Note: The job is a remote job and is open to candidates in USA. Prescryptive Health, Inc. is a healthcare technology company enabling the direct access marketplace for prescription drugs. As a Senior Software Engineer, you will build, run, and evolve systems, partner with various teams, and own features end-to-end while ensuring production health.

Responsibilities

• Own features end-to-end: framing, design, construction, testing, deployment, and production operations
• Develop and enhance APIs, backend services, and internal platforms
• Build and maintain integrations with third-party systems
• Create web applications and workflow tools that hold up in production
• Troubleshoot complex issues across the full stack, especially those that span service boundaries
• Anticipate failure modes and design for clarity, testability, and reversibility
• Improve our development infrastructure: CI/CD, environment management, and observability
• Raise the bar through code reviews, design input, and the standard your own work sets
• Translate technical reality into language product and leadership can act on
• Participate in on-call rotation and own production health for what you ship

Skills

• 5+ years of software development experience, owning ambiguous problems and shipping work that lasts
• Strong experience building production APIs and integrating with external systems
• Deep expertise in at least one of C#, Go, or TypeScript
• Have written and shipped production code in at least one additional language, ideally another from our stack
• Working knowledge of React, or comparable modern frontend framework
• Experience with cloud services and modern cloud development practices (Azure preferred)
• Solid understanding of SQL databases and caching technologies (Redis preferred)
• You have a strong instinct for what not to build, and you make sound calls when priorities conflict
• You take on problems outside your expertise, in code you did not write
• You take ownership of more than your code: the systems, docs, and standards around it
• Other engineers route their hard problems through you
• You raise risk early, keep your manager informed, and admit when you do not know
• Enthusiasm for leveraging AI-assisted development tools and emerging technologies
• Must have permission to work in the US on a permanent basis
• You work across backend and frontend, with meaningful production experience on both sides
• Experience working in regulated industries such as healthcare or fintech
• Experience with GraphQL
• Experience with healthcare data standards (HL7, FHIR)
• Experience with B2B SaaS platforms and customer management systems
• Advanced DevOps practices, including Infrastructure as Code, containerization, and observability tooling

Benefits

• Flexible time off, including 12 paid holidays
• 401k match plus 100% employer paid medical, dental, and vision premiums
• Company contribution to Health Savings Account
• Stock options

Company Overview