Description The Team  Our Health Engineering Solutions (HES) team works side by side with customers to articulate a vision for success, and then make it happen. We know success doesn't happen by accident. It takes the right team of people, working together on the right solutions for the customer. We are looking for a seasoned Full Stack Engineer who will be a key driver to make this happen. Our team supports the vision to improve patient quality care and consumer decision-making by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data. This contract will serve to develop a human-centric reporting system that allows refinement, filtering, and data comparison, as well as the ability to view supplemental information. Leveraging modern technologies, DevOps practices, and cloud-based infrastructure, our dynamic work environment involves multiple project teams collaborating toward a common vision of delivering an integrated solution.   The Work We are seeking a Full Stack Engineer to join our dynamic team. In this role, you will be responsible for working with a team of engineers and building enterprise-level backend solutions using a variety of technologies. You will be working with React, Node, JavaScript, and OpenAPI to develop robust and scalable applications that support the Centers for Medicare and Medicaid Services (CMS) as we develop a next generation reporting and analytics system that directly impacts healthcare quality.   The ideal candidate will have a strong understanding of software development principles and a proven track record in backend development. Experience with Agile software development methodologies is a must, as we value collaboration and flexibility in our approach to project management. This is an excellent opportunity to work with a team of experienced professionals and contribute to the development of high-quality software solutions. If you are passionate about technology, eager to learn, and want your work to impact systems that collect healthcare data used by hundreds of thousands of daily users, we want to (virtually) meet you!   Job Location: Remote; however, this position requires that the job be performed in the United States and there will be travel of approximately 10% to a customer site. If you accept this position, you should note that ICF does monitor employee work locations and blocks access from foreign locations/foreign IP addresses and prohibits personal VPN connections. Technologies - React - Node.js - Java - AWS cloud technologies - PostgreSQL - ECS/Fargate - Lambda - Terraform - Jenkins - Git and GitHub - Confluence / Jira Key Responsibilities and Job Duties  - Design and build microservices and serverless applications in the cloud - Implement web application changes and/or build new web applications using the React framework - Work with Product Owner and UX design to understand and create solutions for diverse user requirements - Work with Architects and other Engineers to help create and then implement development best practices - Work with test engineering team to assure product quality - Collaborate in a fast-paced Agile environment - Participate in team code reviews and design reviews - Help our support team triage bugs and troubleshoot production issues - Cooperating with the back-end developers in the process of building the applications - Work independently to design, develop, and document solutions, while adhering to all applicable standards (e.g., architectural, coding, security) -  Work with DevOps engineers on CI, CD, and IaC -  Read specs and translate them into test designs and test automation -  Perform code reviews and develop processes for improving code quality   Required Qualifications  - College degree - 3+ years of professional full-stack development experience, this includes experience with modern design patterns, enterprise-scale production systems, and Git - 1+ year of professional experience developing full-stack applications using React and Node.js - Candidate must be able to obtain and maintain a Public Trust Clearance - Candidate must reside in the U.S., be authorized to work in the U.S., and all work must be performed in the U.S. - Candidate must have lived in the U.S. for three (3) full years out of the last five (5) years   Preferred Qualifications  - Master's degree in computer science or related field - Experience developing production applications in Java #DMX-HES Working at ICF ICF is a global advisory and technology services provider, but we’re not your typical consultants. We combine unmatched expertise with cutting-edge technology to help clients solve their most complex challenges, navigate change, and shape the future. We can only solve the world's toughest challenges by building a workplace that allows everyone to thrive. We are an equal opportunity employer. Together, our employees are empowered to share their expertise and collaborate with others to achieve personal and professional goals. For more information, please read our EEO policy. We will consider for employment qualified applicants with arrest and conviction records. Reasonable Accommodations are available, including, but not limited to, for disabled veterans, individuals with disabilities, and individuals with sincerely held religious beliefs, in all phases of the application and employment process. To request an accommodation, please email Candidateaccommodation@icf.com and we will be happy to assist. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.  Read more about workplace discrimination rights or our benefit offerings which are included in the Transparency in (Benefits) Coverage Act. Candidate AI Usage Policy At ICF, we are committed to ensuring a fair interview process for all candidates based on their own skills and knowledge. As part of this commitment, the use of artificial intelligence (AI) tools to generate or assist with responses during interviews (whether in-person or virtual) is not permitted. This policy is in place to maintain the integrity and authenticity of the interview process.  However, we understand that some candidates may require accommodation that involves the use of AI. If such an accommodation is needed, candidates are instructed to contact us in advance at candidateaccommodation@icf.com. We are dedicated to providing the necessary support to ensure that all candidates have an equal opportunity to succeed.   Pay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position. The pay range for this position based on full-time employment is: $81,499.00 - $202,850.00 Nationwide Remote Office (US99)

• Further development and optimization of existing internal interfaces between systems and applications. • Analysis, design and implementation of new integration solutions (REST APIs, web services, data imports/exports). • Technical development of customer platforms (frontend and backend) to improve the user experience. • Development and customization of modules in the EVI CRM system. • Support for the system integration of external applications and partner solutions. • Participation in architecture decisions and the expansion of the software landscape. • Monitoring and troubleshooting of interfaces and processes in operational use. • Creation and maintenance of technical documentation and handover to support. • Close collaboration with business departments for requirements gathering and solution design. • Active contribution to internal development processes (code reviews, CI/CD, tooling).

