Senior Software Development Engineer

MCG Health is a leading healthcare organization dedicated to patient-focused care. They are seeking a Senior Software Development Engineer to lead the design and delivery of complex cloud-native services that power healthcare decision-support solutions.

Responsibilities:

• Own moderate to high complexity problems that span multiple cloud services, where tradeoffs, failure modes, and non-obvious interactions must be identified and resolved
• Operate effectively when requirements evolve during execution, providing technical judgment that keeps delivery on track
• Influence technical decisions and design direction beyond your immediate team, serving as a trusted technical voice in cross-service discussions
• Lead the end-to-end design and delivery of complex, cloud-native services — from requirements analysis through production operation
• Anticipate and proactively address non-functional requirements including operational readiness, security, performance, and testability
• Drive work through ambiguity, decomposing unclear or shifting requirements into actionable, well-sequenced plans
• Use AI tools (e.g., Claude, Copilot) as a core part of your daily workflow — for code generation, design exploration, debugging, code review, incident analysis, and knowledge retrieval
• Author and maintain markdown skill files that codify repetitive workflows, runbooks, and best practices, enabling consistent and efficient execution across the team and reducing tribal knowledge
• Actively contribute to incident response, root cause analysis, and preventative improvements, helping the team build increasingly resilient systems
• Own and improve on-call practices and runbooks for services you design and deliver
• Design services that are scalable, secure, and testable by default
• Debug complex, multi-service issues that cross team and domain boundaries
• Raise the testing and code quality bar through code review, pairing, and leading by example
• Proactively address performance, reliability, security, and maintainability concerns in every phase of development

Requirements:

• 5+ years of professional software development experience, with significant time building and operating Azure cloud native distributed systems
• Strong proficiency in C#, .Net Framework, SQL Server, REST APIs, and Microservices
• Demonstrated experience designing scalable, secure, and testable services for production
• Track record of debugging complex issues across multiple services and system boundaries
• Hands-on experience with CI/CD pipelines, infrastructure-as-code, and cloud operations
• Solid understanding of security best practices, including secure coding, authentication/authorization patterns, and data protection
• Experience participating in or leading incident response and root cause analysis
• Proficiency with AI-assisted development tools (e.g., GitHub Copilot, Claude) and a demonstrated habit of integrating them into daily engineering work for code generation, review, documentation, and problem-solving
• Experience building and maintaining markdown-based documentation (skill files, runbooks, process guides) to standardize repetitive tasks and enable team-wide automation and consistency
• Strong communication skills — able to articulate tradeoffs, influence decisions, and mentor teammates
• Experience in healthcare technology or working with PHI/HIPAA-regulated systems
• Familiarity with event-driven architectures, service mesh, or message bus patterns (e.g., Azure Service Bus, Kafka)
• Experience with observability tooling (logging, tracing, metrics) for distributed systems
• Background in agile delivery and service ownership models