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Sr. Software Engineer (TCF)

Cnx

Sr.

Responsibilities

  • (TCF) Job Description Design, build, and integrate the patient, clinic staff, and doctor applications on a cloud-native, AI-enabled healthcare platform running on GCP and Azure.
  • You will work across all Experience and Care apps and their integrations with external healthcare systems, and you’ll extend the existing .NET clinic app rather than start over.
  • Design, build, and integrate the patient, clinic staff, and doctor applications on a cloud-native, AI-enabled healthcare platform running on GCP and Azure.
  • You will work across all Experience and Care apps and their integrations with external healthcare systems, and you’ll extend the existing .NET clinic app rather than start over.
  • React/Next.js web screens, React Native mobile screens, .NET (ASP.NET Core) APIs, and the PostgreSQL data behind them.
  • Deliver Phase 2 features: the mobile app, teleconsultation, medication management, the feedback/survey platform, and AI assistants for patients, clinic staff, and doctors/specialists.
  • Build and maintain connectors to labs, EHRs, imaging (PACS), pharmacies, payers, and devices using FHIR, HL7v2, DICOM, REST/SOAP, SFTP, and webhooks.
  • Map partner data to FHIR resources and validate it.
  • Match patients and orders, quarantine records that don’t match, and support reconciliation and replay.
  • Build long-running clinical workflows in Temporal (.NET SDK), such as lab orders, result review, critical result alerts, and medication change approvals.
  • Use idempotency, the outbox pattern, and event messaging (Kafka, Pub/Sub, or Service Bus) so no clinical action is lost or duplicated.
  • Connect AI assistant features to care services through secure, permission-scoped tools, and require clinician approval before AI output affects clinical records.
  • Build secure login, consent, and access rules by tenant, patient, and purpose of use (OIDC, OPA).
  • Secure partner connections with mTLS/OAuth.
  • Package and deploy services as containers on Kubernetes (GKE/AKS) through CI/CD and GitOps, with health checks and autoscaling.
  • Keep patient data out of logs, caches, and the browser.
  • Write unit and integration tests.
  • Review code and mentor engineers.
  • Complete all assigned, mandatory training within the timeframe provided Conduct and/or participate in regularly scheduled 1:1 meetings with direct manager and/or direct reports Requirements 5+ years in full stack development.

Requirements

  • C#/.NET skills (ASP.NET Core, Entity Framework Core, Web API).
  • Strong React/TypeScript skills (Next.js).
  • React Native experience.
  • Hands-on healthcare integration experience with at least one of FHIR, HL7v2, or DICOM.
  • Experience with PostgreSQL, REST/GraphQL, messaging/event-driven systems, and OIDC/OAuth2.
  • Experience with Docker, Kubernetes (GKE or AKS), and CI/CD pipelines.

Preferred

  • Experience integrating LLM/AI features into applications, such as calling model APIs, retrieval (RAG), or tool calling.
  • Temporal or another workflow engine, Mirth Connect, HAPI FHIR, WebRTC/LiveKit, OPA, and HIPAA or data privacy experience.
  • Bachelor’s degree in Computer Science or equivalent experience.

Location

PHL Work-at-Home Language Requirements: Time Type: Full time

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