- Job Type: Full-Time
- Function: Engineering Software
- Industry: Health Tech
- Post Date: 02/28/2026
- Website: alto.com
- Company Address: 645 Harrison St, Suite 200, San Francisco, California 94107, US
About Alto Pharmacy
Alto is America’s leading digital pharmacy, transforming a $500 billion industry. Founded in 2015, Alto’s better pharmacy model is centered on the critical role of pharmacists as the final link in a person’s health journey.Job Description
- Remote - California
- Remote - South Carolina
- Remote - Maryland
- Remote - New Jersey
- Remote - Missouri
- Remote - Nevada
- Remote - New York
- Remote - Oregon
- Remote - Florida
- Remote - Pennsylvania
- Remote - Arkansas
- Remote - Kansas
- Remote - Tennessee
- Remote - Arizona
- Remote - Colorado
- Remote - Texas
- Remote - Washington State
- Remote - North Carolina
- time type
- Full time
- posted on
- Posted 10 Days Ago
- job requisition id
- R200577
Job Summary
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.
Job Description
We are seeking a highly skilled and experienced Vice President of Engineering to lead our talented engineering teams. Reporting directly to the CTO, the Vice President, Engineering will oversee multiple engineering teams and play a key role in shaping the technical direction of the company. The ideal candidate will have a proven track record of success in building and scaling engineering teams in startup environments.
Job Description
Accelerate Your Career as You
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Lead and manage our engineering team, providing mentorship, guidance, and support to foster a culture of continuous learning and development.
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Drive the development and execution of our technical roadmap, ensuring alignment with business objectives and strategic priorities.
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Establish best practices for software development, including coding standards, testing methodologies, and deployment processes.
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Oversee the design, development, and deployment of scalable, high-performance micro-services and APIs.
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Collaborate closely with product management, design, and other cross-functional teams to deliver innovative solutions that delight our customers.
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Champion a culture of innovation, collaboration, and accountability, empowering team members to take ownership of their work and drive results.
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Stay current with industry trends and emerging technologies, identifying opportunities for innovation and differentiation.
A Bit About You
Minimum Qualifications:
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Bachelor's or Master's degree in Computer Science, Engineering, or a related field.
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10+ years of experience in software engineering, with at least 5 years in a leadership role.
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Proven experience building and scaling engineering teams in startup environments.
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Strong technical background with expertise in micro-services architecture and modern programming languages and frameworks (e.g., Ruby, Go, Python, React, React Native).
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Experience with cloud technologies (e.g., AWS, Azure, GCP) and DevOps practices.
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Excellent communication skills with the ability to effectively collaborate and influence cross-functional teams.
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Results-driven mindset with a track record of delivering high-quality software products on time and within budget.
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Passion for technology and a commitment to continuous learning and improvement.
Preferred Qualifications:
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Experience with Scaling Startups: Preference will be given to candidates who have a demonstrated track record of successfully scaling engineering teams and infrastructure in fast-paced startup environments. Experience navigating the challenges and opportunities inherent in rapid growth will be highly valued.
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Hands-On Technical Expertise: Candidates with hands-on technical expertise in building and deploying micro-services architectures, particularly using modern programming languages and frameworks such as Ruby, Go, Python, React, and React Native, will be preferred. The ability to dive deep into technical challenges and provide strategic guidance will set candidates apart.
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Proven Leadership in Agile Environments: We are looking for candidates with a strong understanding of Agile methodologies and experience leading engineering teams in Agile environments. Preference will be given to candidates who have a demonstrated ability to foster a culture of collaboration, innovation, and continuous improvement within their teams.
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Track Record of People Development: Candidates with a proven track record of developing and mentoring engineering talent will be preferred. Experience in coaching team members to reach their full potential, fostering a culture of learning and development, and promoting diversity and inclusion within engineering teams will be highly valued.
Additional Information
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 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.
Salary and Benefits
Salary Range: $228,000 - $285,000
Commission Eligible: No
Travel: Yes - Required up to 15% of the time
Location Requirement:
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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.
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
Application deadline: February 10, 2026
#LI-Remote
Alto Pharmacy 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 CandidateHelp@alto.com.
Alto Pharmacy 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, and New York City Fair Chance laws. We are an E-Verify participating company.
Alto Pharmacy recruiters and hiring managers may use automated decision-making tools to assist with identifying 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. If you have any questions or would like to request an alternative process, please contact us at CandidateHelp@alto.com. To learn about Alto Pharmacy's privacy practices including compliance with applicable privacy laws, please click here.