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Our mission is to be the world’s most patient-centric pharmacy.

Backend Engineer

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Backend Engineer

About Alto

Alto is a modern pharmacy changing the way people manage and fill their prescriptions with its tech-driven, patient-centric, online pharmacy. Alto provides same-day, free delivery for prescriptions, seven days a week. More importantly, Alto offers price transparency, personalized mobile support, and real-time coordination with doctors and insurance companies. Our mission is to fulfill medicine’s true purpose - to improve the quality of life for everyone who needs it.    

We focus solely on patients' healthcare needs, and we are changing the pharmacy landscape.

We are a Series C startup with over $74M in funding and a current run rate of over $120M (4x a year ago), projected to break $300M by the end of 2019. Start-up tracker, CB Insights, recently listed Alto as one of the top 50 private companies around the world on a path to a $1 billion valuation. Alto is also featured in The New York Times (2/19) article “These 50 Start-Ups May Be the Next ‘Unicorns’.”

We are looking for a backend engineer to be a key member of our quickly growing team. As one of the first 20 engineers at Alto, you will join a passionate team creating a completely new pharmacy experience from the ground up. By developing an integrated platform that includes patients and doctors, offering free same-day delivery, and building a pricing engine to ensure patients always get the best price on their medications, we are bringing pharmacy into the modern era and making high-quality healthcare accessible to all. As a backend engineer, you will have the opportunity to execute on a broad range of projects to build our pharmacy platform and enable our services to scale.

About You

You are a backend specialist who owns projects from end-to-end, enjoys problem-solving, and values the impact your work makes on our patients. You are scrappy and resourceful, unafraid to dive into an unknown project but humble enough to correct mistakes and iterate. You are adept at breaking down complex problems and designing impactful software solutions that solve for scale, reliability, and extensibility.

Example projects an Alto backend engineer might work on include:

* Designing and implementing services to automate the pharmacy. We’ve built backend services to automate pharmacy billing and want to do the same for other complex systems such as intaking new prescriptions and fulfillment.
* Improving our drug database. At Alto, medications are at the heart of what we do. In order to offer patients the right medication at the right time at the best price, we need to integrate data on products from multiple data sources and surface the right data to patients, providers, and internal users of our platform. APIs to interface with the product database are integral to our ordering, inventory, billing, and delivery scheduling systems among many others. We’ve implemented the first version of the database, but need better systems to manage our products and the updates we receive to our data.
* Extending our clinical workflows to drive growth. Our vision is to provide a personalized pharmacy experience for every patient based on their needs. We’ve created best in class workflows for therapeutic areas like fertility, but in order to honor our company value to leave no patient behind, we’ll need to build clinical workflows and systems that support many more patients and their healthcare issues, whether they need help lining up their treatment plans, medication reminders, or a specific regimen of clinical follow-ups. 

You are an ideal candidate if you:

* Have 4+ years of experience writing production code
* Have architected complex systems for long-term maintainability, performance, and reliability.
* Are proficient in one or more backend programming languages. At Alto, we mainly use Ruby on Rails and Go on the backend, but experience with these specific languages is not required.
* Are adept at modeling and optimizing data stored in relational databases
* Thrive in a dynamic fast-paced entrepreneurial environment. You're unafraid to dive into an unfamiliar problem but humble enough to make mistakes and iterate.

Alto Pharmacy is an Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status, or any other legally protected basis.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.

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