Senior 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 Senior Backend Engineer, Pharmacy Integrations to design, build, and maintain the systems connecting the company's telehealth platform with pharmacy partners and fulfillment operations.

You'll work on backend services that support prescription routing, pharmacy order processing, fulfillment updates, and the reliable exchange of information between the company and external systems.

This role requires strong backend engineering skills and experience building integrations that handle complex workflows, asynchronous events, and third-party dependencies.

Our engineering stack includes TypeScript, Node.js, AWS, SST, and SQL databases. You'll work with serverless infrastructure, APIs, and event-driven systems to build reliable services that can support growing transaction volumes and multiple pharmacy integrations.

You'll collaborate with engineers, product managers, pharmacy operations, and other internal teams to translate operational requirements into scalable technical solutions.

We're looking for someone who can independently own complex integrations, anticipate failure scenarios, and build systems that are observable, maintainable, and resilient.

What You'll Do

• Design, develop, and maintain backend integrations between the company's platform and pharmacy partners.

• Build services supporting prescription routing, pharmacy order creation, fulfillment processing, and status updates.

• Develop and maintain APIs, webhooks, and other integration mechanisms for exchanging data with external systems.

• Design workflows that reliably handle asynchronous events, retries, timeouts, duplicate messages, and third-party service failures.

• Build and maintain backend applications using TypeScript, Node.js, AWS, SST, and SQL databases.

• Use AWS services such as Lambda, SQS, and EventBridge to support event-driven processing and background workflows.

• Design data models and database schemas for pharmacy orders, fulfillment events, and integration records.

• Implement validation, error handling, and reconciliation processes to maintain data accuracy across systems.

• Build monitoring, logging, alerting, and operational tools to identify and resolve integration failures.

• Improve the reliability and performance of existing pharmacy-related backend services.

• Collaborate with pharmacy operations teams to understand fulfillment workflows, operational constraints, and recurring issues.

• Work with product managers to translate integration requirements into technical specifications and implementation plans.

• Coordinate with external technical partners to understand API specifications, integration behavior, and testing requirements.

• Build secure data exchange workflows with appropriate authentication, authorization, and protection of sensitive information.

• Support the development of internal tools that help teams investigate order issues and monitor integration status.

• Write automated tests covering successful workflows, failure scenarios, and integration edge cases.

• Investigate production incidents, identify root causes, and implement long-term fixes.

• Review code, provide technical guidance, and contribute to backend engineering standards.

• Take ownership of integrations from initial design and development through deployment, monitoring, and ongoing maintenance.

• Use AI-assisted development tools such as Cursor and Claude Code to accelerate engineering work while independently validating correctness, security, and reliability.

• Help establish reusable integration patterns that can support additional pharmacy partners and future platform capabilities.

Requirements

• 5+ years of professional software engineering experience, including substantial backend development experience.

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

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

• Hands-on experience integrating third-party services using REST APIs, webhooks, or similar integration technologies.

• Experience working with AWS services and serverless architectures.

• Familiarity with AWS Lambda, SQS, EventBridge, or comparable event-driven infrastructure.

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

• Experience with modern database access tools or ORMs such as Prisma or Drizzle.

• Understanding of asynchronous processing, message queues, distributed systems, and integration architecture.

• Ability to design reliable systems that handle retries, failures, duplicate events, and inconsistent external data.

• Experience implementing authentication, authorization, secure API communication, and sensitive-data protection.

• Strong debugging and troubleshooting skills, including investigating production integration failures.

• Experience writing automated tests for APIs, backend services, and integration workflows.

• Ability to independently own complex engineering projects from technical design through production deployment.

• Strong understanding of performance, reliability, monitoring, and maintainability in production systems.

• Experience making architectural decisions and evaluating technical tradeoffs.

• Familiarity with Git, code reviews, CI/CD workflows, and modern software development practices.

• Ability to use AI-assisted development tools effectively while independently validating generated code.

• Strong written and verbal communication skills, including the ability to coordinate technical work with internal teams and external partners.

• Comfortable working in a fast-moving environment with significant ownership and responsibility.

Nice to Have

• Experience building integrations with pharmacies, pharmacy management systems, or healthcare technology platforms.

• Familiarity with electronic prescribing, prescription fulfillment, medication orders, or pharmacy workflow systems.

• Understanding of HIPAA, healthcare data privacy, and secure handling of protected health information.

• Experience with pharmacy-related interoperability standards such as NCPDP SCRIPT.

• Experience with healthcare interoperability standards such as HL7 or FHIR.

• Familiarity with SST and serverless development on AWS.

• Experience working with tRPC, Next.js, React, or full-stack TypeScript applications.

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

• Experience building event-driven integrations with queues, webhooks, and background processing.

• Experience designing reconciliation systems, audit trails, and operational monitoring dashboards.

• Experience integrating multiple external vendors with different APIs, data formats, and reliability requirements.

• Experience building internal tools for operational teams.

• Familiarity with pharmacy fulfillment, shipping status updates, and order exception handling.

• Experience mentoring engineers or establishing reusable integration architecture.

• Experience using Cursor, Claude Code, or similar AI-assisted development tools in production engineering workflows.