Senior Data Engineer -San Francisco, CA

We’re looking for a Senior Data Engineer with experience integrating with healthcare systems to help us make specialty medications more accessible and affordable for patients. Keep reading to learn more about the role, our team, and why House Rx is the right next step in your career.

About the Role

As a Senior Data Engineer, you’ll play a critical role in building, maintaining, and scaling our data infrastructure, specifically in the context of ingesting and harmonizing data from external systems and products (EHRs, distributors, product analytics software, and more). You’ll partner closely with our product, engineering, and clinical operations teams to make healthcare data usable and impactful for day-to-day operations and long-term care outcomes.

This is a senior-level role for someone who is both hands-on and strategic. You’ll be expected to take ownership of projects, contribute to architectural decisions, and be a key voice in defining our data engineering standards and practices.

What You’ll Do

• Excellent Execution: Lead the ingestion and transformation of data from external healthcare systems (e.g., FHIR, SFTP pipelines, APIs) into our core data infrastructure.
• Design for Scale and Accuracy: Own the architecture and implementation of scalable data pipelines that power our operations, dashboards, and machine learning use cases.
• Technical Leadership: Help scale our data stack through use of best-in-class tools (currently we use DBT, Airflow, and Postgres).
• Cross-Functional Collaboration: Work closely with Engineering, Product, and Clinical Operations to define and prioritize data requirements for patient care and business operations.
• Champion Best Practices: Help us build a culture of data excellence by advocating for quality, testing, documentation, and continuous learning.

About You

• 3+ years of experience in data engineering roles, with at least 1 year working with healthcare data or medical system integrations.
• Hands-on experience with HL7, FHIR, or other healthcare data exchange standards.
• Fluency in modern data engineering tools and practices: DBT, Airflow, SQL, cloud data warehouses (e.g., Snowflake, BigQuery, Redshift).
• Strong communication skills and the ability to simplify complex data flows for technical and non-technical stakeholders.
• Experience working in high-growth or startup environments is a plus.
• A collaborative mindset and a drive to make healthcare work better for patients.

In particular, we offer:

• Flexible work hours and flexible paid time off
• Generous parental leave
• Comprehensive healthcare, vision and dental benefits
• Competitive salary and equity stake

We’re backed by forward-thinking investors committed to transforming healthcare, including Bessemer Venture Partners, First Round Capital, LRV Health, Khosla Ventures, Maverick Ventures, 1984.vc, and Character.

While a cover letter is optional, a note sharing your enthusiasm for House Rx and this role is highly insightful.

Expected Full-Time Base Salary:  $160,000-$185,000

This range represents the low and high end of the anticipated base salary/wage. The actual base salary/wage will depend on several factors, including experience, knowledge, and skills. Actual compensation packages may include other elements equity, paid time off and benefits.

More About House Rx: Our Team, Work, and Culture

Here's our amazing PDE team that builds healthcare technology that matters:

• Software Engineering: 10 engineers+ from early career to staff/architect level
• Product & Design: 3 product managers, 2 designers
• Infrastructure: 2 IT specialists, 2 security engineers, 3 SREs
• Quality & Support: 3 QA engineers, 2 support specialists

Together, we build and maintain impactful solutions through our pharmacy management system and data insights platform. These tools enable our internal teams, pharmacists, care coordinators, and clinical operations, to streamline medication access, while helping external healthcare providers and clinics deliver better patient care.

💻 Our engineering work presents exciting technical challenges as we balance user-facing features with robust internal systems. We release updates daily, requiring thoughtful prioritization and technical excellence while maintaining high quality. This iterative approach means we're constantly innovating to deliver meaningful improvements to our healthcare platform.

🌎 We're a fully remote team, with our talented people spread across New York, Boston, San Francisco, and throughout the U.S. While we embrace the flexibility of remote work, we're passionate about strengthening connections through our bi-annual retreats, both company-wide and PDE-specific, where we plan, grow, and celebrate our successes together. Local team members enjoy getting together for co-working and social events, creating bonds that go beyond the workplace.

🎉 Our culture brings thoughtfulness to our daily work. You'll find us expressing ourselves through our extensive Slack emoji and GIF collection (seriously, it's impressive!), sharing gratitude circles on birthdays, and having conversations that range from foodie recommendations to discussions about AI tooling, developer experience, and architecture. While we take our mission seriously, we believe enjoying what you do and technical excellence go hand in hand.

We're a fun, thoughtful, supportive, talented, and down-to-earth group focused on doing some of the best work of our lives. At the end of the day, we know software is built by people – and we're committed to taking care of both the people we work with and the patients whose lives we touch through our technology. We’re growing our team. There's no one else in the world like you, and hope you can join us for this ride! 🚀