Description Our team is seeking a Senior Software Engineer to play a crucial role in advancing our core healthcare IT systems through the development of scalable and secure software solutions. As a senior individual contributor, this position involves working closely with other engineering team leaders to architect robust backend systems, guide technical direction, and enhance software delivery processes.
*** or Permanent currently residing in the US only ... No exceptions ***Keys to the Role:- Deep understanding of the .net ecosystem
- Experience with distributed systems
- Experience with high volume throughput
- Performance analysis
- Experience troubleshooting an enterprise level application
Essential Functions: - Take a technical leadership role in building and scaling national-scale healthcare data exchange systems
- Deliver extremely reliable, scalable, and observable software capable of supporting massive transaction volumes
- Lead architecture and implementation of highly scalable, API-driven systems powering healthcare data exchange at scale
- Provide practical, balanced technical guidance-considering both engineering best practices and business priorities
- Guide design decisions on fault tolerance, throughput optimization, and system resilience
- Contribute to CI/CD pipeline improvements to maintain quality while accelerating delivery
- Collaborate with product and implementation teams to shape technical execution
- Document technical designs, workflows, and release notes for cross-team and customer consumption
- Participate in and lead design and code reviews
- Mentor engineers through pairing, design discussions, and pull request feedback
Requirements Qualifications:- 10+ years of software engineering experience, with a focus on building large-scale, high-throughput distributed systems
- Have a balanced, pragmatic approach-able to apply the right level of engineering rigor to meet business needs
- Experience designing and scaling API-driven systems with extreme reliability and throughput requirements
- Experience with event-driven, queue-backed, and asynchronous processing architectures
- Skilled in observability practices including distributed tracing, metrics, and log aggregation
- Strong background in Microsoft SQL Server and experience optimizing relational data access
- Familiar with other database technologies (NoSQL, distributed databases)
- Deep experience with the .NET ecosystem, with exposure to other technical stacks as a plus
- Familiar with containerization, cloud-native architectures, and Kubernetes deployment patterns
- Strong architectural skills with a focus on reliability, scalability, and performance
- Proven ability to lead architecture across multiple systems and teams
- Experience writing and optimizing parallel and asynchronous code
- Strong knowledge of IHE profiles, FHIR, and other healthcare data exchange standards is a significant plus
- Front-end development experience with modern JavaScript/TypeScript frameworks is a plus but not required
- Bachelor's degree or equivalent experience in a technical field
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