Backend Engineer (C# / .NET Healthcare Technology)

Primary Responsibilities If you think you are the right match for the following opportunity, apply after reading the complete description. * 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. Technical Skills * 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. Qualifications * 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. xxoysbn * Demonstrated commitment to ongoing learning, certification, and professional development. *We are an EOE* Job Type: Full-time Pay: $80,000.00 - $120,000.00 per year Benefits: * 401(k) * Dental insurance * Health insurance * Paid time off * Vision insurance Education: * Bachelor's (Required) Ability to Commute: * Woodbury, NY 11797 (Required) Work Location: In person Job Type: Full-time Pay: $80,000.00 - $120,000.00 per year Benefits: * 401(k) * Dental insurance * Health insurance * Paid time off * Vision insurance Work Location: In person