Senior Software Engineer, HealthTech

We are seeking a Senior Software Engineer to join a healthcare technology organization focused on large-scale data interoperability, integration, and information exchange solutions. This is a full-time position offering a flexible hybrid work environment, with consideration given to highly qualified remote candidates. The ideal candidate will bring deep experience building highly scalable distributed systems, strong architectural leadership capabilities, and expertise within the Microsoft technology stack. U.S. work authorization is required. No visa sponsorship is available currently. Job Title: Senior Software Engineer (.NET / Distributed Systems) Location: Hybrid NYC Metro or Remote (U.S.-based, EST Hours) Responsibilities • Take a senior technical leadership role in the design, development, and scaling of largescale healthcare data exchange and integration platforms • Architect and build highly available, API-driven systems capable of supporting significant transaction volumes and complex interoperability requirements • Drive technical decision-making around system reliability, performance optimization, scalability, resiliency, and observability • Collaborate closely with engineering, product, and implementation teams to deliver scalable software solutions aligned with business objectives • Lead design reviews, code reviews, and architectural discussions across multiple engineering teams • Mentor software engineers through technical guidance, design collaboration, and code quality initiatives • Create and maintain technical documentation, architectural designs, and implementation standards Required Skills & Experience• 10+ years of software engineering experience building enterprise-scale distributed systems and backend platforms • Deep expertise within the .NET ecosystem and modern software architecture principles • Experience designing and supporting high-throughput API-based systems with strong reliability and performance requirements • Strong knowledge of asynchronous processing, event-driven architectures, messaging systems, and distributed application design • Experience with Microsoft SQL Server and relational database performance optimization • Familiarity with cloud-native architectures, containerization technologies, and Kubernetes-based deployments • Strong understanding of observability practices including monitoring, logging, metrics, and distributed tracing • Proven ability to influence architecture and technical strategy across multiple teams and projects • Experience within healthcare technology, interoperability, FHIR, HL7, IHE, or healthcare data exchange environments is highly desirable • Front-end development experience with modern JavaScript or TypeScript frameworks is a plus but not required Compensation • $170,000 - $195,000 + small annual bonus• Comprehensive benefits package including medical, dental, vision, retirement benefits, paid time off. Additional Information • Must be authorized to work in the United States — no visa sponsorship available For more information or to apply, contact Andrew Gallagher at View email address on click.appcast.io #Li-Remote