Title: Lead SharePoint Developer (Secret Clearance) Location: US-Washington, DC Job ID2026-3448 # of Openings 1 Category Developer/Architect/Designer Overview REI Systems’ mission is to deliver reliable, innovative technology solutions that advance Federal clients' missions and exceed their expectations. Our teams apply a Mindful Modernization® approach by integrating people, processes, and technology to deliver measurable mission impact. This includes modernization, data and analytics, case management, grants management, and an expanding portfolio of Artificial Intelligence (AI) and machine learning capabilities. As REI continues to help federal agencies adopt secure, responsible AI, we are integrating advanced automation, predictive analytics, and AI-enabled insights across our programs — including FDA initiatives. We want leaders who understand how AI can enhance project performance, improve decision-making, and strengthen mission outcomes. Employees voted REI Systems a Washington Post Top Workplace in 2015, 2016, 2018, 2020, 2021, 2022, 2023, 2024 and 2025! Responsibilities Project Overview This role supports enterprise-level initiatives leveraging SharePoint Online and the Microsoft Power Platform to deliver secure, customer-facing applications. The Lead SharePoint Developer will work within a collaborative environment alongside operations, security, data management, and program management teams to modernize and sustain SharePoint solutions used across a globally distributed federal organization. The work requires adaptability, continuous learning, and adherence to federal security and compliance standards. Position Overview The Lead SharePoint Developer is responsible for designing, developing, and enhancing SharePoint Online and Microsoft O365 solutions in support of a federal client with a global footprint. This role involves building new applications, maintaining and improving existing SharePoint-based tools, and translating business and security requirements into scalable technical solutions. The ideal candidate will collaborate closely with business analysts, end users, and cross-functional technical teams while contributing to documentation, deployment, and ongoing system support. Qualifications Required Skills and Abilities: - Strong experience with SharePoint, Power Platform, Modern Pages, SharePoint Designer, and Visual Studio. - Strong experience with HTML, CSS, JavaScript, jQuery, APIs, XML, CSON / JSON, AJAX, and IIS. - Experience with source control solutions such as TFS or Git Hub. - Outstanding customer service and communication skills. - Demonstrated ability to interact professionally within all levels of an organization. - Demonstrated teamwork and collaboration in a professional setting. Desired Skills and Abilities: - Microsoft PL-400 certification Power Platform Developer Associate. - Experience with Microsoft Dynamics. - Experience developing in Azure environments. - Experience with PowerShell. - Experience with data visualization applications such as Tableau or Power BI. - Experience with programming languages (Python, C#, C++, etc.) and automated testing tools. Education and Experience: - Bachelor's degree in Information Technology or Computer Science. - Over 7 years of hands-on development experience with SharePoint 2016/2019, SharePoint Online, SharePoint Framework, and related Microsoft applications. - Demonstrated experience in software design and full lifecycle development. Security Clearance: - Active Secret Clearance is required. - An upgrade to Top Secret may be required. Location Requirement: This is a full-time, in-office position. EEO Statement: REI Systems is an Equal Opportunity Employer. In our workplace, we seek, we welcome, and respect diversity in all of its forms. #LI-HYBRID #LI-KS1

Job Summary At Fuze Health, we put patients first and tirelessly address the most pressing needs in healthcare. We empower millions to digitally connect with care providers, essential health resources and needed treatments – and enable care providers, employers, health plans and life sciences companies to meaningfully enhance quality, outcomes and value. We are dedicated to helping our partners evolve and modernize to meet emerging patient and marketplace needs. Fuze Health’s foundation is built upon the strategic combination of several proven, technology-powered innovators in the digital health, diagnostics, and pharmacy sectors. Our growing portfolio brings together the capabilities of industry leaders including LetsGetChecked, Truepill, and Alto Pharmacy, to create a distinctive, unified force in healthcare. Together, we have the shared vision, advanced capabilities and talented teams to deliver next-generation solutions that patients and healthcare partners need today and into the future. About Alto / FuzeRx Alto provides an easier, more efficient and more affordable pharmacy experience for patients, providers, and partners. Our full-service, digitally-powered pharmacy makes it simple for patients to live their healthiest life, while our technology empowers partners with automated and customizable solutions for the entire pharmacy value stream. To learn more about Alto, you can review our Founders’ Story and our Values. We are looking for a highly skilled Full Stack Software Engineer to join our engineering team at Alto Pharmacy. At Alto the engineers are thought leaders and have a passion to build elegant software with high impact. You will work on industry disrupting platforms, on complex technical challenges that solve complex customer problems, together with your talented colleagues. This position will involve