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SmithRxSM

Software Engineer, AI, Platform

SmithRx is on a mission to reduce the the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.

SmithRx

Employee count: 501-1000

CA, CN + 6 more

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Who We Are:

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.

Job Summary:

As a Software Engineer, AI, you will be a key contributor 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, versatile engineer who can help bridge the gap between cutting-edge LLM capabilities and reliable, production-grade software. You will help build and scale systems that leverage the power of AI while maintaining the deterministic rigor required for healthcare and financial transactions. You will apply engineering best practices, coding standards, and collaborate closely with the team on system design. We need our engineers to be adaptable and driven, display strong ownership qualities, and be enthusiastic to take on new challenges as we continue to push technology forward.

What you will do:

  • Develop and Maintain: Focus on 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 CI/CD to iterate quickly.
  • Collaborate on Design: Work with technical leads, senior engineers, and stakeholders to translate requirements into high-quality, AI-native software, actively contributing to technical design and scoping discussions.
  • Build the Stochastic/Deterministic Bridge: Help implement the "safety rails" around LLMs, writing deterministic software that effectively manages, validates, and wraps the stochastic nature of AI models to ensure accuracy in healthcare data.
  • Uphold Best Practices: Consistently apply software development best practices, design patterns, testing, and automation, utilizing emerging AI technologies like Claude-code, Copilot, or similar tools to accelerate development.
  • Leverage Cloud Infrastructure: Utilize AWS technologies, like Lambda, Managed Kafka, and EKS, to handle various types of jobs and batch processing.
  • Support Production: Troubleshoot production issues by participating in bug triage, assessing impact, and collaborating with the team to implement short-term mitigations and long-term root cause fixes.
  • Drive Team Excellence: Foster a collaborative learning culture by actively participating in code reviews, sharing knowledge, and exploring innovative technologies alongside the engineering team.

What you will bring to SmithRx:

  • BS degree in computer science or applicable experience.
  • 3-5 years of software development experience working on server-side applications, specifically around API servers, third-party integrations, and data processing.
  • Strong experience in a compiled language such as GoLang or Java is required.
  • Proficiency with relational databases such as PostgreSQL, including schema design and query optimization, is required.
  • Working knowledge of GraphQL APIs, CI/CD pipelines, the AWS platform, Docker, and Kubernetes is a plus.
  • AI Integration Experience: Familiarity or hands-on experience with Agentic Frameworks, MCP, LLM APIs (Anthropic/OpenAI), and basic Prompt Engineering/Evals.
  • Communication: A collaborative approach to engineering, capable of explaining technical trade-offs to teammates and working effectively within a distributed team.
  • Engineering Mindset: Ability to write clean, maintainable code with an understanding of system performance, while successfully 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 is a plus.

What SmithRx Offers You:

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
  • Flexible Spending Benefits
  • 401(k) Retirement Savings Program
  • Short-term and long-term disability
  • Discretionary Paid Time Off
  • Paid Company Holidays
  • Wellness Benefits
  • Commuter Benefits
  • Paid Parental Leave benefits
  • Employee Assistance Program (EAP)
  • Well-stocked kitchen in office locations
  • Professional development and training opportunities

Location: US Remote

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Education

Bachelor degree

Experience

3 years minimum

Experience accepted in place of education

Hiring timezones

United States +/- 0 hours, and 7 other timezones

About SmithRx

Learn more about SmithRx and their company culture.

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SmithRx is on a mission to reduce the the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.

To learn about SmithRx is to learn about the healthcare journey of our founder, Jake Frenz– one that is all too relatable by many Americans. At 22, Jake stepped into a caregiving role during his father's battle with cancer. Soon after, he faced his own cancer diagnosis that threatened the amputation of his leg. Many years later, he once again faced the complexities of managing specialty medications for his mother during her own long-term illness.

Jake’s personal experiences underscored some of the profound failings of the U.S. healthcare system, resulting in a deep personal connection to the struggles many face accessing necessary treatment.

These systemic inefficiencies drove Jake to establish SmithRx, aiming to instill transparency and fairness in pharmacy benefits management—an area often marked by opacity and injustice. His initiative—now our collective mission—seeks to reform an essential segment of healthcare, promoting a significant shift towards equity, efficiency, and genuine human compassion.

Our Values

At SmithRx, our guiding principles—Courage, Integrity, and Together—serve as our north star, shaping our culture, grounding our decisions, and fostering our partnerships.

Courage: We face continuous challenges with grit and resilience. We embrace discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward, always.

Integrity: Our purpose guides our actions and provides us with confidence in our path forward. Our honesty and dependability unwavering, SmithRx embraces the heated pressure of challenging the old, and exemplifies ethical leadership to create the new.

Together: The success of SmithRx is a reflection of the strength of our partnerships, and the commitment of our team. Our values glue us together and create one from many. When one falls, we all fall; when one rises, we all rise.

Employee benefits

Learn about the employee benefits and perks provided at SmithRx.

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Life insurance

Fully paid life insurance.

Disability insurance

Fully paid short-term and long-term disability benefits.

Employee assistance program (EAP)

We offer an employee assistance program focused on mental health.

Generous vacation

We have a generous PTO policy to help encourage work life balance.

View SmithRx's employee benefits
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SmithRx

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