Alto's mission is to fulfill medicine’s true purpose—to improve quality of life—for everyone who needs it.

Founded 2015
501-1000 employees
  • Health Care Technology & Nursing
  • Headquarters address
    645 Harrison St, Suite 200, San Francisco, CA

    At Alto, we're creating a completely new pharmacy experience from the ground up. We use advanced technology and human empathy to advance a broken pharmacy industry into the modern era, and to make high-quality healthcare accessible to all. Our mission at Alto is to fulfill medicine’s true purpose—to improve quality of life—for everyone who needs it. We do this by owning the entire process end to end, and leveraging our Patient App, our Provider App, and our home-grown pharmacy platform, to drive that process efficiently.

    Our Engineering team is now 45 people across our SF and Denver offices, and we have plans to double the org to a total of 100 engineers by the end of the year. We have 3 pharmacies up and down the coast of California, 1 in Denver, 1 in Seattle, and 1 in Vegas, and will be opening in 5 new cities over the next several months.

    As an Alto Engineer, you will own projects from end-to-end, tackle technical challenges of scale, and always put our patients first. You are scrappy and resourceful, unafraid to dive into an unknown project, but humble enough to make mistakes and iterate. You thrive on speed and wearing many hats, and you enjoy working on different parts of the tech stack (we use Ruby on Rails, React, React Native, and Go).

    Within your 1st month, you will ship small features to Alto’s products. You’ll familiarize yourself with our tech stack, code review process, and codebase to learn how everything connects together. You’ll also shadow our Pharmacy Operations, Patient Care, and Fulfillment Teams to understand Alto from every perspective, and you’ll even speak to real patients on a support call. By your 2nd month, you will contribute to the planning, scoping, and code of a larger project. By your 3rd month, you’ll possess the confidence and skillset to own and ship a large project or feature. You’ll feel comfortable within our codebase and be able to tackle bugs independently.

    You are an ideal candidate if you:

    • Are familiar or excited to learn/code with several programming languages and web frameworks like Ruby on Rails, Javascript, React, React Native, Go, or Python.

    • Thrive in a dynamic fast-paced environment where you own products from start to finish, and make decisions quickly and independently. You may break things, but you fix them with speed.

    • Have 5+ years of experience writing production code.

    • Believe in Alto’s mission and our company values: Patients Come First, Leave No Patient Behind, Start with Empathy, Focus on Impact, Think Rigorously, and Be Humble.

    Want more insight into what motivates us to save patient lives? Hear it firsthand from our Tech Lead, Amir:

    Interviewing with Alto:

    • Initial call with a recruiter

    • 1-hour phone screen with an Alto Engineer via CoderPad

    • Virtual Onsite

    Our current Engineering Leadership Team:

    • Jamie Karraker, CTO/Co-Founder (Parse/Facebook)
    • Mike McClay, VP of Engineering (Expedia/Uber)
    • Amir Ghazvinian, Engineering Manager (former CoFounder of Exec & Interstate Analytics, both went through YC)
    • Elnaz Moshfeghian, Engineering Manager (Lob)
    • Mike Riess, Engineering Manager (Lumity)
    • Sierra Brown, Engineering Manager (23andMe)
    • Mike Peltzer, Engineering Manager (Illumio)
    • Tim Frederick, Engineering Manager (Uber, Lithium Technologies)

    Tech stack

    Ruby on Rails, Go, React Native, Javascript, React


    Compensation and retirement

    Stock Options

    Health and wellness

    Health insurance
    Dental insurance
    Vision insurance
    Life insurance
    Disability insurance
    FSA (Flexible Spending Plan)
    EAP (Employee Assistance Program)

    Vacation and time off

    Paid time off
    Flexible working hours
    Maternity benefits

    Personal development

    Internship program

    Values and quality of life

    Accessible via public transportation
    Bike parking
    Snacks and beverages
    Catered lunches
    Company activities
    Alto - We work in SF's historic Dogpatch District
    Alto - Alto operates our very own pharmacy onsite!
    Alto - We're a fun loving group!
    Alto - We work hard to always put our patients first.
    Alto - We love our jobs (and laugh a lot)!
    Alto - You can walk into our pharmacy onsite
    Alto - Or get your prescriptions sent to us (by your doctor or transferred yourself), then delivered to you for free!
    Alto - We're growing at Alto...
    Alto - Our small, diverse, and goofy Product Team (missing a few) at our 3rd HackRanch weekend!
    Alto - Alto hits 100 employees! Nov 2017