Job Summary

At Alto, we’re reimagining what pharmacy should feel like—and we’re just getting started. We’ve built a full-service, tech-powered pharmacy that makes it easier, faster, and more affordable for people to get the medications they need. Our platform supports patients, providers, and partners with smart, customizable tools that simplify every step of the pharmacy experience—from prescription to delivery. Want to learn more? Check out our Founders’ Story and Company Values.

Job Summary

We’re looking for a visionary and execution-focused Director of Software Development Engineering to lead our full-stack engineering teams building the technology at the heart of Alto’s patient experience. This role is about more than just shipping code—it’s about driving change in an industry that’s long overdue for it. You’ll work closely with Product, Design, Data, and Operations to bring to life the systems that simplify care, remove friction, and help people get the medications they need with clarity and confidence. If you’re passionate about leading high-performing teams and want to play a key role in reimagining healthcare through technology, we’d love to connect.

Job Description

Accelerate Your Career as You

• Lead and grow multiple engineering teams building the products that power Alto’s magic behind the scenes. Mentor talented engineers, helping them do the best work of their careers while raising the bar for technical excellence.
• Turn bold product ideas into innovative, scalable solutions in close partnership with Product, Design, Data, Business Development, and Ops.
• Shape the architecture and infrastructure that keep our systems fast, reliable, and ready for growth.
• Champion engineering best practices while fostering a culture of curiosity, creativity, and continuous improvement.
• Work alongside senior leadership to connect engineering work to business goals and big-picture strategy. Help define the long-term vision for our tech stack, team, and ways of working.
• Create an environment where collaboration, ownership, and accountability are the norm—not the exception.
• Use data to keep us honest—tracking progress, identifying blockers, and celebrating wins.
• Help us hire and retain an inclusive, high-performing team that reflects the patients and communities we serve.

A Bit About You

Minimum Qualifications:

• Bachelor’s degree in Computer Science, Engineering, or a related field; an advanced degree is preferred.
• 15+ years of experience in software engineering, specializing in building scalable, loosely coupled services with low-latency data stores.
• Proven leadership track record with at least 10 years of experience managing and scaling engineering teams. Experience managing managers and leading large, cross-functional engineering teams.
• Extensive experience designing and building software using modern development frameworks, with a strong foundation in object-oriented programming principles. You think in terms of reusable components, clean abstractions, and maintainable code—and you guide your teams to do the same. You’re comfortable evaluating trade-offs in system design and know how to architect for flexibility, performance, and scale.
• A strategic mindset and a bias for action—you’re just as comfortable in the weeds as you are thinking big-picture
• Excellent communication skills, with the ability to articulate technical concepts to both technical and non-technical stakeholders.
• Experience in a fast-paced, high-growth technology or tech-enabled company.
• Passion for healthcare technology and a commitment to improving patient outcomes

Preferred Qualifications:

• A genuine passion for healthcare and a drive to build tech that actually helps people
• Experience bringing AI/ML models to life in production, and a curiosity for how new technologies can be applied to real-world problems
• Relevant experience in healthcare tech or pharmacy.

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 Alto’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: $198,000 - $248,000

Commission Eligible: No

Equity Eligible: Yes

Travel: Yes - Required up to 25% of the time

Location Requirement: Employment at 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. At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa.

Benefits: Full-time employee benefits include: Multiple group medical, dental and vision plans to choose from, 401(k) plan, group life, AD&D, FSA/HSA, employer paid STD/LTD, Take-What-You-Need vacation time, accrued paid sick time, 11 paid holidays (7 for Pharmacy and Care teams), 8 weeks paid parental leave for eligible employees.

Application deadline: April 29, 2025

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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.

To learn about Alto's privacy practices including compliance with applicable privacy laws, please click here.