features and backend services in production.

• Turn initiatives into clear, well-sequenced work the team can deliver.

• Lead technical design and set the quality bar in code review.

• Mentor engineers through pairing, review, and technical guidance.

• Spot risk early and bring options when plans need to change.

• Work closely with Product, domain experts, and other teams to get the right thing built.

• Use AI-assisted development and coding agents as a core part of how you build, and help your team do the same.

• Take part in triage and coordinate the team when an incident needs more hands.

• Interview candidates and help onboard new engineers.

What We’re Looking For

• 7+ years of professional software engineering experience, with end-to-end ownership of production systems.

• Experience as a team lead, tech lead, project lead, or the engineer a team relies on to organize ambiguous work.

• Strong backend development skills in Python or a similar language, plus experience with web frontends such as React.

• Experience with microservices, REST APIs, relational databases, and cloud platforms.

• Daily, hands-on use of AI coding tools such as Cursor or Claude Code on real delivery work.

• Clear communication and a habit of raising problems early.

Nice to Haves

• Healthcare technology experience, especially specialty pharmacy, PBM, payer, or claims integrations.

• Experience with Microsoft Azure, SQL Server, Azure Service Bus, Databricks, or Datadog.

• Familiarity with HIPAA, HITRUST, or SOC 2.

Life at FMH

We’re building more than a company. We’re building a team of ambitious, curious people who are passionate about solving meaningful problems, growing their careers, and genuinely enjoying the journey together. 

Based in Pittsburgh’s Strip District, FMH draws inspiration from the city we call home. Our value of Grit isn’t just a word on a wall. It’s a mindset inspired by the city around us: showing up, rolling up our sleeves, and finding a way forward no matter the challenge. 

As FMH continues to grow, so do the opportunities for our people to leave their mark. Guided by our core values of Integrity, Adaptability, Grit, and Collaboration, we foster an environment where trust is earned, new ideas are welcomed, challenges are embraced, and success is shared. You will be surrounded by people who care deeply about the work they do and the people they do it with.

Together, we’re building something special, and we’re just getting started. 

Benefits

• Unlimited PTO
• 100% employer-paid individual medical, dental, and vision premiums
• Employer HSA contribution
• Paid parental leave
• 401(k) match
• Transportation and parking benefits
• Flexible, collaborative work environment

 Benefit eligibility is based on employment status.

Build What’s Next With Us

Healthcare is evolving - and so are we.

If you’re excited by meaningful challenges, collaborative teammates, and the opportunity to help build a growing healthcare technology company, we’d love to hear from you.

Equal Opportunity Employer

Free Market Health is proud to be an Equal Opportunity Employer.

We believe that a diverse and inclusive workplace makes us better teammates and problem solvers and we encourage all qualified individuals to apply. Employment decisions are based on business needs, qualifications, and merit.

FMH is also committed to providing reasonable accommodations throughout the hiring process. If you require assistance or accommodation due to a disability, we will work with you to meet your needs.

Why FMH
Every day, someone receives a life-changing diagnosis. Getting the right medication should be straightforward - but too often it isn’t.

Specialty medications move through a complex network of providers, health plans, pharmacies, and manufacturers. Administrative delays, disconnected systems, and limited visibility can slow treatment when time matters most.

Free Market Health exists to make that process work better.

Our technology connects stakeholders across the specialty pharmacy ecosystem, helping prescriptions reach the right pharmacy while improving visibility, reducing friction, and keeping treatment moving forward for the patients who depend on them. We focus on the most important stakeholder of all: the patient.