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Euless, Texas, United States
Remote only
Not Available
Job Description
Accelerate Your Career as You
Design, build, and maintain scalable full-stack solutions for internal and external users.
Collaborate with product and business teams to deliver customer value.
Write clean, maintainable, and efficient code in Ruby on Rails and other modern programming languages.
Contribute to AI and machine learning initiatives and leverage them into existing platforms for better automation and prediction.
Ensure high availability, performance, and security of applications.
Troubleshoot and debug issues across high volume, high throughput, highly performant, and direct user interacting systems.
Passion for observability and operationalization, building alerting, and measuring the impact of the code you build.
Collaborate with cross-functional teams to drive innovation in software solutions.
Stay up-to-date with the latest software development trends and technologies.
A Bit About You
Minimum Qualifications:
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.
Preferred Qualifications:
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
Short Term Assignments typically last up to 6 months.
Additional Physical Job Requirements
Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, 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 light objects up to 20 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’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.
Salary and Benefits
Salary Range: $124,800 - $156,000
Commission Eligible: No
Travel: No - Required up to 0% of the time
Location Requirement: Employment at Alto is limited to individuals residing in the following states: Arizona, Arkansas, California, Colorado, Florida, Kansas, Maryland, Missouri, Nevada, New Jersey, New York, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Washington (WA), and Wisconsin.
Employment Authorization 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: STA (Short-Term Assignment) employees are eligible for legally required benefits, including paid sick time, workers’ compensation insurance and unemployment insurance, as well as the Company’s Minimum Essential Coverage (MEC) medical plan. This plan focuses on preventive care—including annual checkups, screenings, immunizations, and prenatal care—at no cost when services are provided by an in-network provider.
Application deadline: March 15, 2026
#LI-Remote
Equal Opportunity Employer
Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at talent@fuzehealth.com.
Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company.
Use of Automated Decision Tools
Fuze Health recruiters and hiring managers may use automated decision tools to help identify candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. Fuze Health does not use automated decision tools to make hiring decisions; hiring decisions always involve human review and input. If you have any questions or would like to request an alternative process, please contact us at talent@fuzehealth.com.
Privacy Notice
To learn about Fuze Health’s privacy practices, including compliance with applicable privacy laws, please read our Privacy Notice for Job Applicants.
