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Fullscript is hiring a Senior Fullstack Developer for one of our practitioner care teams. In this role, you will architect and develop new features that will impact the future of the company and the integrative healthcare industry as a whole.
This is a fullstack role. We’re looking for someone who is comfortable building backend systems and user-facing product experiences, and who can move between business logic, APIs, data flows, and frontend implementation as needed.
Fullscript is built on Ruby on Rails on the back-end, with a GraphQL API. On the front-end, we use React, React Native, TypeScript, and Apollo to create top-notch experiences for our users. Our team cares about doing things well, and about the developer experience on the team. Fullscript is a place where you’ll be encouraged to learn, mentor, and grow.
This is how we like building software: https://fullscript.com/developer-handbook. If you share our values, we’d be excited to talk with you!
Work across the stack to deliver maintainable, observable, and scalable solutions.
Contribute to solution design, rollout planning, and measurement of business impact.
Write high-quality code, contribute to technical improvements, and maintain strong quality standards.
Review pull requests, mentor, and be an advocate for high-quality code that makes future development faster, easier, and better.
Help create a strong team culture by modeling ownership, collaboration, and thoughtful technical judgment.
Scope, plan projects, and work with other developers (front-end and back) to implement them
Other duties determined by the company from time to time
You have experience with our tech stack or similar technologies, and are comfortable building user-facing product experiences and backend services.
You are comfortable working with APIs and application layers such as GraphQL.
You write automated tests and understand their value in safe, continuous delivery.
You work well in ambiguity and can help create structure in a new or evolving team.
You are comfortable taking ownership beyond implementation, including helping shape technical direction, delivery strategy, and tradeoff decisions.
You are highly data-driven, and you use business and product signals such as conversion, average order value, and revenue growth to guide decisions and evaluate impact.
You communicate clearly and collaborate well with cross-functional partners.
Experience scaling or working on high-scale web applications
Experience with React and GraphQL or similar technology
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About Fullscript
The Opportunity
What you'll do
What you bring to the table
Bonus if you have
What we can offer you
Why Fullscript
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We’re hiring a Senior Machine Learning Engineer to join our AI & Analytics Engineering team. This team builds AI-powered lab interpretation, clinician decision support, and conversational experiences directly into the Fullscript product.
You’ll help build the systems behind some of Fullscript’s most important AI experiences: AI-generated lab summaries, practitioner-facing conversational agents, and tools that help clinicians move from data to insight more quickly. The work is technical, product-minded, and deeply tied to real practitioner workflows.
This is a senior individual contributor role for someone who has shipped production AI systems, understands how to turn ambiguous clinical and product problems into working software, and can own work from early experimentation through deployment, evaluation, and iteration.
You’ll work closely with engineering, product, analytics, and medical stakeholders to build AI features that are reliable, useful, and grounded in the way practitioners actually deliver care.
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The Core Payments team is the revenue engine powering Fullscript’s growth.
We own the end-to-end ecommerce experience, including cart, checkout, payments, taxes, discounts, payouts, and financial reporting. Every transaction flows through these systems, requiring high reliability, security, and correctness.
We’re hiring a Senior SDET to own the engineering of quality for revenue-critical payment systems. This role focuses on building and evolving automated testing systems, improving developer workflows, and ensuring quality is enforced through engineering practices and not just manual validation.
Why this role matters
This team owns systems where defects directly impact revenue, financial accuracy, and customer trust. This role ensures quality is engineered into the system—preventing issues before they reach production and enabling safe, reliable delivery at scale.
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Fullscript is looking for a Senior Fullstack Engineer to join a brand new Canada-focused pod.
This team is being created to help grow Fullscript’s business in Canada by building revenue-driving features for the Canadian market and extending high-value capabilities that already exist in the US into Canada.
As the founding engineer on the team, you will play an outsized role in shaping both the product and the way the team works. You will help define technical direction, partner closely with cross-functional stakeholders, and establish a high bar for quality, ownership, and pragmatic execution from the ground up.
This is a fullstack role. We’re looking for someone who is comfortable building backend systems and user-facing product experiences, and who can move between business logic, APIs, data flows, and frontend implementation as needed.
