Backend Engineer (C# / .NET Healthcare Technology)

• Design, develop, and maintain secure, scalable, and maintainable backend services using C# and .NET to support healthcare applications and data platforms.
• Build and maintain event-driven webhook ingestion services that securely process EMR/EHR callbacks (HL7, FHIR, and vendor APIs), ensuring reliable persistence, normalization, and downstream delivery into clinical decision support and pharmacy safety systems.
• Work extensively with source control (Git), applying best practices in branching, merging, pull requests, and CI/CD workflows.
• Conduct and participate in peer code reviews to ensure code quality, maintainability, compliance, and team knowledge sharing.
• Collaborate with product, engineering, and clinical leaders to refine development processes, enforce coding standards, and ensure adherence to healthcare regulatory requirements.
• Troubleshoot and resolve backend issues; maintain comprehensive unit, integration, and API tests to prevent regressions.
• Perform robust integration, performance, and security testing, with an emphasis on patient data protection and HIPAA compliance.
• Use metrics, instrumentation, and code-quality tools to continuously improve reliability and observability.
• Support onboarding and mentor new engineering team members.
• Stay current with evolving .NET technologies, healthcare data standards (HL7, FHIR), and system integrations.
• Communicate proactively with team members, clinicians, and leadership to surface issues and propose solutions.
• Perform other duties as assigned to advance organizational and patient-focused goals.

Do you have experience in Software engineering?, Do you have a Bachelor’s degree?, * Minimum 2+ years of professional software development experience.

• Strong proficiency in C#, .NET (Core or 6/7+), and PostgreSQL or SQL Server.
• Experience with debugging, profiling, and performance tuning in distributed systems.
• Familiarity with Git, CI/CD pipelines, cloud environments (Azure/AWS), and DevOps practices.
• Proven ability to build scalable, high-availability backend systems, ideally in healthcare or other regulated environments.

Soft Skills

• Excellent written and verbal communication skills, including the ability to bridge technical and clinical domains.
• Strong analytical and organizational skills with attention to detail in high-stakes environments.
• Ability to work independently or within a cross-functional team.
• Comfortable interacting with both technical peers and non-technical stakeholders, such as clinicians and administrators.
• Open to feedback and committed to continuous improvement and compliance in healthcare settings., * Bachelor’s or Master’s degree in Computer Science, Software Engineering, or a related field.
• Prior experience with Agile development methodologies is preferred.
• Interest in or experience with healthcare technology, EHR/EMR systems, or medical data standards is a strong plus.
• Demonstrated commitment to ongoing learning, certification, and professional development., * Bachelor’s (Required)

Pulled from the full job description

• 401(k)
• Health insurance
• Paid time off
• Vision insurance
• Dental insurance, * 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance