Sr. Software Engineer

Job Description

Insight Global is seeking a Senior Software Engineer for our client, a Texas-based network of hospitals and residential treatment centers for patients with complex health needs. The Sr. Software Engineer will design, build, and maintain mission-critical applications and integrations that support clinical and administrative operations across facilities. This role blends hands-on full-stack development with architectural ownership, and you'll work across the stack from software design to cloud deployment and mobile delivery, with growing opportunities to shape how we apply AI to real clinical and operational workflows.

What You'll Do:

• Design, develop, and maintain scalable applications using C#/.NET and modern TypeScript/JavaScript front-end frameworks
• Design and build cross-platform mobile applications using .NET MAUI, extending clinical and operational tools to phones and tablets used across facilities
• Assist with SQL-based data solutions that move and transform data across clinical, operational, and reporting systems
• Contribute to software architecture and API/service design discussions, evaluating trade-offs and ensuring systems are scalable, secure, and maintainable across web, desktop, and mobile
• Build clean, maintainable, secure, and well-tested code following engineering best practices
• Develop and support applications hosted within Microsoft Azure, including Web Apps/App Services, Functions, background services, and related cloud-native services
• Work with SQL Server/relational databases, including query optimization and performance tuning; experience with Databricks or similar platforms is a plus
• Support CI/CD pipelines and modern deployment practices using Azure DevOps, including build/release pipelines for MAUI mobile app distribution
• Design and implement AI-powered features, integrations, and architectures, to shape the organization's AI solution roadmap
• Help drive adoption of AI-assisted development tools and workflows across the engineering organization
• Evaluate emerging AI technologies, LLM platforms, and automation opportunities that improve engineering velocity and clinical/operational outcomes

Skills and Requirements

• 5+ years of experience building enterprise applications using C#/.NET
• 5+ years of experience with TypeScript/JavaScript and modern front-end frameworks
• Familiarity with AI-assisted development tools and AI/LLM integration patterns
• Experience designing and shipping cross-platform mobile apps with .NET MAUI (or Xamarin.Forms)
• Experience with SQL and relational databases
• Strong understanding of software architecture, REST APIs, and distributed system design
• Practical experience with Azure-hosted applications and cloud-native development practices
• Experience publishing mobile apps to app stores (Apple App Store, Google Play) and managing mobile device deployment/MDM considerations
• Experience with Databricks or other big-data/lakehouse platforms
• Experience in healthcare IT or other regulated, compliance-driven industries (HIPAA)
• Familiarity with Infrastructure-as-Code (Terraform/OpenTofu, Bicep) and observability/monitoring tooling

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].