One in three patients skips taking their meds as prescribed because they are too expensive. At Sempre Health we're on a mission to fix this by improving drug affordability, increasing adherence to medication regimens and ultimately improving overall patient health.  How?  We've partnered with some of the largest health plans and pharmaceutical manufacturers in the world to offer dynamic pricing at the point-of-sale to reduce patients’ out-of-pocket spend on drugs. 

In the last year, we have grown 40x in the number of patients on the platform. Sempre's significant market traction and Series B funding has positioned the company for outsized growth and impact. Now is a great time to join our collaborative, high-performing team and do truly meaningful work.


Work on something that matters - the product we’re building helps patients afford medications they need. As our fourth engineer, you will have both autonomy and responsibility. You will decide and own the most important projects. You will design new products and features from scratch, get team buy-in, implement, and deploy. You will work cross functionally with patient operations, data science, and business development teams to deliver and see the impact of your high impact products. We won’t add significant process, checks, and balances to your flow - we trust each other to produce high quality work.


You’ll work all across the stack from backend python microservices to React web apps. Projects include:

  • Alex: the brains behind Sempre used to create and edit personalized patient communication flows without any engineering resources
  • Pricing and pharmacy integrations: iterate on our incentive-based pricing algorithm to calculate the optimal price for each patient and integrate with the US pharmacy switch to deliver that price to any pharmacy in the country
  • Admin tool: our web app command center for patient management that allows us to prioritize interventions for the most at-risk patients, visualize a patient’s journey with Sempre, and communicate with patients over multiple channels (SMS, email, voice)
  • Security: we are HIPAA compliant, and treat security as a first-class feature in all our products


  • 4+ years of backend/full-stack engineering experience
  • Excellent team player and curious
  • BS/MS in Computer Science or equivalent
  • Experience building and operating live, production systems
  • Excited to work with a small team


  • A values-driven culture (“we put patients first” is at the heart of everything we do)
  • A remote-first workplace that doesn’t sacrifice team connectedness
  • Competitive medical, dental and vision coverage for you and your dependents 
  • A “take what you need” vacation policy, and generous parental leave
  • Home office setup allowance, plus monthly cell phone reimbursement
  • Wellness stipend (use it for the gym, a massage, whatever you need!)
  • On-demand learning with Udemy to support your career development
  • 401k retirement savings
  • In-person team offsites, virtual happy hours and other social events


Sempre’s two-sided marketplace allows life sciences companies and brand teams to drive market access, affordability, and adherence in a unique way. By leveraging a direct relationship and data from payors, Sempre’s discounts reach more patients and spend fewer dollars to generate greater improvements in adherence than traditional affordability solutions. Sempre’s payor-aligned business model, combined with dynamic point-of-sale discounts and SMS engagement, drive outsized returns for pharma partners and brands. 

Sempre Health is committed to an inclusive and diverse workplace. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical​​​ condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law, including the San Francisco Fair Chance Ordinance.

Applicants have rights under Federal Employment Laws.

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