Senior Software Engineer – Fullstack

Posted 1hrs ago

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Job Description

Senior Software Engineer developing modern solutions for healthcare tech company. Focusing on .NET modernization and AI-driven workflows.

Responsibilities:

Ship modernization work at a pace that surprises people.
Use AI agents (Cursor, Claude Code, Codex) to blow through framework upgrades, refactors, API extraction, test scaffolding, and documentation - while catching hallucinations and preventing regressions before they hit a PR.
Build reusable playbooks the team can actually follow: prompt templates, repo-level agent instructions, migration checklists, review heuristics, and clear "definition of done" standards for AI-assisted changes.
Modernize a real .NET + SQL Server stack into something you'd be proud of.
Own it like it's yours - especially because this is healthcare. Build with security and privacy as defaults, not afterthoughts. Put real quality guardrails in place: automated tests that actually catch things, CI that blocks bad changes, structured logging, observability that tells you what's happening before users do.
Work with real humans to ship things that matter. Partner with analysts, stakeholders, and other engineers to turn business problems into working software - not just technically correct software, but software that actually solves the problem.

Requirements:

5+ years building and shipping production systems. Not side projects - real software with real users.
Some C# and modern .NET experience (Core and beyond). Especially in large codebases and you've done meaningful refactoring and migration work, not just greenfield.
Strong SQL Server chops - schema design, query tuning, performance troubleshooting. You've worked on data-heavy applications where the database wasn't an afterthought.
Cloud experience with Azure and/or AWS. Azure is particularly relevant here.
API design experience - you've built and maintained service-oriented architectures with real versioning, auth, reliability, and testing practices.
You actually use AI coding tools as a daily driver. Cursor, Claude Code, Codex, or similar - and not just for autocomplete. You've used agents for multi-file refactors, migrations, test generation, and review workflows. You have opinions about what works and what doesn't.
You communicate clearly. Good PR descriptions, straightforward design docs, pragmatic collaboration, low ego. We don't need a rockstar - we need someone the team trusts.