Requirements
- 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.
Nice to Have
- 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
- 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/FuzeRx’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.

