Senior Staff AI Software Engineer, SmithRx
Platform
Next-generation pharmacy benefits
Open for applications
Next-generation pharmacy benefits
201-500 employees
Open for applications
201-500 employees
Company mission
To reduce the complexity and costs of pharmacy benefits for America's employers and patients.
Role
Who you are
- BS or advanced degree in computer science or applicable experience
- 12+ years of software development experience working on server-side applications, specifically around API servers, third party integrations and data processing
- Expertise in a compiled language such as GoLang or Java is required
- Proficiency with relational databases such as PostgreSQL, including schema design, SQL tuning, and database monitoring is required
- Working knowledge of GraphQL APIs, CI and CD pipeline, AWS platform, Docker, and Kubernetes a plus
- Agentic Frameworks, MCP, LLM APIs (Anthropic/OpenAI), Prompt Engineering/Evals
- Communication: A collaborative approach to engineering, capable of explaining technical trade-offs to stakeholders and mentoring a distributed team
- Architectural Mindset: Ability to design for scale, performance, and maintainability while navigating the ambiguity of a high-growth startup
- Positivity; non-dogmatic, team-first attitude
- Flexibility; someone who is responsive and comfortable with ambiguity
- Experience at a high-growth startup a plus
What the job involves
- SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country
- We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:
- Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new
- Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always
- Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise
- As a Senior Staff Software Engineer, AI you will be a key architect in SmithRx’s mission to build a next-generation, AI-native pharmacy benefits platform
- This is not a traditional MLE role; we are looking for a product-focused fungible engineer who can bridge the gap between cutting-edge LLM capabilities and reliable, production-grade software
- You will design systems that leverage the power of AI while maintaining the deterministic rigor required for healthcare and financial transactions
- You will advocate for engineering best practices/methodologies, coding standards and large-scale system design perspectives to our team. We need our engineers to be versatile and driven, display leadership and ownership qualities, and be enthusiastic to take on new challenges as we continue to push technology forward
- Focus on architecting system; discovering, designing, developing and maintaining SmithRx product features using a varied technology stack such as Golang, JavaScript/Typescript, Node, GraphQL, and SQL (amongst others), while leveraging full CI and CD to iterate quickly
- Collaborate with stakeholders and technical leads to translate requirements into high-quality, AI-native scalable software, while providing scope and risk assessments through comprehensive technical design documentation
- Be the Stochastic/Deterministic Bridge: Build the "safety rails" around LLMs, creating deterministic software systems that effectively manage, validate, and wrap the stochastic nature of AI models to ensure 100% accuracy in healthcare data
- Continually apply and enforce software development best practices, design patterns, testing, automation, tools and technologies by adoption of emerging AI technologies like Claude-code, Copilot or aikes
- Leverage AWS technologies, like Lambda, Managed Kafka, EKS to handle various types of jobs and batch processing
- Troubleshoot production issues by performing triages for issues that arise, assessing the impact, creating and executing a plan for short-term and long-term mitigation, and performing root cause analysis to prevent future occurrence of issues
- Foster a collaborative learning culture by mentoring junior engineers in both traditional backend best practices and emerging AI-native development patterns, while driving technical excellence through code reviews and the exploration of innovative technologies
- Work with senior leadership to turn technical vision into a tangible roadmap every quarter
Our take
PBMs (Pharmacy Benefit Managers) save payers and patients 40% to 50% on prescription drug and related medical costs in the US, compared to what they would spend without them. It’s generally accepted, though, that PBMs are working for profit and not solely on the customers benefit.
SmithRx is a company looking to reduce complications in the current system with its innovative PBM structure. It uses its cloud-based technology to present the most cost effective options transparently to self-insured businesses, supporting them in getting the lowest cost drugs they can, as well as making the transition to these alternatives seamless.
It does this by partnering with innovative drug companies, as well as applying coupons and making use of available savings and assistance programs. As the company does not take economics from the supply chain, it is able to work for its customers with no hidden agendas. And with significant growth, cost savings, customer satisfaction, and market traction in 2024, the company is very much on track for continued success.
Steph
Company Specialist at Welcome to the Jungle
Insights
Company
Funding (last 2 of 5 rounds)
Jan 2024
$60m
SERIES C
Mar 2022
$20m
SERIES B
Total funding: $97.5m
Company benefits
- Wellness: Extensive Medical, Dental and Vision plans
- Life and Disability: Fully paid Life Insurance and Disability coverage
- Parental Leave: Paid leave benefits for new parents
- Career Growth: Training, development and advancement support
- Vacation Time: Generous and flexible paid time off
Company HQ
South Park, San Francisco, CA
Leadership
Jake Frenz
(Founder & CEO)Previously worked as Director of Plan Operations at CollectiveHealth and Project Director at Anthem Inc.
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