Senior Software Development Engineer (.Net Azure)

TL;DR

Senior Software Development Engineer (.Net Azure): Designing and delivering complex cloud-native services for healthcare decision-support solutions with an accent on reliability, security, and scalability. Focus on optimizing multi-service interactions, implementing AI-augmented engineering workflows, and ensuring system resilience in a distributed environment.

Location: Hybrid, Seattle-based talent preferred

Salary: $112,000 - $156,000

Company

A leading healthcare organization dedicated to patient-focused care through evidence-based decision-support solutions.

What you will do

• Lead the end-to-end design and delivery of complex, cloud-native services on Azure, from requirements to production.
• Own high-complexity problems spanning multiple cloud services, resolving failure modes and technical tradeoffs.
• 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 improvement of on-call practices and runbooks.
• Author markdown skill files to codify repetitive workflows and reduce tribal knowledge across the team.
• Mentor teammates and influence technical design direction beyond the immediate team.

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.
• Hands-on experience with CI/CD pipelines, infrastructure-as-code, and cloud operations.
• Proven track record of debugging complex issues across multiple services and system boundaries.
• Must be based in the US (Seattle preferred).

Nice to have

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

Culture & Benefits

• Hybrid work model with occasional travel (1-3 times per year) for company-sponsored events.
• Comprehensive medical, dental, vision, life, and disability insurance.
• 401K retirement plan, flexible spending account (FSA), and health savings account (HSA).
• 15 days of PTO plus front-loaded personal days and 14 company-recognized holidays.
• Generous paid parental leave (up to 8 weeks) and bonding leave (10 weeks).
• Additional perks including LGBTQ+ Health Services and pet insurance.