Senior Software Engineer, HealthTech

Talener; New York (NY); On-site; USD 170,000 - 195,000; Full time

Benefits offered by this job

Comprehensive benefits package

Small annual bonus

Paid time off

Job summary

Talener is seeking a Senior Software Engineer in New York to join a healthcare technology organization focused on data interoperability and integration. This full-time position offers a hybrid work environment with competitive compensation of $170,000 to $195,000 plus benefits.

The ideal candidate will have over 10 years of experience, a strong background in .NET, and expertise in building scalable distributed systems. Fluency in U.S. work authorization is required.

Qualifications

• 10+ years of software engineering experience building enterprise-scale distributed systems.
• Deep expertise within the .NET ecosystem and modern software architecture principles.
• Experience with Microsoft SQL Server performance optimization.

Responsibilities

• Lead design and scaling of healthcare data exchange platforms.
• Architect and build high-availability, API-driven systems.
• Drive technical decision-making around performance optimization and scalability.

Skills

Distributed systems

.NET expertise

API-driven systems

Cloud-native architectures

Kubernetes

Observability practices

Job description

We are seeking a Senior Software Engineer to join a healthcare technology organization focused on large-scale data interoperability, integration, and information exchange solutions. This is a full-time position offering a flexible hybrid work environment, with consideration given to highly qualified remote candidates. The ideal candidate will bring deep experience building highly scalable distributed systems, strong architectural leadership capabilities, and expertise within the Microsoft technology stack. U.S. work authorization is required. No visa sponsorship is available currently.

Job Title

Senior Software Engineer (.NET / Distributed Systems)

Location

Hybrid NYC Metro or Remote (U.S.-based, EST Hours)

Responsibilities

• Take a senior technical leadership role in the design, development, and scaling of large-scale healthcare data exchange and integration platforms
• Architect and build highly available, API-driven systems capable of supporting significant transaction volumes and complex interoperability requirements
• Drive technical decision-making around system reliability, performance optimization, scalability, resiliency, and observability
• Collaborate closely with engineering, product, and implementation teams to deliver scalable software solutions aligned with business objectives
• Lead design reviews, code reviews, and architectural discussions across multiple engineering teams
• Mentor software engineers through technical guidance, design collaboration, and code quality initiatives
• Create and maintain technical documentation, architectural designs, and implementation standards

Required Skills & Experience

• 10+ years of software engineering experience building enterprise-scale distributed systems and backend platforms
• Deep expertise within the .NET ecosystem and modern software architecture principles
• Experience designing and supporting high-throughput API-based systems with strong reliability and performance requirements
• Strong knowledge of asynchronous processing, event-driven architectures, messaging systems, and distributed application design
• Experience with Microsoft SQL Server and relational database performance optimization
• Familiarity with cloud-native architectures, containerization technologies, and Kubernetes-based deployments
• Strong understanding of observability practices including monitoring, logging, metrics, and distributed tracing
• Proven ability to influence architecture and technical strategy across multiple teams and projects
• Experience within healthcare technology, interoperability, FHIR, HL7, IHE, or healthcare data exchange environments is highly desirable
• Front-end development experience with modern JavaScript or TypeScript frameworks is a plus but not required

Compensation

• $170,000 – $195,000 + small annual bonus
• Comprehensive benefits package including medical, dental, vision, retirement benefits, paid time off

Additional Information

Must be authorized to work in the United States — no visa sponsorship available

For more information or to apply, contact Andrew Gallagher at [e-mail]