Senior Full Stack Developer

Pearson Carter; Chicago (IL); Hybrid; USD 85,000 - 104,000; Full time

Job summary

Pearson Carter are recruiting a Senior Full Stack Developer for a not-for-profit NHS-contracted healthcare organisation based in Manchester. The role is hybrid, requiring office attendance 2x per week, and focuses on greenfield projects to build secure, scalable applications for healthcare professionals.

You will work primarily with C# .NET 6+ and React, mentoring juniors, and integrating with NHS FHIR and other APIs while upholding GDPR and NHS information governance standards.

Qualifications

• 5 years of commercial experience in a full-stack role.
• Proficiency in C# and modern .NET (6+).
• Strong React skills with hooks, state management, and performance optimization.
• Experience designing and delivering cloud-hosted .NET services at scale.

Responsibilities

• Guide and contribute to the design, development and maintenance of a C# .NET-based greenfield healthcare application.
• Collaborate with clinical leads to translate user needs into software solutions.
• Write clean, scalable, and compliant code (GDPR, NHS IG).
• Provide technical mentorship to junior and mid-level developers.
• Conduct code reviews, testing, and debugging; pair with juniors when needed.
• Design, develop and support NHS FHIR, e-RS, and third-party API integrations.

Skills

C# / .NET

React

Cloud/Architecture

Tools

Redux

Zustand

React Query

NHS FHIR

Job description

Senior Full Stack Developer up to £70k Manchester, Hybrid

Pearson Carter are working with a not-for-profit, NHS-contracted healthcare organisation that coordinates and delivers NHS primary and community eye care through a large network of local opticians.

In this role, you'll join a team working on green field projects and contribute to building secure, scalable, and user-friendly applications that support healthcare professionals and improve patient outcomes.

Responsibilities

• Working in an Agile team, guide and assist in the design, development and maintenance of a C# .NET-based greenfield healthcare application.
• Collaborate with clinical leads and stakeholders to understand ambiguous problems and user needs then translate them into elegant software solutions or designs.
• Write clean, scalable, and maintainable code following industry and healthcare compliance standards (e.g., GDPR, Data Protection Act, NHS IG).
• Provide day-to-day technical mentorship of Junior and Mid-level developers.
• Conduct thoughtful code reviews, testing, and debugging of applications. Where necessary, pair up with more junior members.
• Design, develop and support integrations with NHS FHIR, e-RS, and third-party APIs.
• Stay informed about healthcare technology trends and regulatory requirements.

Experience

• 5 years of commercial experience in a full-stack role.
• Significant hands‑on experience designing and delivering cloud-hosted .NET services at scale, including architecture decisions, performance tuning, and production operations.
• Deep proficiency in C# and modern .NET (6), with strong command of async patterns, dependency injection, and building well-structured, maintainable codebases.
• Strong proficiency in React - including hooks, state management (e.g. Redux, Zustand, or React Query), component architecture, and performance optimisation. Candidates with equivalent depth in a comparable framework (e.g. Vue) will be considered.

Salary

They offer a competitive salary, dependent on experience and up to £70k.

Location

The client is based in Manchester and are looking for someone to come into office 2x per week.