Senior Software Development Engineer (.Net)

TL;DR

Senior Software Development Engineer (.Net/Azure): Leading the design and delivery of complex cloud-native services for healthcare decision-support solutions with an accent on reliability, security, and performance. Focus on designing scalable distributed systems, integrating AI-augmented engineering workflows, and resolving multi-service architectural challenges.

Location: Hybrid. Seattle-based talent preferred.

Salary: $136,000 - $190,400

Company

A leading healthcare organization dedicated to improving the US healthcare system through evidence-based content and innovative decision-support products.

What you will do

• Lead the end-to-end design and delivery of complex, cloud-native services from requirements analysis through production operation.
• Own high-complexity problems spanning multiple cloud services, identifying tradeoffs and resolving non-obvious interactions.
• Integrate AI tools like Claude and Copilot into daily workflows for code generation, debugging, and knowledge retrieval.
• Contribute to incident response, root cause analysis, and the development of resilient systems and runbooks.
• Influence technical decisions beyond the immediate team and mentor teammates to raise the code quality bar.

Requirements

• 5+ years of professional software development experience.
• Significant experience building and operating Azure cloud-native distributed systems.
• Strong proficiency in C#, .Net Framework, SQL Server, REST APIs, and Microservices.
• Demonstrated track record of designing scalable, secure, and testable production services.
• Hands-on experience with CI/CD pipelines, infrastructure-as-code, and cloud operations.
• Preference for candidates based in Seattle.

Nice to have

• Experience in healthcare technology or working with PHI/HIPAA-regulated systems.
• Familiarity with event-driven architectures, service mesh, or message bus patterns (e.g., Azure Service Bus, Kafka).
• Experience with observability tooling (logging, tracing, metrics) for distributed systems.
• Background in agile delivery and service ownership models.

Culture & Benefits

• Hybrid work arrangement with occasional company-sponsored travel (1–3 times per year).
• Comprehensive health package including medical, dental, vision, life, and disability insurance.
• Financial security with a 401K retirement plan, FSA, and HSA.
• Generous time off: 15 days PTO, front-loaded personal days, and 14 company holidays.
• Extensive parental leave: up to 8 weeks paid parental leave and 10 weeks paid bonding leave.
• Inclusive perks such as LGBTQ+ Health Services and pet insurance.