Job Description:
We are seeking a seasoned Technical Leader (T5) with deep healthcare domain expertise to drive the design and delivery of enterprise-scale interoperability solutions. This role requires a hands-on problem solver who can strategically dissect complex challenges, define scalable architectures, and lead teams through execution. The ideal candidate combines strong technical depth in .NET and cloud technologies and demonstrates the ability to influence teams with a strong sense of ownership and forward-looking mindset.
Job Responsibilities
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
Experience Required
Bachelor’s or Master’s degree in Computer Science or a related field
10+ 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
Knowledge, Skills & Abilities
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
Open to feedback and focused on continuous learning and improvement
NextGen Healthcare is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.