Join a forward-thinking engineering team building the next generation of a widely used electronic health record system. In this role, you'll leverage C# and .NET to design and deliver scalable backend services, working at the intersection of modern architecture and large-scale legacy systems. Your primary focus will be on creating maintainable, high-performance solutions that support long-term platform evolution.
How You’ll Make an Impact
- Integrate AI as a first-class development partner by designing systems and workflows where intelligent agents contribute meaningfully to feature delivery, reducing manual effort over time.
- Build and maintain backend APIs and services with a strong emphasis on reliability, testability, and performance.
- Design and refine database schemas across complex relational systems, writing efficient SQL and planning migrations with minimal disruption.
- Collaborate with product teams to clarify requirements, validate functionality, and ensure smooth feature delivery from idea to production.
- Lead improvements in code quality, testing practices, and CI/CD pipelines—writing comprehensive tests and refining deployment processes to increase team velocity.
- Participate in architectural discussions, influencing decisions around API design, component structure, and system scalability.
- Take full ownership of the software you ship, including documentation, debugging, and post-deployment support.
What We’re Looking For
You bring 5+ years of professional experience with C# and .NET, along with proven fluency in SQL and database design using PostgreSQL or MS SQL Server. You’ve spent at least a year actively using AI coding tools—like Claude Code—in real development workflows, not just for prototyping, but as a core part of how you build software. You’re comfortable diving into large, undocumented codebases and extracting business logic efficiently, with or without AI assistance.
Strong candidates will also demonstrate a clear grasp of distributed systems, API design principles, and modern development practices. You communicate effectively across technical and non-technical audiences and thrive in fast-moving environments where initiative and problem-solving are valued.
Preferred Background
- Experience in healthcare IT, particularly with electronic medical records or regulated environments.
- Familiarity with React and TypeScript for frontend collaboration.
- Exposure to cloud-native technologies such as Kubernetes, Azure, or similar platforms.
- Proven experience refactoring or modernizing legacy software systems.
Technology Environment
Our stack includes C#, .NET, PostgreSQL, MS SQL Server, AI-powered coding assistants, agentic development frameworks, RESTful API design, distributed systems patterns, and cloud-native infrastructure. We prioritize sustainable engineering practices, continuous learning, and innovation in how software is built—not just what is built.
