.NET Developer Technical Lead

Overview

We are looking for a hands-on Technical Lead and experienced .NET engineer to help lead the development of a newly formed Adherence Engineering Team
. This team will design and build technology solutions that help medical practices improve patient vaccination adherence through targeted outreach and automation.

Early pilot programs have already demonstrated strong results, showing over a 10% increase in vaccination rates when practices leverage patient outreach tools. This team will play a key role in scaling and operationalizing those capabilities to support our growing network of practices and improve patient health outcomes.

This role is ideal for a technical leader who enjoys building high-quality software, mentoring engineers, and shaping scalable platform architecture
.

• Provide technical leadership for a new engineering team focused on adherence and patient engagement solutions.
• Help build a collaborative engineering culture grounded in trust, craftsmanship, and delivery excellence
  .
• Design and develop scalable, high-performance software architectures
  .
• Guide the team in building maintainable, well-tested code with strong automation practices
  .
• Partner with product and business teams to define and evolve the future of vaccine adherence solutions
  .
• Lead development efforts from architecture and design through production deployment and support
  .
• Mentor and develop engineers, helping grow technical skills across the team.

• 3+ years of experience in a technical lead or team lead role
• 5+ years developing enterprise applications using .NET
• Strong expertise in C#, .NET, and SQL Server
• Experience building service-based and distributed applications

• ASP.NET / ASP.NET Core
• Single Page Applications (Angular, React, or similar frameworks)
• Message brokers or service buses (Rabbit
  
  MQ, Azure Service Bus, etc.)
• Dependency Injection / Inversion of Control (IoC)
• Task scheduling frameworks ( or similar)
• Third-party API integrations
• Automated testing frameworks (MsTest, NUnit, xUnit)
• Long-running workflows that balance performance and reliability

• Strong analytical and problem-solving abilities
• Curiosity to understand business challenges and translate them into effective technical solutions
• Passion for continuously improving software quality and architecture
• Ownership mindset — comfortable leading solutions from design through production
• Enthusiasm for mentoring and developing junior engineers