Backend Engineer (C# / .NET Healthcare Technology)

Primary Responsibilities

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.

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