Backend Engineer, Pharmacy Integrations

About the company

The company is a software platform that enables entrepreneurs, doctors, and healthcare businesses to launch, manage, and grow direct-to-consumer telehealth businesses.

Our platform brings together patient experiences, clinical workflows, pharmacy operations, and commerce tools in one place.

We're an entrepreneurial, product-focused engineering team that values ownership, technical excellence, and building software that solves real problems. Engineers work closely with product teams and company leadership, take features from idea to production, and have a direct role in shaping the platform.

Engineering at the company is AI-first and builder-led. We use tools like Cursor and Claude Code throughout development while maintaining high standards for reliability, testing, and software quality.

About the Role

We're looking for a Backend Engineer, Pharmacy Integrations to help build and maintain the backend systems connecting the company's telehealth platform with pharmacy partners and fulfillment operations.

You'll develop APIs, backend services, and integration workflows that support prescription routing, pharmacy orders, fulfillment updates, and the exchange of information between the company and external systems.

This is a hands-on engineering role for someone with experience building production backend applications and integrating third-party services. You'll work on meaningful features, troubleshoot integration issues, and help improve the reliability of systems used by our pharmacy operations teams.

Our backend stack includes TypeScript, Node.js, AWS, SST, and SQL databases, with tools such as Prisma and Drizzle used across the platform.

You'll collaborate with engineers, product managers, and pharmacy operations teams to turn operational requirements into reliable technical solutions.

We're looking for someone who enjoys solving integration challenges, pays attention to data accuracy, and takes responsibility for the quality of their work.

What You'll Do

• Build, test, and maintain backend services connecting the company's platform with pharmacy partners and external systems.

• Develop APIs, webhooks, and integration workflows supporting prescription routing, pharmacy orders, and fulfillment updates.

• Implement backend features using TypeScript, Node.js, AWS, SST, and SQL databases.

• Work with third-party APIs to send, receive, validate, and process pharmacy-related information.

• Help maintain reliable communication between internal services and external pharmacy systems.

• Develop application logic for order status changes, fulfillment events, and exception handling.

• Work with AWS services such as Lambda, SQS, and EventBridge to support background jobs and asynchronous processing.

• Implement error handling, retries, validation, and safeguards against duplicate event processing.

• Create and maintain database models for integration records, pharmacy orders, and fulfillment events.

• Help investigate discrepancies between internal records and external partner systems.

• Build automated tests for APIs, integrations, and common failure scenarios.

• Troubleshoot production issues, investigate failed requests, and help implement lasting fixes.

• Improve logging, monitoring, and visibility into integration performance.

• Collaborate with pharmacy operations teams to understand workflows and recurring technical issues.

• Work with product managers and senior engineers to break requirements into implementation tasks.

• Participate in code reviews, technical planning, and engineering discussions.

• Follow appropriate security practices when handling sensitive patient and prescription information.

• Contribute to internal tools that help teams investigate pharmacy order issues and integration failures.

• Document APIs, integration behavior, and important technical workflows.

• Use AI-assisted development tools such as Cursor and Claude Code to support development, debugging, and testing while reviewing generated code carefully.

• Take ownership of assigned features from development through testing, deployment, and follow-up.

• Help improve existing integrations and contribute ideas for making pharmacy-related systems more reliable and maintainable.

Requirements

• 3+ years of professional software engineering experience, including hands-on backend development.

• Strong proficiency in TypeScript, JavaScript, and Node.js.

• Experience building, testing, and maintaining production backend applications and APIs.

• Hands-on experience working with third-party APIs, webhooks, or external service integrations.

• Experience with SQL databases, relational data modeling, and database schema design.

• Practical experience with AWS or comparable cloud infrastructure.

• Familiarity with serverless applications, background jobs, or asynchronous processing.

• Experience using modern database access tools or ORMs.

• Understanding of REST APIs, authentication, authorization, and secure data exchange.

• Ability to implement integration workflows involving multiple systems and external dependencies.

• Understanding of error handling, retries, data validation, and reliable event processing.

• Experience debugging API failures, investigating production issues, and resolving integration problems.

• Experience writing automated tests for backend services and integrations.

• Familiarity with Git, code reviews, and modern software development workflows.

• Ability to independently complete assigned features and collaborate with senior engineers on complex projects.

• Comfortable using AI-assisted development tools while reviewing and validating generated code.

• Strong problem-solving skills, attention to detail, and communication skills.

• Comfortable working in a fast-moving environment where engineers take ownership of their work.

Nice to Have

• Experience integrating pharmacy systems, healthcare applications, or prescription fulfillment platforms.

• Familiarity with pharmacy orders, prescription routing, medication fulfillment, or pharmacy operations.

• Experience with SST and AWS services such as Lambda, SQS, and EventBridge.

• Experience with Prisma, Drizzle, or tRPC.

• Familiarity with Next.js, React, or full-stack TypeScript applications.

• Experience with multi-tenant SaaS platforms or monorepo architectures.

• Experience with event-driven architectures, message queues, and webhook processing.

• Familiarity with HIPAA and secure handling of protected health information.

• Exposure to healthcare interoperability standards such as HL7, FHIR, or NCPDP SCRIPT.

• Experience implementing logging, monitoring, alerting, and integration health checks.

• Experience building reconciliation processes or handling inconsistent data across external systems.

• Experience developing internal tools for operations or customer support teams.

• Familiarity with API testing tools such as Postman.

• Experience using Cursor, Claude Code, or similar AI-assisted development tools.