Software Engineer II

Monroe Plan for Medical Care is a not-for-profit healthcare services organization focused on improving health outcomes for individuals and families who rely on government-sponsored health insurance. The Software Engineer II will design, build, deploy, and support a HIPAA-regulated, multi-tenant SaaS platform for healthcare compliance, audit, provider data, and utilization management. The role spans application development, database design, testing, client implementation, production support, security, and engineering practice development.

Responsibilities:

• Develop, enhance, and maintain C#/.NET application code, services, and web interfaces that make up the commercial product
• Translate product requirements, client feedback, and prospect input into technical designs and working software
• Build features to a commercial standard of usability, performance, and reliability appropriate for an externally sold product
• Design and implement functionality that operates correctly and securely across multiple client tenants with differing configurations
• Write clean, well-structured, and maintainable code consistent with established coding standards and architectural patterns
• Estimate effort for assigned work, sequence work against release commitments, and communicate progress, risks, and blockers proactively
• Design, write, and tune SQL Server objects including tables, views, stored procedures, and functions supporting product features and tenant data separation
• Implement parameterized data access layers that guard against injections and other common vulnerabilities
• Build and maintain import, export, and interface routines that bring client source data into the platform and deliver results back out
• Develop and consume APIs supporting integration with client and partner systems
• Validate data integrity and implement appropriate handling for null values, empty result sets, duplicate records, and error conditions
• Develop and maintain database migration scripts and versioning practices that allow schema changes to be deployed safely across tenants
• Develop and execute unit, integration, and regression tests for assigned components
• Participate in peer code review, providing and receiving constructive technical feedback
• Support user acceptance testing by reproducing reported issues, preparing test data, and validating fixes
• Use source control, branching, and pull request practices consistent with team standards
• Prepare and execute builds and deployments to development, test, demonstration, and production environments
• Track and communicate defects, known limitations, and technical debt for prioritization
• Configure and maintain demonstration and evaluation environments used in sales and prospective client review
• Support onboarding of new client tenants, including configuration, reference data setup, and initial data loads
• Diagnose and resolve escalated client-reported defects and performance issues in production
• Perform root cause analysis and implement durable corrections rather than temporary workarounds
• Monitor application logs, availability, and performance indicators and escalate hosting or infrastructure issues appropriately
• Provide after-hours or on-call support for critical production issues as scheduled
• Apply secure coding practices and follow organizational policies governing the handling of protected health information
• Implement and maintain authentication, role-based access control, tenant isolation, and audit logging within the application
• Ensure product data handling aligns with HIPAA and client contractual and regulatory requirements
• Prevent exposure of credentials, connection strings, and member-level data in code, logs, demonstration data, and non-production environments
• Participate in remediation of findings from security assessments, code scans, penetration tests, and client security reviews
• Complete all required compliance, privacy, and security training
• Participate in requirements and design discussions with product leadership, subject matter experts, and client stakeholders
• Document technical designs, data structures, configuration options, and deployment and release procedures
• Contribute to product release notes, administrator documentation, and support knowledge base content
• Recommend and help establish development standards, tooling, and automation appropriate to a growing product team
• Maintain accurate and current work item records in the team project tracking system
• Attend regularly scheduled department and intradepartmental meetings
• Work effectively in a small team environment while performing multiple tasks and shifting between priorities
• Participate in product planning, design, and release readiness discussions
• Work collaboratively with internal and external staff from diverse healthcare, operational, and technical backgrounds
• Support product demonstrations and client meetings by providing technical explanations and follow up as requested
• Maintain current working knowledge of relevant languages, frameworks, cloud services, and development practices
• Performs other duties as assigned

Requirements:

• • Bachelor's degree in Computer Science, Software Engineering, Information Systems, or related field; equivalent combination of education and experience may be considered
• • Minimum of 2-4 years of professional software development experience building and supporting production applications
• • Demonstrated proficiency in C# and .NET / .NET Core, including object-oriented design principles
• • Working proficiency in Microsoft SQL Server, including T-SQL query development, stored procedures, schema design, and fundamentals of query performance tuning
• • Experience developing web applications using ASP.NET, MVC, Web API, and standard front-end technologies (HTML, CSS, JavaScript)
• • Experience with source control, code review, branching, and release management within a structured software development lifecycle
• • Experience deploying and troubleshooting applications in a hosted or cloud environment
• • Demonstrated ability to work independently with limited direction, take ownership of deliverables end to end, and operate effectively where requirements and priorities are still evolving
• • Strong troubleshooting and analytical skills, including the ability to diagnose issues reported by non-technical users
• • Excellent written, verbal, and interpersonal communication skills, including the ability to explain technical concepts to non-technical audiences and to interact professionally with external clients
• • Ability to handle confidential information and protected health information in accordance with HIPAA requirements
• • Experience building or scaling a commercial, multi-tenant SaaS product, particularly at an early stage
• • Experience in healthcare, managed care, Medicaid, or another regulated data environment
• • Experience with cloud data platforms such as Snowflake, Databricks, Microsoft Fabric, or comparable data warehouse and Lakehouse technologies
• • Familiarity with modern data pipeline and transformation tooling such as dbt, Azure Data Factory, or Spark-based processing
• • Experience with AWS or Azure, including compute, storage, networking basics, and application hosting via IIS
• • Experience with authentication and authorization patterns such as SSO, SAML, OAuth, or multi-factor authentication
• • Experience with automated testing frameworks and CI/CD pipelines
• • Familiarity with Agile or Scrum delivery practices
• • Exposure to compliance frameworks relevant to software vendors, such as SOC 2 or HITRUST