working on internal applications that serve commercial external customers, with a focus on both the backend and frontend. The ideal candidate will have experience with monolithic applications, Rails, and a strong passion for building scalable and high-performing software solutions. A background in health tech, pharmacy, or commerce technology is highly preferred. Short Term Assignments typically last up to 6 months. Job Description Job Description Accelerate Your Career as You - Design, build, and maintain scalable full-stack solutions for internal and external users. - Collaborate with product and business teams to deliver customer value. - Write clean, maintainable, and efficient code in Ruby on Rails and other modern programming languages. - Contribute to AI and machine learning initiatives and leverage them into existing platforms for better automation and prediction. - Ensure high availability, performance, and security of applications. - Troubleshoot and debug issues across high volume, high throughput, highly performant, and direct user interacting systems. - Passion for observability and operationalization, building alerting, and measuring the impact of the code you build. - Collaborate with cross-functional teams to drive innovation in software solutions. - Stay up-to-date with the latest software development trends and technologies. ​ A Bit About You Minimum Qualifications: - Bachelors in Computer Science or related field - Minimum of 5+ years of experience as a Full Stack Software Engineer - Experience building and deploying applications in Ruby on Rails and decoupling them into externalized services with API interfaces. - Excellent knowledge of full-stack development, including frontend (HTML, CSS, JavaScript) and backend (databases, APIs, server-side technologies. multi-tenancy, workflow orchestration and choreography. long running saga patterns) - Experience working with databases, both SQL and NoSQL. - Ability to troubleshoot and optimize both frontend and backend systems. - Strong interest in AI technologies or experience integrating AI solutions. - Passion for building scalable, efficient, and high-quality software. Preferred Qualifications: - Experience in health tech or pharmacy-related industries - Experience in supply chain or commerce technology - Familiarity with cloud services (AWS, GCP, or Azure) - Understanding of CI/CD processes and modern development workflows - Implement and maintain backend-for-front-end (BFF) architectures - Strong communication skills and ability to collaborate in a fast-paced environment Short Term Assignments typically last up to 6 months. Additional Information Additional Physical Job Requirements Physical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. The role also requires the ability to effectively communicate through verbal interactions, discern auditory information, and visually perceive details to perform essential job functions. Consistent with the Americans with Disabilities Act (ADA) and similar applicable state laws, it is Alto’s policy to provide reasonable accommodation to enable qualified individuals with disabilities to perform essential job functions, unless such accommodation would cause an undue hardship. Salary and Benefits Salary Range: $124,800 - $156,000 Commission Eligible: No Travel: No - Required up to 0% of the time Location Requirement: Employment at Alto is limited to individuals residing in the following states: Arizona, Arkansas, California, Colorado, Florida, Kansas, Maryland, Missouri, Nevada, New Jersey, New York, North Carolina, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Washington (WA), and Wisconsin. Employment Authorization Requirement: Applicants must be authorized to work for any employer in the U.S. At this time, Alto is unable to sponsor or take over sponsorship of an employment Visa. Benefits: STA (Short-Term Assignment) employees are eligible for legally required benefits, including paid sick time, workers’ compensation insurance and unemployment insurance, as well as the Company’s Minimum Essential Coverage (MEC) medical plan. This plan focuses on preventive care—including annual checkups, screenings, immunizations, and prenatal care—at no cost when services are provided by an in-network provider. Application deadline: March 15, 2026 #LI-Remote Fuze Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, gender identity, sexual orientation, age, disability, veteran status, or any other legally protected basis. If you have a disability and require reasonable accommodation during any portion of the application or hiring process, please contact us at talent@fuzehealth.com. Fuze Health considers qualified applicants with arrest or conviction records for employment and conducts background checks consistent with applicable law, including the California, Los Angeles County, San Francisco, Philadelphia, and New York City Fair Chance laws. We are an E-Verify participating company. Fuze Health recruiters and hiring managers may use automated decision-making tools to assist with identifying candidates who match the stated job requirements, and to what extent. These tools are designed to help ensure fairness in all aspects of the hiring process by providing recruiters and hiring managers with data-backed insights based on information provided in your resume, including work experience, education, and other skills. If you have any questions or would like to request an alternative process, please contact us at talent@fuzehealth.com. To learn about Fuze Health’s privacy practices including compliance with applicable privacy laws, please click here.