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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Senior System Engineer - **Company:** HCA Healthcare Inc. - **Location:** Nashville, TN, United States - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** HTML, JavaScript (Programming Language), .NET Framework, Adobe InDesign, Application Programming Interfaces (APIs), Agile Methodology, Software Bug Management, Code Review, Relational Databases, Extensible Markup Language (XML), Information Technology, Web Technologies - **Published:** May 21, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=09e8ab29f729c1ea ## About the Role Do you have experience in Organizational skills?, Bachelor's Degree - Preferred RELEVANT WORK EXPERIENCE 5 or more years OTHER/SPECIAL QUALIFICATIONS Practical experience of setting up API's Practical experience with Web Technologies (XML, HTML, JavaScript, .NET, etc.) and relational databases Understanding of ITIL concepts and policies for managing information technology infrastructure, development, and operations Experience implementing enterprise software applications Excellent communication and inter-personal skills, including the ability to collaborate with personnel at all levels of the enterprise in a cooperative and effective manner Excellent conflict management and negotiation skills to consistently achieve "win-win" results Passion and concern with improving the organization Proven organizational skills High energy, ambitious self-starter with an aptitude for learning and customer focus Ability to work independently, work in a fast-paced environment, and manage workload prioritization to deliver high quality work products on time with minimal direction Working knowledge of vendor management principles and procedures. Working knowledge of Agile development methodology. ## Description The Senior System Engineer will contribute to the development, modification, support, and implementation of mid- and long-term solutions within Patient Accounting Open Connect (PAOC) to solve business and technical issues utilizing tools. The position will work closely with business stakeholders, clients, and IT teams ensure that PAOC supports a resilient, efficient, and secure IT environment that meets the company's needs. The position will interact and collaborate with users from HIS Solutions, representatives from the HCA Healthcare division service desks and shared service centers, vendor representatives and other HCA Healthcare corporate departments to ensure expected value is realized., * Provides support and implementation of PAOC to meet business requirements. * Develops PAOC technical solutions, including integrations with external systems. * Builds and maintains PAOC development documentation including best practices/standards for coding, instance management and upgrades. * Collaborates effectively with other PAOC team members, end users, clients and administrators to develop, test, and deploy enhancements and bug fixes. * Investigates and troubleshoots application issues, performs root cause analysis and works with the team to recommend and implement solutions. * Handles end-user requests and incidents, follows up to determine the resolution and communicates efficiently. * Communicates technical problems and solutions to both technical and non-technical audiences. * Maintains expert knowledge of the PAOC. * Adheres to standard ITIL practices (Change Management, Incident Management, etc.). * Evaluates new features in PAOC releases and participates in design and code review sessions with other PAOC team members. ## Related Videos - [Navigating the Corporate Jungle: Life as a Developer in a large Company](https://www.wearedevelopers.com/videos/621-navigating-the-corporate-jungle-life-as-a-developer-in-a-large-company) - [The Resilience of the World Wide Web](https://www.wearedevelopers.com/videos/1281-the-resilience-of-the-world-wide-web) - [Are Code Reviews Worth It? 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Grogg](https://www.wearedevelopers.com/videos/1806-nolojs-avoiding-javascript-cruft-with-html-and-css-aaron-t-grogg) ## Related Articles - [7 Important Tips That Every Software Developer Should Know](https://www.wearedevelopers.com/magazine/101-7-important-tips-that-every-software-developer-should-know) - [What’s the Difference between a Junior, Mid, and Senior Developer?](https://www.wearedevelopers.com/magazine/238-what-s-the-difference-between-a-junior-mid-and-senior-developer) - [Résumé-Driven Development: How IT trends affect the job market for software developers](https://www.wearedevelopers.com/magazine/59-resume-driven-development-how-it-trends-affect-the-job-market-for-software-developers) - [Quick guide: How to write a Software Developer CV](https://www.wearedevelopers.com/magazine/37-quick-guide-how-to-write-a-software-developer-cv) - [Is Software Engineering Over-Saturated?](https://www.wearedevelopers.com/magazine/418-is-software-engineering-over-saturated) - [How to Write a CV and Interview if You Don't Fully Qualify For The Job](https://www.wearedevelopers.com/magazine/183-how-to-write-a-cv-and-interview-if-you-don-t-fully-qualify-for-the-job)