Summary
✨ AI‑Generated
Work as an autonomous software engineer modernizing critical healthcare systems and legacy data pipelines. You will take ownership of C# applications, troubleshoot complex failures, refactor technical debt, optimize databases, and maintain integrations based on established healthcare and electronic data exchange standards.
Highlights
Remote work with occasional onsite compliance work, high technical autonomy, ownership of critical systems, opportunities to modernize legacy technology, and responsibility for reliability and performance.
Description
Location: Remote (with occasional on-site work required for security/compliance audits)
Type: Full-time
Department: Engineering / Healthcare Solutions
We need an autonomous, highly independent engineer with deep expertise in C# and legacy healthcare standards.
You will operate with high agency—owning critical legacy pipelines, tearing down tech debt, and building the bridges between ancient databases and modern tech.
You won't be hand-held.
You’ll be given full autonomy to diagnose failures, refactor spaghetti code, and enforce system reliability without having to ask three managers for approval first.
Key ResponsibilitiesOperate Autonomously: Diagnose, debug, and overhaul legacy C# codebases (.NET Framework, WCF, ASP.NET Web Forms) with full ownership of your technical decisions.Master the Data Feeds: Own and fix legacy data pipelines handling HL7 v2 (ADT, ORU, ORM), DICOM, or X12 EDI messages.Tear Down Tech Debt: Refactor bloated T-SQL stored procedures, optimize broken indexes, and build fast, clean API wrappers around legacy databases.Bridge the Old & The New: Hook up ancient monoliths to modern standards (HL7 FHIR, cloud pipelines) on your own terms.Protect Patient Privacy: Ensure bulletproof data handling under HIPAA—not because a manager told you to, but because doing it right protects real human beings.
Who You AreA Questioner of Authority: You hate useless bureaucracy, performative meetings, and rigid corporate hierarchies.
You prefer results over red tape.Self-Directed: You don't wait to be assigned a task; you find the bottleneck, fix it, and ship the solution.A C# / .NET Specialist: You have 5+ years of experience diving into older .NET applications and making sense of code other engineers run away from.Fluent in Legacy Healthcare Protocols: You’ve wrestled with HL7 v2, interface engines (Mirth/NextGen, Iguana, Cloverleaf), and complex SQL databases.
Qualifications & Requirements5+ years of backend/full-stack development experience in C# / .NET.Deep hands-on experience with HL7 v2.x or similar legacy health standards.Strong proficiency in MS SQL Server (T-SQL, query optimization, indexing).Location & Travel Flexibility: Primarily 100% Remote, but must be willing/able to travel on-site occasionally when strictly required for security protocols, hardware integrations, or air-gapped system compliance audits.
Why Join Us?Zero Micromanagement: We hire smart people and get out of their way.Remote Freedom: Work from wherever you operate best, with clear expectations on the rare occasions on-site presence is legally or securely required.Real Impact: Help us dismantle broken systems and replace them with resilient, open, and efficient tech.
