Back End Developer

About ProsperityEHR
At Prosperity EHR, we believe in our ability to improve the experience of and access to behavioral health care delivery for all. We are a behavioral health EHR and practice management software company. We provide EHR, practice management software, and RCM services to private practices, universities, clinics, municipal and state agencies throughout the US.
Overview and Responsibilities
In this role, you’ll help build the backbone of a platform that supports real behavioral health care. You’ll work hands-on across .NET and Azure backend services, designing APIs, powering event-driven workflows, and moving critical data securely between systems. If you enjoy clean architecture, well-defined service boundaries, and building reliable software that directly supports clinicians and patients, this is a great opportunity to make a meaningful impact. Our Azure-based .NET microservices support patient data, clinical documentation, scheduling, and integrations with external health systems.
Note: You must reside in WI, MN or CO for this role.
You’ll be successful in this role and help grow the company by:
Build and maintain ASP.NET Core APIs that serve our web application and internal services
Design and operate Azure Service Bus consumers and publishers — the backbone of how our services talk to each other
Build and support Azure Data Factory pipelines that migrate tenant data in and out of the platform
Write data access against multi-tenant PostgreSQL, with careful attention to tenant isolation
Integrate with third-party healthcare systems over FHIR and REST
Handle protected health information (PHI) responsibly — HIPAA compliance is a real constraint on how we design, log, and store
Write tests. Our services carry unit, integration, and API-level test suites, and we expect new work to come with them
Support your services in production: observability, alerting, and being on the hook when something breaks
Other duties as assigned
Qualifications
Required
3+ years building backend services in C# / .NET (we run .NET 8, with newer services on .NET 10)
3+ years in healthcare
Strong ASP.NET Core Web API experience — REST design, authentication, middleware, dependency injection
Hands-on Azure Service Bus: queues and topics, subscriptions, message handlers, retries, dead-letter handling
Azure Data Factory: building and troubleshooting pipelines, copy activities, and data movement between systems
Solid SQL and relational database skills
Comfortable with Azure day to day — Key Vault, App Configuration, Blob Storage, managed identity, Application Insights
Git, CI/CD, and shipping through automated pipelines
Excellent communication skills; demonstrated ability to be able to deliver messaging clearly as well as hear and act on feedback through active listening skills
Ability to travel up to 5% of working time, may include overnight/weekend travel
Authorization to work in the United States without sponsorship
Must reside in one of the following states: WI, MN, CO
Nice to have
Clean Architecture and CQRS (we use MediatR across most services)
Dapper, or a preference for explicit SQL over heavy ORMs
PostgreSQL specifically, and multi-tenant data design
Docker, Kubernetes (AKS), Helm
Azure DevOps pipelines
Redis caching, SignalR
Healthcare experience — FHIR, HL7, HIPAA, or any EHR/clinical system
Auth0 or another OIDC identity provider
How we work
Small team, direct ownership — you'll ship to production regularly
Code review on everything
Established patterns and shared libraries, so you're not reinventing plumbing
Clear architectural documentation in each rep
Benefits
ProsperityEHR provides health insurance, life insurance, and voluntary participation in a 401k. We also offer PTO and work-from-home flexibility. You’ll get to work with purpose-driven people dedicated to the mission of making mental health and behavioral health care better and more accessible through technology enablement and technology-enabled services. Our aim is to help clinicians provide and for people to receive the best possible care.
Salary range: $120,000-$135,000

Work arrangement
Yes