Senior Applications Developer

Position: Senior Applications Developer

Report to: Director of Application Services & Development

Why work at Concerto? What is in it for you?

• BCBSIL Medical, MetLife Dental, MetLife Vision
• Short and long-term disability benefits
• Supplemental Medical Insurance
• 401k match of 50% up to 6% of salary
• 20 Days of PTO (first full calendar year)
• 7 Paid holidays
• Discounts through Nectar
• Employer Paid Employee Assistance Program
• Job-related educational expenses reimbursement
• Dog-friendly corporate office environment

Who Are We?

Concerto Renal Services is an industry leader in sub-acute hemodialysis within a skilled nursing facility and/or long-term care facility. We are a rapidly expanding business with a simple mission: reimagining dialysis care, one community at a time. Our model focuses on ensuring those with end-stage renal disease receive the best possible care through a more convenient, centralized, continuous care model.

Why is this Role Essential?

The Senior Applications Developer is essential to the reliability, security, and continued evolution of Concerto's technology ecosystem. Working closely with third-party developers, internal stakeholders, and data engineering, this role supports EHR development and integrated modules while independently managing and supporting the organization's applications. The position helps ensure technology solutions are scalable, secure, compliant, and aligned with clinic operations and care delivery.

What Will You Do?

• Design, build, test, deploy, and maintain applications and workflow tooling that support clinic operations and care delivery.
• Work closely with third-party developers and internal stakeholders on EHR development, integrated modules, enhancements, and issue resolution.
• Independently diagnose, debug, troubleshoot, and maintain both emerging and traditional technologies across the application portfolio.
• Oversee system upgrades, patches, integrations, release activities, and application lifecycle planning.
• Partner with data engineering on system enhancements, ensuring changes maintain data integrity, consistency, and referential accuracy across affected database tables.
• Develop, maintain, and support APIs and integrations across multiple systems and data platforms.
• Ensure applications and development practices meet HIPAA and other applicable healthcare regulatory requirements, including federal interoperability mandates.
• Support audit readiness, data privacy, cybersecurity, and security initiatives in partnership with Compliance and other internal teams.
• Participate in agile software development activities, including requirements refinement, estimation, code review, testing, release planning, and retrospectives.
• Use Git, pull-request review, and Azure DevOps to support source control, collaboration, deployment, and development workflows.
• Create and maintain technical documentation for applications, integrations, configurations, architecture, troubleshooting procedures, and system changes.
• Monitor application performance and reliability; identify root causes of issues and implement sustainable corrective solutions.
• Collaborate with business and clinical stakeholders to translate operational needs into practical, maintainable technical solutions.
• Follow secure software development practices and contribute to continuous improvement of development standards, processes, and application architecture.

You Might Be a Fit If You are...

• An experienced applications developer who can work independently while collaborating effectively with technical and non-technical partners.
• A strong problem solver who is comfortable diagnosing complex application, integration, and data issues.
• Experienced in healthcare, medical device, or another regulated technology environment.
• Comfortable balancing development work with application support, maintenance, documentation, and continuous improvement.
• A clear communicator who can translate technical concepts and risks for business and clinical stakeholders.

What's Required?

• Bachelor's degree in Information Technology, Health Informatics, Business Administration, or a related field required.
• Three to five years of hands-on experience with C# and ASP.NET Core, including Entity Framework Core, SQL, and React.
• Day-to-day experience using Git, pull-request review, and Azure DevOps.
• Demonstrated ability to work in agile-based software development.
• Hands-on experience working with APIs, data platforms, and integrations across multiple systems.
• Familiarity with FHIR.
• Strong understanding of healthcare regulatory requirements, including HIPAA and federal interoperability mandates.

Work Expectations:

Hybrid (Chicago, IL) or Remote.

Compensation:

$130,000 - $150,000

**salary commensurate with experience**

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.