Soma Capital Portfolio Jobs

Fullstack Engineer

Alto Pharmacy

Alto Pharmacy

Software Engineering
Posted on Friday, June 21, 2024

Alto Pharmacy is a full-service, digitally-powered pharmacy that makes it simple to live your healthiest life by providing an easier, more supportive and more affordable pharmacy experience. We’re redefining what a pharmacy can do, with fast and reliable prescription delivery, tools like treatment reminders and medication bundling, direct access to care specialists, and support with insurance and cost savings. By focusing on the person behind the prescription, our model boosts adherence, improves health outcomes, and keeps our customers returning month after month. Learn more at

As a Fullstack 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, as well as integrations with key partners in the healthcare and pharmaceutical industry. The key focus areas for the Care Team include:

  1. 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
  2. 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 Alto’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

  • Advance Alto’s automation and workflow orchestration systems to improve system throughput and accuracy
  • Establish the foundations for an extensible pharmacy operations platform to fuel business growth
  • Tackle complex technical and domain problems at the intersection of healthcare and e-commerce

A Bit About You

Minimum Qualifications:

  • 3+ years of software engineering experience in a production environment
  • Expertise in architecting complex systems for long-term maintainability, performance, and scalability
  • Proven commitment to technical best practices, including code style, documentation, code review, bug fixing, and production issue mitigation
  • Strong communication skills and demonstrated experience collaborating with cross functional partners to deliver exceptional products

Preferred Qualifications:

  • Proficiency in Alto's tech stack: Ruby on Rails, Javascript, React, React Native
  • Demonstrated ability to thrive in a dynamic entrepreneurial environment and maintain a growth mindset
  • A pragmatic approach to problem solving that’s biased towards impact
  • A strong sense of ownership over your work and a desire to uplevel your peers
  • Passion for Alto’s mission and our company values

Additional Physical Job Requirements

  • Read English, comprehend, and follow simple oral and written instructions. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Assessing the accuracy, neatness and thoroughness of the work assigned.
  • Communicating with others to exchange information. Expressing or exchanging ideas by means of the spoken word; those activities where detailed or important spoken instructions must be conveyed to other workers accurately, loudly, or quickly.
  • Perceiving the nature of sounds at normal speaking levels with or without correction, and having the ability to receive detailed information through oral communication, and making fine discriminations in sound.
  • Frequent repeating motions required to operate a computer that may include the wrists, hands and/or fingers.
  • Sedentary work: Sitting most of the time, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Walking and standing are required only occasionally.

Salary and Benefits

Salary Range: 144,000 - 180,000

Commission Eligible: No.

Equity Eligible: Yes.

Travel: Yes. Up to 15% of the time.

Location Requirement: Employment at Alto is limited to individuals residing in the following states: California, Connecticut, Colorado, Florida, Nevada, Illinois, New York, Kansas, Texas, Maryland, Washington (WA), Missouri, New Jersey, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Wisconsin.

Employment 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: Full-time: Medical, Dental, Vision, 401(k), Group Life, AD&D, Employer paid STD/LTD, generous PTO and parental leave.

Application deadline: July 5, 2024


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.

To learn about Alto's privacy practices including compliance with applicable privacy laws, please click here