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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Senior Application Engineer - **Company:** HCA Healthcare Inc. - **Location:** Brentwood, TN, United States - **Experience:** Expert - **Contract:** Permanent contract - **Skills:** Query Performance, ASP.NET, HTML, JavaScript (Programming Language), .NET Framework, Adobe InDesign, Ajax (Programming Language), Amazon Web Services, Data Analysis, Automation of Tests, Microsoft Azure, Cascading Style Sheets (CSS), Cyber Security, Databases, Console Applications, Continuous Integration, Extract Transform Load (ETL), Data Mining, Relational Databases, Database Design, Language Integrated Query, Fat Client, Interoperability, JQuery, Windows Presentation Foundation, Microsoft SQL Server, Software Maintenance, EClinicalWorks, Shell Script, Software Engineering, SQL Stored Procedures, SQL Databases, SQL Server Reporting Services, SQL Server Integration Services, Software Organization, .NET Core, Fast Healthcare Interoperability Resources, System Availability, IT Architecture, Ge Centricity, AngularJS, Solid Principles, Infrastructure Automation Frameworks, Webforms, Health Level Seven International, Windows Services, Tools for Reporting, Front End Software Development, Restful APIs, Domain Driven Design - **Published:** October 23, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=94930640addaf329 ## About the Role * Technical * + Experienced in C# and .NET development + Experienced in developing and maintaining applications using .NET Core + Experienced with MS SQL Server, specifically writing SQL, developing stored procedures, triggers and functions + Experience with database design, data modeling, and query performance tuning + Experience in data-layer development, including RESTful API services both as a provider and a consumer + Experience with UX/UI design, including Angular, JavaScript, jQuery, HTML, CSS and AJAX + Exposure to software development best practices, such as continuous integration, automated testing, design patters, SOLID principles, domain driven design, etc. + Exposure to batch and shell scripting * Soft * + Strong analytical and design skills + Excellent written and verbal communication skills + Participates in discussions with business partners and clients to achieve consensus and organizational goals + Assists more junior team members in technically complex projects in design, development, implementation, and support of solutions + Participates in application design sessions while providing technical guidance + Adaptable to complex organizational change + Ability to work with little supervision in a Lean environment + Self-driven learner of technology and programming + Ability to manage multiple assignments simultaneously, + Some experience with LINQ and ORM technologies + Experience with data extraction, transformation and loading (ETL). SSIS preferred + Experience creating and hosting reporting solutions, SSRS preferred + Experience creating thick-client applications using WPF or similar technologies, windows services and console applications + Experience creating applications using ASP.NET WebForms. + Exposure to clinical applications (EMR/PPMS), such as eClinical Works, Epic, GE Centricity, NextGen, etc. + Ability to analyze data patterns and solve problems + Experience with healthcare interoperability standards such as HL7, CCDA, or FHIR + Experience with public cloud development methodologies for Amazon AWS or Microsoft Azure * Soft * + Demonstrates continual learning and improvement of knowledge and expertise in the health industry data standard as well as industry applications and tools + Assists colleagues with less experience + Define and communicate the work assignments and completion criteria to team members, clarify work expectations, monitor activities and report on status + Ability to create clear and concise documentation on design and operational topics + Maintains positive relationships with all customers and department heads EXPERIENCE * 5-7 years, * College Graduate Required Undergrad ## Description The Senior Application Engineer delivers on strategic commitments from start to finish for all aspects of the Physician Services Group organization within ITG. This technically focused position is responsible for designing, developing, testing and implementing solutions across the Enterprise. The engineer can quickly learn and make use of existing solutions as well as collaborate on research to implement new technologies based on identified areas for improvement. They have an in depth understanding of the services provided and direction of the Physician Services group and can develop relationships throughout the organization to assist in accomplishing its goals for the company. These goals will be achieved by working with cross-functional business teams and utilizing .NET frameworks, web front-end technologies, infrastructure automation, and database platforms and tools. The Senior Application Engineer's main function is to provide technical guidance and experience during the development, implementation, support and maintenance of software products at Physician Services. The Senior Application Engineer will collaborate with Business Customers, Department Heads, and Project teams, participates in application design efforts, as well as support and develop subject matter knowledge for internally developed applications. The Senior Application Engineer will ensure the effective design, build, deployment, documentation and maintenance of applications against relational databases and other applicable data sources to support end-user processes., * Build software, automation, and infrastructure that provides services to Physician Services customers to reduce manual processes and improve organizational efficiency * Design and implement solutions that improve deployment quality and velocity, infrastructure resiliency, security, and data availability * Provide experience from perspectives of software engineering, database design, information security, and infrastructure architecture * Write code to automate manual operations using appropriate languages and tools * Design and implement custom 24x7 monitoring and alerting solutions * Create and maintain a strong documentation * Research, investigate, and implement new technologies