Jobs at Fullscript

• Cross-functional team on patient experience; set technical direction in a complex, evolving domain.
• Stay meaningfully hands-on through system design, code, reviews, prototyping, and solving difficult technical problems.

• Lead a cross-functional Product Engineering pod responsible for payments
• Collaborate across Fullscript’s engineering org as a technical authority for payments-related decisions

• Escalation Intake, Reproduction & Validation

Intake technical escalations from customer-facing teams and external partners (including API/EHR integrations)
Investigate reported issues to determine whether they are reproducible defects, configuration issues, or expected behavior
Reproduce issues across environments where possible and validate technical accuracy before escalation
Ensure only high-signal, well-validated issues are escalated to Engineering

• Help architect our overall solution design
• Be primarily responsible for delivering features and customizations within the current WMS and contribute to building our next-generation WMS

• Own experimentation (the heart of the role). Partner with Product and Commercial teams to design, run, and read growth experiments — from framing the hypothesis and sizing the test to calling the result and pushing the decision. Bring rigor (power analysis, causal inference, guardrail metrics) to a business moving fast.

• Design and maintain scalable, reliable infrastructure using AWS (ECS, RDS, and related services)
• Build and manage infrastructure as code using Terraform

• Design, build, and deploy LLM-powered product features, including lab result summaries, clinical workflow tools, and practitioner-facing conversational agents.
• Build backend services that integrate LLMs and ML models into Fullscript’s platform, primarily using Python, with increasing exposure to Elixir as the platform evolves.

• Define and execute the technical vision, architecture, and roadmap for multiple engineering teams.
• Lead, mentor, and scale engineering teams, fostering a culture of collaboration, learning, and impact.