Job Description
Senior Full Stack Engineer – React / .NET (Healthcare Interoperability)
Location: Remote (USA, prefer EST)
Job Type: Full-Time | Travel: <5%
About The Role
We are seeking a highly skilled Senior Full Stack Engineer to drive the development of mission-critical healthcare applications. This is a fully remote opportunity for an experienced technologist with deep expertise in React, .NET Core, and healthcare interoperability.
The ideal candidate thrives at the intersection of hands-on engineering and strategic architecture, contributing to the design, build, and delivery of resilient, scalable, and compliant solutions. You will serve as a technical authority, guiding integration strategies, mentoring peers, and collaborating across product, business, and operations teams to shape the future of our healthcare systems.
What You’ll Do
• Lead and participate in all phases of the software development lifecycle, from architecture and implementation to deployment and support.
• Design, develop, and maintain enterprise-grade React applications and .NET Core services supporting high-volume healthcare environments.
• Ensure interoperability with external partners, payers, providers, and vendors while maintaining compliance with healthcare regulations.
• Collaborate with product management and business stakeholders to translate complex healthcare requirements into robust technical solutions.
• Establish and enforce coding standards, integration patterns, and best practices across the team.
• Identify and mitigate performance, scalability, security, and reliability risks.
• Utilize Git, Azure DevOps, and CI/CD pipelines to streamline development, deployment, and monitoring.
• Act as a senior technical representative in stakeholder meetings, providing guidance and thought leadership.
• Mentor and coach junior engineers, fostering a culture of excellence and continuous improvement.
Qualifications
• 10+ years of professional experience designing, building, and supporting enterprise applications and integration platforms.
• Deep hands-on experience with React and modern frontend frameworks.
• 3+ years of experience with .NET Core / ASP.NET / C#, with strong ability to debug and integrate front-end and back-end systems.
• Proven experience architecting high-availability, mission-critical systems handling large data volumes and high transaction throughput.
• Expertise with Web Services, APIs (REST/SOAP), XML, JSON, and integration patterns.
• Strong experience with SQL databases; knowledge of NoSQL is a plus.
• Proficiency with Azure DevOps, Git, and CI/CD pipelines.
• Experience in healthcare, regulated, or compliance-driven environments strongly preferred.
• Demonstrated leadership, collaboration, and mentorship skills.
• Bachelor’s degree in Computer Science, Computer Engineering, or a related field (or equivalent experience).
Skills & Attributes
• Strategic thinker with the ability to own solutions end-to-end, from architecture through production support.
• Strong problem-solving skills focused on reliability, maintainability, and performance.
• Excellent written and verbal communication with both technical and non-technical stakeholders.
• Highly organized, self-motivated, and capable of managing competing priorities.
• Positive, professional attitude and commitment to fostering a collaborative team culture.
• Comfortable operating in high-pressure, production-critical environments.
