HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive directly impacts on the quality of daily life for the deserving residents we serve. We connect patients in need of vital healthcare to doctors committed to dignity and excellence.

We are seeking a Senior Software Developer and Technical Leader who excels in modern cloud-native development using Microsoft Azure and is equally comfortable working hands-on with business users, vendors, and technical teams. This hybrid role is ideal for someone who thrives in small, agile teams and enjoys solving real-world business problems through scalable, data-driven software solutions.

While the primary focus is on building and maintaining modern applications in Azure using C# and .NET, the ideal candidate will also appreciate and support legacy Windows Forms-based client/server systems as part of our broader technology ecosystem. A strong understanding of healthcare systems and compliance is highly valued.

• Hands-On Development: Design, develop, and maintain enterprise-grade software using C#, .NET, Microsoft Azure, and SQL Server, with a strong emphasis on cloud-native architecture and services.
• Legacy & Cloud-Native Systems: Lead the organization in building and supporting modern, cloud-native solutions while also maintaining and enhancing existing Windows Forms applications as needed.
• Architecture & Design: Architect solutions with a cloud-first mindset, ensuring scalability, security, and compliance with HIPAA, HiTrust, and interoperability standards like FHIR and HL7.
• Team Leadership: Guide and mentor a small team of developers (onshore and offshore), fostering a collaborative and high-performing environment. Operate with minimal supervision.
• Project Ownership: Lead all phases of the software development lifecycle, from requirements gathering to deployment and support.
• Healthcare Domain Expertise: Understand—or be willing to learn—software systems related to EMR, enrollment, scheduling, credentialing, and other healthcare operations.
• Architecture & Design: Ensure solutions are scalable, secure, and compliant with HIPAA, HiTrust, and interoperability standards like FHIR and HL7.
• Data & Analytics: Champion data-driven development, including ETL pipelines, data lakes, and reporting tools to improve patient outcomes and operational efficiency.
• Vendor Management: Collaborate with and hold vendors accountable for quality and timely delivery of software components.
• Stakeholder Communication: Translate complex technical concepts into clear, actionable updates for business stakeholders.
• Innovation & Continuous Improvement: Stay current with emerging technologies and recommend improvements to tools, processes, and architectures.
• DevOps & CI/CD: Support and participate in CI/CD pipelines, test automation, and DevOps 

Required:

• 10+ years of software development experience, including 3+ years in a leadership or technical lead role
• Strong hands-on experience with C#, .NET, SQL Server, and Microsoft Azure (beyond Power Automate, SharePoint, or Power BI).
• Proven ability to lead small, agile teams and deliver complex projects
• Experience with RESTful APIdevelopment and third-party integrations
• Excellent communication skills with both technical and non-technical audiences
• Experience managing offshore teams and vendor relationships
• Familiarity with Windows Forms and client/server architectures

Preferred Skills:

• Strong understanding of healthcare systems and regulatory compliance (HIPAA, HiTrust)
• Exposure to FHIR, HL7, and healthcare interoperability standards
• Experience with CI/CD pipelines, Git, JIRA, AzureDevOps, and test automation frameworks
• Knowledge of Infrastructure as Code (IaC) tools like Terraform.
• Azure certifications or equivalent cloud architecture experience
• Background in data engineering, including ETL, data lakes, and warehousing