Senior Ruby Rails Jobs in Texas (NOW HIRING)

At Fuze Health, 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.

Fuze Health'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.

Preferred Qualifications:

• Solid experience with supply chain optimization systems.
• Proficiency in FuzeRx's merged tech stack: Ruby on Rails, TypeScript/JavaScript, and PostgreSQL (Note: Python experience is also highly valued for our ML initiatives).
• Experience building and integrating predictive ML models.
• Experience designing and implementing service-oriented architectures.
• 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 FuzeRx's mission and our company values.

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 Fuze Health'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.

This position requires occasional travel therefore you must be able to sit for extended periods of time on airplanes and/or in vehicles, lift and carry luggage independently, navigate long distances through airports and other travel locations independently, and adjust to different time zones and climates.

Salary and Benefits

Salary Range: $148,000 - $185,000

Commission Eligible: No

Travel: No

Location Requirement:

• FuzeRx is limited to individuals residing in the following states: Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Vermont, Virginia, Washington (WA), Wisconsin

Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S.

Benefits:

Full-time employee benefits include: dental, vision, and multiple group medical plans to choose from, a 401(k) retirement savings plan, group life insurance, accidental death and dismemberment (AD&D) insurance, flexible spending account (FSA) and health savings account (HSA), commuter benefits, employer-paid short-term (STD) and long-term disability (LTD) insurance, and additional supplemental insurance plans (spouse life insurance, legal insurance, an employee assistance program, home health testing kits, and a fertility medication discount program). Employees are also provided flexible vacation time, accrued paid sick time, 10 paid holidays, (2 floating holidays for full time non-exempt employees) , and eight weeks of paid parental leave for eligible employees, additional paid weeks for the birthing parent, 4 weeks paid caregiver leave, and a Lifestyle Spending Account allowance each month.

More Benefits Information Here: Fuze Health Benefits Site

At Fuze Health, we are committed to fostering an inclusive environment that celebrates diversity in all its forms. We believe that the diversity of thought, background, and experience strengthens our teams and drives innovation. We are an equal-opportunity employer and do not discriminate on the basis of race, ethnicity, religion, color, place of birth, sex, gender identity or expression, sexual orientation, age, marital status, military service status, or disability status. Our goal is to ensure that everyone feels valued and empowered to thrive.
Fuze Corporate Inc. and its subsidiaries respects your privacy and is committed to protecting your personal information. Please read our Candidate Privacy Notice which explains how we collect, use, disclose, and protect personal information about job applicants during the recruitment and hiring process.