Tango10.03.26
AI SCORE 8.5

Senior .Net Engineer - Healthcare Integrations (Remote)

$140K–$180K/year

About the Role

We are seeking a Senior .Net Engineer (Integrations) remote to join our innovative team at Tango, a leader in the home health management industry. This is a unique opportunity to contribute to significant growth in our organization by leveraging your expertise in healthcare interoperability and the Microsoft technology stack.

What You'll Do

  • Lead and participate in all phases of the software development lifecycle, from ideation and architecture through implementation, deployment, and long-term support.
  • Design, build, and maintain enterprise-grade applications and integration services supporting EDI (X12) and FHIR-based APIs in high-volume healthcare environments.
  • Serve as a technical authority for healthcare data exchange, including claims, eligibility, authorizations, clinical data, and member/provider workflows.
  • Architect and develop scalable, secure web services using REST, SOAP, XML, JSON, and FHIR standards.
  • Ensure interoperability with external partners, payers, providers, and vendors while maintaining compliance with healthcare regulations.
  • Collaborate with product management, business stakeholders, and operations to translate complex healthcare requirements into robust technical solutions.
  • Establish and enforce coding standards, integration patterns, and best practices across the team.
  • Mentor mid-level and junior engineers through design reviews, code reviews, and technical guidance.

Requirements

  • 10+ years of experience designing, building, and supporting enterprise applications and integration platforms.
  • Strong hands-on experience with healthcare EDI, including X12 transactions (e.g., 270/271, 276/277, 278, 837, 835).
  • Experience designing and implementing FHIR-based APIs, including resource modeling, versioning, validation, and interoperability considerations.
  • Expert-level experience with .NET Core / ASP.NET, C#, and modern web application development.
  • Strong experience with React and modern front-end development practices.
  • Extensive experience with Web Services (REST, SOAP), XML, JSON, and API integration patterns.
  • Experience with Azure DevOps, CI/CD pipelines, and infrastructure-aware development.
  • Solid experience with SQL Server (2008+) and working knowledge of NoSQL databases.

Nice to Have

  • Experience in healthcare, regulated environments, or compliance-driven systems is strongly preferred.
  • Experience with Agile/Scrum methodologies in a mature engineering organization.
  • Strong communication skills, both written and verbal, with technical and non-technical audiences.

What We Offer

  • Competitive salary and benefits package.
  • Remote work flexibility with a focus on work-life balance.
  • Opportunities for professional growth and development.
  • A collaborative and inclusive team culture.
  • Engagement in meaningful work that impacts healthcare solutions.
Why This Job8.5 of 10

This Senior .Net Engineer role offers a unique opportunity to lead healthcare integration projects in a remote setting, with a competitive salary and a focus on professional growth.

Salary Range
Required
0/1
Optional
0/1
Bonus
0/1

Who Will Succeed Here

Proficient in .NET Core and ASP.NET with a strong understanding of C# and experience in developing RESTful APIs and SOAP services for healthcare integrations, particularly with FHIR and EDI standards.

Self-motivated and disciplined remote worker who excels in an asynchronous work environment, able to manage time effectively while collaborating with cross-functional teams using tools like Azure DevOps.

Possesses a deep understanding of SQL Server and data management practices, with a focus on ensuring data integrity and security in healthcare applications, coupled with a proactive mindset towards continuous learning and adapting to industry regulations.

Learning Resources

.NET Core Documentationguide

Career Path

Senior .Net Engineer - Healthcare Integrations(Now)Lead .Net Architect(2-4 years)Director of Software Development(5-7 years)

Market Overview

Market Size 2024
$14.5B
Annual Growth
15.2%
AI Adoption in Healthcare IT
40%
Investment in Healthcare IT
+25%
Labour Demand for .NET Developers
+30%
Avg Salary for Senior .NET Engineers
$130K

Skills & Requirements

Required
.NET CoreCASP.NET
Growing in Demand
Microservices ArchitectureAzure Cloud ServicesContainerization (Docker, Kubernetes)
Declining
ASP.NET Web FormsWCF (Windows Communication Foundation)

Domain Trends

Increased Integration of AI in Healthcare
Over 40% of healthcare organizations are investing in AI technologies to enhance patient care and operational efficiency.
Shift to Serverless Architectures
By 2025, 60% of new applications will be deployed in serverless environments, reducing infrastructure management overhead.
Rise of Interoperability Standards
Adoption of FHIR (Fast Healthcare Interoperability Resources) is expected to reach 75% among healthcare providers, improving data exchange capabilities.

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