Backend Developer (C# / .NET in Health Tech)

Salary: $80,000 - 120,000 per year Requirements:

• A minimum of 2+ years of professional software development experience.
• Strong expertise in C#, .NET (Core or 6/7+), and PostgreSQL or SQL Server.
• Experience in debugging, profiling, and performance optimization within distributed systems.
• Familiarity with Git, CI/CD pipelines, cloud platforms (Azure/AWS), and DevOps methodologies.
• Proven track record in developing scalable, high-availability backend systems, preferably in healthcare or regulated environments.
• Bachelor’s or Master’s degree in Computer Science, Software Engineering, or a related field.
• Prior experience with Agile development practices is preferable.
• A strong interest in or experience with healthcare technology, EHR/EMR systems, or medical data standards is highly advantageous.
• A demonstrated commitment to continuous learning, certification, and professional growth.

Responsibilities:

• I design, develop, and maintain secure, scalable, and manageable backend services using C# and .NET to support healthcare applications and data platforms.
• I build and maintain event-driven webhook ingestion services to securely process EMR/EHR callbacks (HL7, FHIR, and vendor APIs), ensuring reliable data persistence, normalization, and downstream delivery to clinical decision support and pharmacy safety systems.
• I work extensively with source control (Git), employing best practices in branching, merging, pull requests, and CI/CD workflows.
• I actively conduct and participate in peer code reviews to assure code quality, maintainability, compliance, and knowledge sharing among the team.
• I collaborate with product, engineering, and clinical leaders to improve development processes, uphold coding standards, and ensure compliance with healthcare regulations.
• I troubleshoot and resolve backend issues while maintaining comprehensive unit, integration, and API tests to prevent regressions.
• I conduct robust integration, performance, and security testing with a focus on the protection of patient data and HIPAA compliance.
• I utilize metrics, instrumentation, and code-quality tools to perpetually enhance reliability and observability.
• I support the onboarding process and mentor new engineering team members.
• I stay updated on evolving .NET technologies, healthcare data standards (HL7, FHIR), and system integrations.
• I communicate proactively with team members, clinicians, and leadership to identify issues and propose solutions.
• I perform additional duties as needed to further organizational and patient-focused objectives.

Technologies:

• API
• AWS
• Azure
• Backend
• C#
• CI/CD
• Cloud
• DevOps
• Git
• HL7
• Support
• PostgreSQL
• SQL
• Security
• ASP.NET

More:

- Excellent written and verbal communication skills are essential, including the ability to bridge technical and clinical domains.
- Strong analytical and organizational skills with keen attention to detail in high-stakes environments are required.
- Ability to operate independently or as part of a cross-functional team is necessary.
- Comfort in interacting with both technical peers and non-technical stakeholders, such as clinicians and administrators, is key.
- I am open to feedback and committed to continuous improvement and compliance within healthcare settings.

Compensation and Benefits:
- We offer a full-time position with a salary range of $80,000.00 - $120,000.00 per year.
- Benefits include a 401(k), dental insurance, health insurance, paid time off, and vision insurance.
- Work location is in person at our office in Woodbury, NY (required).

*We are an Equal Opportunity Employer (EOE).*

last updated 42 week of 2026