Design, build, and maintain scalable backend services and APIs using .NET and C#
Lead the development of LLM-powered workflows and Voice AI agents used in production healthcare systems
Use AI-assisted tools daily to support coding, code reviews, documentation, system design, and problem-solving
Participate in architecture discussions and design reviews, ensuring systems meet quality, scalability, security, and compliance standards
Own services end-to-end, including feature development, bug fixes, performance improvements, and technology upgrades
Integrate internal services, third-party APIs, and AI platforms via secure, reliable RESTful APIs
Build and improve CI/CD pipelines and contribute to infrastructure design using infrastructure-as-code
Support production systems, help resolve escalations, and proactively identify operational risks
Collaborate closely with Product Management, Operations, and other engineering teams in an agile environment
Mentor and support other engineers, setting best practices for system design, code quality, and responsible AI-assisted development
Contribute to sprint planning, estimation, execution, retrospectives, and occasional facilitation of agile ceremonies

Requirements

Bachelor’s degree in Computer Science or a related field, or equivalent practical experience
6+ years of experience building, scaling, and supporting distributed systems, with strong hands-on experience in C# / .NET (or Java)
2+ years of experience designing, building, or integrating LLM-based systems and/or Voice AI agents in production
Proven experience using AI tools as part of everyday engineering work (coding, documentation, design, and technical reasoning)
Experience building client-side applications using React, Angular, or similar frameworks
Experience implementing and maintaining CI/CD pipelines
Experience designing and operating systems on AWS, including infrastructure-as-code (e.g., Terraform)
Strong understanding of software quality, security, reliability, and operational best practices
Excellent communication skills, with the ability to explain complex technical concepts and trade-offs clearly
A collaborative mindset and experience mentoring other engineers in a distributed team environment

Benefits

100% Remote work + home office expense reimbursements
monthly reimbursement for cell phone, internet and wellness
Flexible PTO + company holidays
Variety of healthcare benefits for you and your family (and your pets!) starting day one
Generous top-up for parental leave benefits
Continuing education and professional certification reimbursement
Various offsite events and activities for team to connect and meet in person
Local in-person volunteer events, and give back programs to our communities
Company wide recognition tool (Phireworks) to celebrate milestones

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

.NETC#LLM-based systemsVoice AICI/CD pipelinesAWSinfrastructure-as-codeReactAngulardistributed systems

Soft Skills

communicationcollaborationmentoringproblem-solvingleadershipagile methodologysystem designcode qualitytechnical reasoningbest practices

Certifications

Bachelor’s degree in Computer Science