Senior Software Engineer - FuzeRx

At Cobalt Streamworks , 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. Cobalt Streamworks ’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. FuzeRx FuzeRx 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. To learn more about FuzeRx, you can review our Founders’ Story and our Values. 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: Increase FuzeRx’s intake automation rate by leveraging LLMs to parse unstructured data from prescriptions Accelerate pharmacist workflows by integrating controlled substance dispensing history and risk scores into our pre-dispense clinical safety and review step Optimize the selection of which drug to dispense to find patients the best price Our engineering teams own the critical services that power our entire platform—managing everything from prescription intake and processing up to the moment we send an order to our pharmacies for fulfillment. Key focus areas for our engineers include: Preparing prescriptions for fulfillment and delivery as quickly and accurately as possible through a combination of automation and efficient manual task coordination. Enabling business growth by allowing partners (like drug manufacturers, insurers, and individual providers) to easily configure billing, benefits, and clinical workflows tailored to their specific use cases. Examples of High-Impact Projects You Might Work On: Increase FuzeRx’s intake automation rate by leveraging LLMs to parse unstructured data from prescriptions. Accelerate pharmacist workflows by integrating controlled substance dispensing history and risk scores into our pre-dispense clinical safety and review step. Optimize the selection of which drug to dispense to find patients the best price. Accelerate Your Career As You: Optimize Systems: Balance low inventory on hand with high availability. Architect Platforms: Establish the foundations for an extensible inventory management platform to fuel business growth. Lead & Mentor: Mentor other engineers, encouraging best practices in software development and design. Innovate: Solve complex technical problems at the intersection of healthcare and e-commerce. Drive Strategy: Act as a thought leader on how to build world-class predictive systems. What We're Looking For Minimum Qualifications: Education: Bachelor's degree in Engineering or equivalent experience. Experience: 10+ years of progressive software engineering experience in a high-volume, high-throughput production environment. Core Technologies: Deep background in Backend or Full Stack technologies, operating within modern environments (like our core stack of Ruby on Rails, TypeScript/JavaScript, and PostgreSQL ). System Design: Expertise in architecting complex systems for long-term maintainability, performance, and scalability. Technical Fundamentals: Strong engineering fundamentals with experience building high-volume, resilient systems. Quality & Best Practices: Proven track record of technical best practices, including code style, documentation, code review, bug fixing, and production issue mitigation. Mindset: Relentless in pursuing impact through your work. Pre