Lead .Net FullStack Developer with FHIR

Role: Lead Full Stack .Net Developer
Location: Remote
Duration: Long term contract
Must or nice to have skills: .NET full-stack with Typescript/Angular/React, FHIR, HealthCare, MS SQL but open to adopt any tech (Python, Java, Node with JS TS, AWS, RDMBS, Cloud platforms)
Job description:
We are hiring a Sr Tech lead to provide technical leadership across our clinical software platform — the services and applications that move clinical data through processing, review, and export, and that clinicians and staff depend on every day. The platform spans event-driven backend services, data processing pipelines, and web applications running across multiple cloud providers.
This is a hands-on, individual-contributor leadership role. You will not manage people. You will help drive and implement architecture and technical direction for systems that cross several teams, write and review code in the critical path, and be accountable for whether those systems are correct, observable, secure, and affordable in production.
Just as importantly, you will help decide what we build next. Our platform is growing — new services, new applications, and new problem domains are coming, and the right technology choices for them are open questions. We expect this engineer to be central to answering those questions: evaluating and selecting technologies, setting the patterns new systems are built on, and knowing when to standardize versus when to let a team diverge. We are hiring for engineering judgment that outlasts any particular framework, not for expertise in a fixed stack.
Because the work is clinical, correctness is not negotiable. The systems you own carry data that informs decisions about patient care and coding accuracy. Determinism, traceability, and reproducibility are engineering requirements here, not nice-to-haves.

Work arrangement
Yes