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

Salary: $80000 - 120000 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 27 week of 2026