Fullstack Software Engineer [Short Term Assignment]

Full Stack Software Engineer

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.

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.

A Bit About You :

Preferred Qualifications :

Short Term Assignments typically last up to 6 months.

Additional Information

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

Commission 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 : STA (Short-Term Assignment) employees are eligible for legally required benefits, including paid sick time, workers' compensation insurance and unemployment insurance, as well as the Company's Minimum Essential Coverage (MEC) medical plan. This plan focuses on preventive careincluding annual checkups, screenings, immunizations, and prenatal careat no cost when services are provided by an in-network provider.

Application deadline : December 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.