Job Description
PDMI is looking to add a Senior Full Stack Engineer with JavaScript focus to our team! As a Senior Full Stack Engineer, you will help design and deliver modern, API-driven applications supporting our 340B platform. This role works across the full stack, with primary backend ownership in NodeJS-based services, while building and enhancing React-based user interfaces. You’ll play a key role in delivering scalable, high-performance services that integrate across systems and support evolving business needs.
Since 1984, PDMI has provided pharmacy data processing and other flexible, scalable solutions to help our clients meet their business objectives. We offer transparent, pass-through pharmacy processing and other services for private label Pharmacy Benefit Managers (PBMs), vertically integrated health plans and hospital systems. In addition to Pharmacy Benefit Administrative Services, we offer 340B Administration, Hospice and Long-Term Care Services.
Why Join Us:
- Best Employer: PDMI was voted Best Employer in Ohio for the 5th consecutive year in 2025!
- Meaningful Work: Contribute to improving healthcare quality and efficiency.
- Collaborative Environment: Work with passionate professionals who share your drive.
- Exciting Challenges: Every day brings new opportunities to excel.
- Flexible Work: Fully remote opportunity with a company that cares.
Key Responsibilities:
- Designing and developing API-first backend services in NodeJS
- Building and enhancing modern, responsive React user interfaces
- Working with transactional data in MSSQL databases
- Supporting event-driven and service-oriented architectures
- Troubleshooting issues across distributed and integrated platforms
- Improving system scalability, performance, and reliability
- Supporting modernization efforts and reducing technical debt
- Writing clean, testable, well-documented code and participating in code reviews
- Leveraging AI-assisted tools to improve developer efficiency and delivery speed
Primary Technologies:
- Backend: NodeJS (primary)
- Frontend: React
- Cloud: AWS (preferred)
- Databases: MSSQL
- Tooling: Git, CI/CD pipelines, containerized environments
What We’re Looking For:
- 6+ years of software development experience, including senior-level work
- 3+ years of backend development in NodeJS (required)
- 3+ years of experience building front ends with React
- 3+ years of experience working with relational databases
- Experience working in cloud environments (AWS preferred)
- Strong understanding of scalable architectures, performance tuning, and security best practices
- Proven experience debugging and supporting complex, interconnected systems
- Experience delivering features end-to-end in a collaborative environment
Additional Preferred Experience:
- C# / .NET Framework / .NET Core experience
- Azure DevOps experience
- Containerization and DevOps best practices
- Experience with automated testing frameworks
- Exposure to system modernization initiatives












