Sr Software Development Engineer

About Cedar Gate Technologies, an IQVIA business, enables payers, providers, employers, and service administrators to excel at value-based care with a unified technology and services platform delivering analytics, care, and payment technology on a single data management foundation. At Cedar Gate, you’ll be part of a collaborative, innovative environment where great ideas thrive. We invest deeply in our people through ongoing training, comprehensive benefits, and a strong culture of teamwork, offering the chance to grow your skills while contributing to high impact initiatives for some of the world’s most dynamic companies.

We are seeking a Senior Software Development Engineer to design, build, and lead the development of complex U.S. healthcare software systems supporting both payer and provider use cases. This role blends deep hands‑on engineering with architectural influence, playing a critical role across the full software development lifecycle. At Cedar Gate Technologies, an IQVIA business, you will work closely with engineering and product teams to deliver scalable, secure, high‑performance cloud‑native solutions in a highly regulated, data‑intensive environment.

• Design and develop scalable, reliable, and high-performance healthcare software systems
• Build and enhance platforms supporting claims adjudication, value-based care, bundled payments, and capitation models
• Contribute to architecture patterns, standards, and technical design decisions across payer and provider solutions
• Collaborate with product and business teams to translate healthcare requirements into technical solutions
• Write high-quality, maintainable code and guide teams on engineering best practices
• Review code, architecture, and system designs to ensure quality, compliance, and consistency
• Build proof-of-concepts and reusable frameworks to support innovation in population health and analytics platforms
• Develop APIs and services that enable interoperability across healthcare systems
• Drive adoption of cloud-native architectures, microservices, and modern engineering practices (CI/CD, Dev Ops)
• Evaluate and recommend tools, frameworks, and cloud platforms (AWS, Azure)
• Optimize system performance, scalability, and reliability in high-volume claims processing environments
• Improve development processes, documentation, and operational procedures
• Foster strong collaboration across engineering, product, and healthcare domain stakeholders

Houston, TX or Greenwich, CT highly preferred

Hybrid (3 days in office, 2 remote). U.S. residents only; work must be performed within the United States.

• 10+ years of software development experience with strong hands-on coding responsibilities
• Experience building and delivering applications in healthcare claims or related domains
• Hands-on experience with claims adjudication systems or financial processing workflows
• Experience supporting value-based care, bundled payment models, or capitation systems
• Proficiency in .NET, Java, or both
• Strong experience with cloud platforms (AWS preferred; Azure acceptable)
• Proven ability to design and build scalable, multi-tenant, high-performance systems
• Strong database design and performance tuning expertise
• Experience building APIs and enabling interoperability (FHIR, HL7 experience is a plus)
• Hands-on experience with CI/CD pipelines, Git, and Agile development
• Strong problem-solving and troubleshooting skills
• Excellent communication and collaboration abilities
• Experience building population health or healthcare analytics platforms is highly preferred
• Familiarity with payer-provider data integration and reporting systems is also highly preferred
• Experience with microservices and cloud-native architectures are preferred
• Knowledge of healthcare data standards and regulatory considerations are enhancements
• Ability to influence technical direction across multiple teams
• Exposure to security and compliance requirements in healthcare systems would be preferred
• To be eligible for this position, you must reside in the same country where the job is located.

IQVIA is a leading global provider of clinical research services,…