Senior Software Engineer, Care

Senior Full Stack Engineer

As a Senior Full Stack 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. 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 :

Accelerate Your Career as You :

A Bit About You :

Preferred Qualifications :

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, periodically move away from the computer terminal for in-person meetings, 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 objects up to 50 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.

Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Alto's policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship.

Salary Range : $172,000 - $215,000

Commission Eligible : No

Travel : Yes - Required up to 15% of the time for engineering onsites or off-sites.

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 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 : November 10, 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.