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

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.

Minimum Qualifications

A Bit About You

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 skills and ability to collaborate in a fast-paced environment

Additional Information

Additional Physical Job 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, 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 light objects up to 20 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

Salary And Benefits

Salary Range: $124,800 - $156,000

Commission Eligible: No

Equity Eligible: No

Travel: No - Required up to 0% of the time

Location Requirement: Employment at Alto 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.

Employment Authorization 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 employee benefits include: Multiple group medical, dental and vision plans to choose from, 401(k) plan, group life, AD&D, FSA/HSA, employer paid STD/LTD, Take-What-You-Need vacation time, accrued paid sick time, 11 paid holidays (7 for Pharmacy and Care teams), 8 weeks paid parental leave for eligible employees.

Application deadline: May 15, 2025

_Alto Pharmacy is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at CandidateHelp@alto.com.

__Alto Pharmacy considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, and New York City Fair Chance laws. We are an E-Verify participating company.

To learn about Alto's privacy practices including compliance with applicable privacy laws, please click here.