Senior Software Engineer II

This level (L6) is for an engineer who sets technical direction across teams and products and stays hands-on doing it: someone who does their best work near the decisions that matter and cares more about business results than shipping for its own sake.

You'll take messy, high-stakes problems and own the architecture decisions that solve them, often spotting what's worth solving before anyone hands it to you. You'll take the riskiest parts yourself, set the quality bar in your own code and in what the team treats as good enough, and spend real time developing the engineers around you, especially the senior ones ready to take on more. This isn't a role where you stop writing code and start drawing diagrams.

About Blink Health

BlinkRx is rebuilding how Americans access life-changing medicines. Today, only one in five prescriptions for new branded therapies are ever filled. The problem isn't the medicine. It's insurance barriers, affordability challenges, fragmented pharmacy experiences, and inadequate support that keep patients from starting and staying on treatment. Our mission is to change that.

We built RxOS, the first AI-powered prescription operating system. RxOS connects the largest network of doctors, patients, pharmacies, payers, and pharmaceutical manufacturers, intelligently orchestrating every step to guarantee a seamless prescription journey for every script.

Our teams solve complex, high-stakes problems at the intersection of artificial intelligence, healthcare operations, logistics, payments, and regulation. The impact is transformative: BlinkRx more than doubles the rate at which patients take their medications and lowers their out-of-pocket expenses by hundreds of dollars every month.

BlinkRx created and leads a rapidly growing $80+ billion category, with exceptional momentum:

Over the past decade, we have invested nearly $1 billion in building the technology and operational platform required to serve patients at scale.

We have grown 100% annually for the past five years, are profitable, and support more than 60 pharmaceutical brands.

Our technology powers a leading pharmaceutical manufacturer’s direct-to-patient platform for its GLP-1 portfolio, providing the infrastructure to expand patient access as demand for these therapies grows.

We are a dynamic team of technologists and industry experts seeking to build a generational company that delivers a genuine step change in American health.

Healthcare is moving toward access that is digital, transparent, and fast. The winners will not be the companies that simply dispense medication. They will be the ones that solve coverage, and we are building that answer.

That makes this far more than a supporting function. It is where BlinkRx's next chapter of growth takes shape, and where better technology shows up as patients getting the care they need, sooner. The work gets significant attention from the top, and you will work directly with our industry leaders and our founder.

It is rare to have a company that both deeply impacts its customers and is able to provide its services across a massive population.

At Blink, we have a huge impact on people when they are most vulnerable: at the intersection of their healthcare and finances.

We are also the fastest growing healthcare company in the country and are driving that impact across millions of new patients every year.

Our business model not only helps people, but drives economics that allow us to build a generational company.

We are a relentlessly learning, constantly curious, and aggressively collaborative cross-functional team dedicated to inventing new ways to improve the lives of our customers.

Responsibilities

• Design and evolve the backend and frontend architecture behind our systems
• Take ambiguous, high-risk problems off the table and get them to a clear answer

Run design and code reviews

• Own major features from first design through testing, documentation, monitoring, and launch
• Work directly with founders and executives to shape strategy and then build against it
• Coach engineers and help shape how the team works
• Bring in new tools and techniques, prototype fast, and let data settle debates
• Explain technical trade-offs clearly to anyone in the room, engineer or not

Requirements

• Our tooling is practical: AWS, Python, JavaScript, MySQL/Postgres, and Claude/Cursor. We like simple solutions, we move quickly, and we keep the patient in mind.
• 8+ years writing software, with your scope and impact growing over that time
• Hands-on experience building with AI coding tools, and a track record of helping your team adopt and get real value from them.
• A history of being the technical lead for a system or product area several teams depend on, owning it from a vague starting point through launch and scale
• Experience working directly with founders or executives, and the genuine desire to work that closely with senior leaders
• A focus on outcomes: you want to know your work moved the business and helped patients, not just that the code was elegant
• Deep skills in a modern language such as Python, JavaScript, or Go
• A strong background in distributed systems, API design, and performance work
• A record of raising the technical bar for every team you've worked on, and mentoring senior engineers into their next level
• Clear communication and the credibility to be a real partner to business and product leaders
• A CS degree or equivalent experience

We are an equal opportunity employer and value diversity of all kinds. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Applicants who provide their phone number and consent to receive text messages may receive SMS or MMS updates from Blink Health regarding their application.