Senior Software Engineer, .NET - US Remote

PerfectServe

Knoxville (TN)

On-site

USD 115,000 - 140,000

Full time

14 days+

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Benefits offered by this job

Remote first work environment
Health, Dental, Vision, Life and Disability Insurance
401K with match and immediately vested
17 company holidays and competitive paid time off
Internal Advancement Opportunities

Job summary

A leading healthcare technology company in Knoxville, TN is seeking an experienced software engineer to join their team. In this role, you will leverage your expertise in C# and ASP.NET to develop scalable communication systems essential for the healthcare industry. You will have the opportunity to mentor junior engineers and make a significant impact on patient care through innovative technology solutions. The position offers competitive compensation and a comprehensive benefits package, including medical coverage and a 401(k).

Qualifications

  • 5+ years of professional software engineering experience with C#.
  • Expert-level knowledge of designing and building RESTful web APIs.
  • Strong Unit and Integration Testing techniques.
  • Demonstrable experience mentoring other engineers.

Responsibilities

  • Design, build, and maintain core services with performant and well-structured code.
  • Champion best practices in code quality, automated testing, and observability.
  • Mentor junior engineers and participate in code reviews.
  • Collaborate with teams to deliver on complex initiatives.

Skills

C#
ASP.NET Web API
RESTful API Design
MSSQL
Unit Testing
Communication Skills
Git
CI/CD

Education

Bachelor's degree in Computer Science or related field

Tools

Git
RabbitMQ
React
Angular

Job description

What is PerfectServe?

PerfectServe offers Best in KLAS clinical communication and physician scheduling solutions and is a Leader in the Gartner Magic Quadrant for Clinical Communication and Collaboration. We have seen an 88% growth rate over the past three years and need strong team members to help us continue to grow!

PerfectServe's mission is to accelerate speed to care by optimizing provider schedules and dynamically routing messages to the right person at the right time in any care setting; advancing patient care and clinical workflows.

By joining PerfectServe, you will have the unique opportunity to come alongside us as we further our vision of putting all of these solutions together to provide optimal patient outcomes and faster patient care interventions. By improving speed to care and cross-continuum communication, we save lives, reduce length of stay, minimize re‑admissions, and bring joy back to caregivers.

We have an incredible portfolio of customers, with new ones recognizing the value of our solutions and joining the PerfectServe family every day.

The Opportunity: What's In It For You?
  • Solve Meaningful Problems: You will tackle complex and meaningful technical challenges related to building scalable, high‑availability voice and messaging communication systems that are critical to the healthcare industry.
  • Make a Visible Impact: You will see the direct impact of your work on improving patient care, reducing administrative burden for clinicians, and streamlining critical clinical workflows.
  • Grow with a Modern Stack: You will work with a modern .NET‑based technology stack and have a real voice in its evolution. We believe in using the right tool for the job and empowering our engineers to make technical decisions.
How We Build: The Power of Perspective
  • We believe that the best and most innovative solutions are born from the collaboration of people with diverse backgrounds, experiences, and viewpoints.
  • We highly value team players who can respectfully challenge ideas, contribute to technical debates, and work together to achieve a collective outcome that is greater than the sum of its parts.
About The Team
  • You will be joining one of our core platform pods, a team of 6–8 focused on building and owning the C#/SQL services at the heart of our platform.
  • We operate in two‑week sprints, value open and honest communication, and own our services from initial design and development all the way through to deployment and support.
How You'll Make an Impact
  • As a key member of a high‑performing team of .NET/C# experts, you will design, build, and maintain highly performant, well‑structured, and well‑tested code for our core services.
  • Champion and evolve our team's best practices in code quality, automated testing, and observability to drive technical excellence.
  • Pay it forward by formally and informally mentoring junior engineers, guiding them through technical challenges and helping them grow their careers at PerfectServe.
  • Foster a "one-team" culture by actively engaging in code reviews and providing constructive, collaborative feedback to our distributed and offshore engineering partners.
  • Collaborate effectively with Product Owners, QA, and other engineering teams to deliver on complex, multi‑team initiatives.
  • Apply generative AI technologies during design, development, testing, and deployment activities to optimize engineering processes and deliver higher impact solutions.
What You'll Bring to the Team
Required Qualifications
  • 5+ years of professional software engineering experience with C#.
  • 5+ years of professional software engineering experience with ASP.NET Web API.
  • Expert‑level knowledge of designing and building RESTful web APIs.
  • Expert‑level knowledge of .NET data access frameworks (ADO.NET, Dapper, EF, etc.)
  • Advanced level knowledge of MSSQL or a similar relational database including data modeling, query optimization and Stored Procedure development.
  • Strong Unit and Integration Testing techniques.
  • Demonstrable experience mentoring other engineers through code reviews, pair programming, and collaborative problem‑solving.
  • Excellent communication skills with experience working in a team distributed across multiple time zones.
  • Proficiency with Git, CI/CD tools, and modern software testing best practices.
Beneficial Qualifications
  • Bachelor's degree in Computer Science or a related field.
  • Experience reverse engineering legacy .NET services and complex MSSQL stored procedures and functions.
  • Experience with .NET framework, ASP.NET Core, .NET 5+.
  • Experience with a message queue system like RabbitMQ.
  • Experience with building dynamic SPAs using React and Angular with TypeScript with efficient state management and clean modular components.
  • Experience with observability and monitoring tools (e.g., New Relic, Grafana).
  • Practical experience leveraging generative AI tools, frameworks, and methodologies across all phases of the SDLC to enhance engineering capabilities and deliver measurable outcomes.
Our Commitment to You: Compensation, Benefits, and Professional Development
  • We invest in your growth with a dedicated annual professional development budget for you to spend on courses, certifications, and conferences. [MA1.1]
  • Furthermore, we are committed to providing competitive compensation and a comprehensive benefits package tailored to your location.
For US-based employees
  • Comprehensive medical, dental, and vision coverage.
  • A 401(k)-retirement savings plan.
For Canada-based employees
  • A comprehensive health benefits plan, that includes prescription, dental, and vision coverage.
  • A Registered Retirement Savings Plan (RRSP).
Why Join PerfectServe?

At PerfectServe, we are transforming healthcare communication and collaboration to help clinicians deliver better care. You'll work with a dedicated and mission-driven team in an environment that values growth, transparency, and innovation.

Please do not use AI tools to generate your application materials. We value authentic, personal communication and want to understand your unique voice and perspective.

We offer a salary range of $115,000-140,000 per year, with compensation tailored to your background, strengths, and potential to grow within the team. The salary range listed for this role reflects our commitment to pay transparency and is based on market data, internal equity, and the scope of responsibilities. Compensation will be determined by a combination of factors, including the candidate's experience, skills, and the specific team or product area they support. We regularly review compensation across the company to ensure fairness and consistency. If you are a current employee and have questions about how your compensation aligns with our ranges, we encourage you to speak with your manager or People Operations.

Benefits:
  • Remote first work environment
  • Health, Dental, Vision, Life and Disability Insurance options available day one.
  • 401K - with match and immediately vested.
  • 17 company holidays, 2 floating holidays plus competitive paid time off policy
  • Internal Advancement Opportunities

PerfectServe offers unified healthcare communication solutions to help physicians, nurses, and care team members provide exceptional patient care. PerfectServe's cloud‑based solutions enhance patient safety and reduce provider burnout by automating workflows, speeding time to treatment, optimizing shift schedules, empowering nurse mobility, and engaging patients in their own care.

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