Help establish the technical foundation for a new Canada pod, including architecture, engineering practices, and delivery approach.
Extend and adapt existing US-supported capabilities for the Canadian market, including changes across frontend experiences, backend systems, business logic, and operational workflows.
Partner with Product, Design, Data, Finance, Operations, and engineers across Fullscript to translate business opportunities into practical technical solutions.
Work across the stack to deliver maintainable, observable, and scalable solutions.
Contribute to solution design, rollout planning, and measurement of business impact.
Write high-quality code, contribute to technical improvements, and maintain strong quality standards.
Help create a strong team culture by modeling ownership, collaboration, and thoughtful technical judgment.
Make build vs adapt decisions to shape how the Canada platform evolves.
You are a strong fullstack software engineer who takes pride in building high-quality, maintainable systems and product experiences.
You have experience with our tech stack: Ruby or Ruby on Rails and React and are comfortable building user-facing product experiences and backend services.
You are comfortable working with APIs and application layers such as GraphQL.
You write automated tests and understand their value in safe, continuous delivery.
You work well in ambiguity and can help create structure in a new or evolving team.
You are comfortable taking ownership beyond implementation, including helping shape technical direction, delivery strategy, and tradeoff decisions.
You are highly data-driven, and you use business and product signals such as conversion, average order value, and revenue growth to guide decisions and evaluate impact.
You communicate clearly and collaborate well with cross-functional partners.
Experience as an early engineer or founding engineer on a new team, product area, or market expansion effort.
Experience in health tech or other trust-sensitive domains.
*Our Wherever You Work Well philosophy means Fullscript teammates get to pick their own office - whether that’s in-office, at home, or a bit of both 🐶🏡
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We’re looking for a Director of Engineering to lead high-impact engineering teams and shape the future of Fullscript’s platform. You’ll drive technical vision, scalability, and innovation, ensuring our technology empowers practitioners to provide better patient care.
As a strategic and hands-on leader, you’ll guide engineering teams, managers, and cross-functional partners to deliver exceptional products and infrastructure. Your role is to enable teams to move quickly, solve complex technical challenges, and ensure our systems scale to meet growing demand.
This role bridges the gap between infrastructure teams and product engineering, focusing on developer productivity, system reliability, and scalability
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Metrics
Complete about 25 contacts per day (average of 125 per week)* across all channels
Maintain a CSAT of >90%*
Maintain a QA score of >90%*
Maintain a wrap up time of <3 min*
*metrics subject to change as volume increases over time
Behavioral
Assist customers through all channels with a friendly and professional attitude
Ability to communicate effectively with lab representatives and cross functional team members to resolve issues on behalf of customers
Willingness to jump in with a positive attitude to support your team or any customer needs
Stay on top of the most up to date information as the labs product evolves to accurately support customer needs
Attention to detail; ability to troubleshoot issues and raise any possible bugs or operational issues to the proper teams
Effective self & time manager; ability to use tools to manage tasks and different channels without needing guidance from team lead
Self starter; willing to do research, and navigate internal and external resources to look for the answer before asking for help
Going above and beyond with each interaction to leave our customers delighted
Eager to collaborate and support team members
Master all lab knowledge as the product offering evolves
Open to coaching and feedback
Meeting all metrics as defined above
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We’re an industry-leading health technology company on a mission to help people get better. We started in 2011 with one simple idea. Make it easier for practitioners to access the products they trust so they can deliver better care.
That simple idea grew into a platform that powers every part of care. Today, more than 125,000 practitioners use Fullscript for clinical insights, lab interpretations, patient analytics, education, and access to high-quality supplements. Over 10 million patients rely on Fullscript to stay connected to their care plans and follow through on treatment.
We build tools that make care smarter and more human. Tools that save time, simplify decisions, and help practitioners stay closely connected to the people they care for. When everything they need is in one place, they can focus on what matters most: helping people get better.
This is your invitation.
We’re hiring a Staff Machine Learning Engineer to join our AI team and help shape the next generation of Fullscript’s AI-powered experiences. You’ll work on building innovative AI capabilities that help clinicians provide better services and help patients improve their health.
