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NextGen Healthcare

Senior Staff Engineer, Software Development

NextGen Healthcare

Technical Leader with deep healthcare expertise designing and delivering interoperability solutions. Leading architecture discussions and mentoring teams in a global environment.

Posted 5/9/2026full-timeRemote • 🇮🇳 IndiaSeniorWebsite

Tech Stack

Tools & technologies
AWSDistributed SystemsGraphQLKafka.NETSQLWPF

About the role

Key responsibilities & impact
  • Lead architecture and design discussions across global teams, ensuring scalable, maintainable, and high-performance solutions
  • Analyze complex technical and functional problems, break them down strategically, and drive end-to-end solutions
  • Design and build enterprise-grade healthcare interoperability solutions, with a strong focus on both functional and non-functional requirements (performance, scalability, reliability, security)
  • Learn and adapt to latest AI trends and initiatives
  • Drive continuous improvements in system architecture, performance, and operational efficiency
  • Act as a hands-on technical leader, contributing to development while guiding and influencing the team
  • Lead initiatives around healthcare data interoperability aligned with standards (eg: HL7, FHIR, and CDA)
  • Ensure compliance with regulatory requirements including USCDI and the 21st Century Cures Act
  • Leverage observability and performance metrics to proactively improve system behavior and end-user experience
  • Collaborate with Engineering, Product, Program, and cross-functional teams, including offshore teams, to drive integrated solutions
  • Establish and reinforce engineering and QA best practices, driving process improvements across the team
  • Provide technical leadership, mentorship, and coaching to engineers, fostering a high-performance and feedback-driven culture
  • Demonstrate strong ownership and accountability while enabling team success through servant leadership
  • Stay forward-looking by driving innovation and adoption of modern technologies and practices

Requirements

What you’ll need
  • 12+ years of hands-on experience in building enterprise applications
  • Proven experience in healthcare domain, particularly in interoperability solutions
  • Strong experience in designing and implementing scalable, distributed systems
  • Demonstrated ability to handle complex problem-solving and system design challenges
  • Proven track record of delivering solutions addressing non-functional requirements such as performance, scalability, and reliability
  • Experience working in cross-functional and globally distributed teams
  • Prior experience in modernizing legacy systems (e.g., 32-bit to 64-bit transitions) is a plus
  • Strong technical expertise in C#, .NET, .NET Core, Web API, and RESTful services
  • Hands on with AWS (ECS, EKS, Lambda, S3) and gateway patterns
  • Exposure to AI assisted dev practices (a plus)
  • Experience with large-scale, high-throughput API development
  • Familiarity with API authentication/authorization standards and best practices
  • Understanding of distributed systems, tracing, monitoring, and troubleshooting production issues
  • Experience with modern deployment strategies and trade-offs in production environments
  • Knowledge of Kong API Gateway (preferred)
  • Familiarity with REST, GraphQL, CQRS, and event-driven development patterns
  • Experience with WCF, WPF and Deep understanding of XML, XPATH
  • Strong proficiency in SQL Server and relational database design
  • Exposure to interop standards like HL7 v2, FHIR, and CDA (C-CDA) standards
  • Knowledge of IHE profiles and interoperability workflows is a plus
  • Exposure to Kafka or event-driven architectures is a plus
  • Strong analytical and problem-solving skills with ability to navigate ambiguity
  • Excellent communication skills with ability to articulate complex technical concepts clearly
  • Ability to influence, collaborate, and drive alignment across teams
  • Strong sense of ownership, accountability, and commitment to quality

Benefits

Comp & perks
  • Health insurance
  • 401(k) matching
  • Flexible work hours
  • Paid time off
  • Remote work options

ATS Keywords

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Hard Skills & Tools
C#.NET.NET CoreWeb APIRESTful servicesAWSSQL ServerAPI developmentXMLXPATH
Soft Skills
problem-solvingcommunicationcollaborationleadershipmentorshipaccountabilityownershipinnovationadaptabilityfeedback-driven culture