This is a senior individual contributor role for someone who can go beyond implementation. In addition to building high-quality systems, you’ll help define technical direction, guide architecture decisions, and identify where AI can create meaningful value in clinical workflows. You’ll work with a high degree of autonomy and partner closely with engineering, product, analytics, and medical stakeholders to deliver scalable, reliable, and clinically useful AI experiences.
Fullscript shares salary ranges to support transparency and help candidates make informed decisions. The range shown reflects base salary only and does not include stock options, wellness stipends, or other benefits that are part of Fullscript’s total rewards package.
Final compensation depends on experience, skills, and location. We review pay regularly to stay aligned with market data and internal equity. Benefits and total rewards may vary by region.
Great work happens when people feel supported, trusted, and inspired. At Fullscript, we stay curious and keep finding smarter ways to make care better. We grow together, take on new challenges, and focus on impact. We put people first, work as a team, and leave egos at the door.
What to Know Before You Apply
We’re grateful for the interest in joining Fullscript. To make sure your application reaches our hiring team, please apply directly through our careers page.
A quick note: Due to the high volume of applications, we’re not able to respond to phone or email inquiries about application status. If there’s a match, our team will reach out directly.
Fullscript is an equal opportunity employer committed to creating an inclusive workplace. Accommodations are available upon request at accommodations@fullscript.com.
All offers are contingent on successful background checks conducted in compliance with federal, state, and provincial laws.
We use AI tools to support parts of the hiring process, including screening and reviewing responses. Final hiring decisions are always made by people and follow all applicable privacy and employment laws in Canada and the U.S.
Ready to apply?
Apply to Fullscript
Share this job
We’re an industry-leading health technology company on a mission to help people get better. We started in 2011 with one simple idea. Make it easier for practitioners to access the products they trust so they can deliver better care.
That simple idea grew into a platform that powers every part of care. Today, more than 125,000 practitioners use Fullscript for clinical insights, lab interpretations, patient analytics, education, and access to high-quality supplements. Over 10 million patients rely on Fullscript to stay connected to their care plans and follow through on treatment.
We build tools that make care smarter and more human. Tools that save time, simplify decisions, and help practitioners stay closely connected to the people they care for. When everything they need is in one place, they can focus on what matters most: helping people get better.
This is your invitation.
We’re hiring a Lead Data Scientist to anchor one of the most important bets in our next chapter.
Fullscript is building intelligence trained on real-world functional outcomes. Not textbook data. Not controlled trials. Real longitudinal practitioner data layered with our own prescribing and lab history.
The hard part isn’t building models. It’s designing research that can credibly claim causality in messy, non-randomized healthcare data. Can we say that Protocol X led to Outcome Y, and stand behind it with confidence?
You’ll define how we approach causal research, set the methodological standard, and turn complex clinical data into insight the business can actually use. The output of this role will shape product direction, influence executive decisions, and determine whether this initiative becomes foundational to the company’s future. This is a high bar. We’re looking for someone who’s comfortable owning it.
Fullscript shares salary ranges to support transparency and help candidates make informed decisions. The range shown reflects base salary only and does not include stock options, wellness stipends, or other benefits that are part of Fullscript’s total rewards package.
Final compensation depends on experience, skills, and location. We review pay regularly to stay aligned with market data and internal equity. Benefits and total rewards may vary by region.
Great work happens when people feel supported, trusted, and inspired. At Fullscript, we stay curious and keep finding smarter ways to make care better. We grow together, take on new challenges, and focus on impact. We put people first, work as a team, and leave egos at the door.
What to Know Before You Apply
We’re grateful for the interest in joining Fullscript. To make sure your application reaches our hiring team, please apply directly through our careers page.
A quick note: Due to the high volume of applications, we’re not able to respond to phone or email inquiries about application status. If there’s a match, our team will reach out directly.
Fullscript is an equal opportunity employer committed to creating an inclusive workplace. Accommodations are available upon request at accommodations@fullscript.com.
All offers are contingent on successful background checks conducted in compliance with federal, state, and provincial laws.
We use AI tools to support parts of the hiring process, including screening and reviewing responses. Final hiring decisions are always made by people and follow all applicable privacy and employment laws in Canada and the U.S.
Ready to apply?
Apply to Fullscript
Share this job
Ready to apply?
Apply to Fullscript
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