Senior .Net Engineer - Healthcare Integrations (Remote)

About the Role

We are seeking a Senior .Net Engineer (Integrations) remote to join our innovative team at Tango, a leader in the home health management industry. This is a unique opportunity to contribute to significant growth in our organization by leveraging your expertise in healthcare interoperability and the Microsoft technology stack.

What You'll Do

• Lead and participate in all phases of the software development lifecycle, from ideation and architecture through implementation, deployment, and long-term support.
• Design, build, and maintain enterprise-grade applications and integration services supporting EDI (X12) and FHIR-based APIs in high-volume healthcare environments.
• Serve as a technical authority for healthcare data exchange, including claims, eligibility, authorizations, clinical data, and member/provider workflows.
• Architect and develop scalable, secure web services using REST, SOAP, XML, JSON, and FHIR standards.
• Ensure interoperability with external partners, payers, providers, and vendors while maintaining compliance with healthcare regulations.
• Collaborate with product management, business stakeholders, and operations to translate complex healthcare requirements into robust technical solutions.
• Establish and enforce coding standards, integration patterns, and best practices across the team.
• Mentor mid-level and junior engineers through design reviews, code reviews, and technical guidance.

Requirements

• 10+ years of experience designing, building, and supporting enterprise applications and integration platforms.
• Strong hands-on experience with healthcare EDI, including X12 transactions (e.g., 270/271, 276/277, 278, 837, 835).
• Experience designing and implementing FHIR-based APIs, including resource modeling, versioning, validation, and interoperability considerations.
• Expert-level experience with .NET Core / ASP.NET, C#, and modern web application development.
• Strong experience with React and modern front-end development practices.
• Extensive experience with Web Services (REST, SOAP), XML, JSON, and API integration patterns.
• Experience with Azure DevOps, CI/CD pipelines, and infrastructure-aware development.
• Solid experience with SQL Server (2008+) and working knowledge of NoSQL databases.

Nice to Have

• Experience in healthcare, regulated environments, or compliance-driven systems is strongly preferred.
• Experience with Agile/Scrum methodologies in a mature engineering organization.
• Strong communication skills, both written and verbal, with technical and non-technical audiences.

What We Offer

• Competitive salary and benefits package.
• Remote work flexibility with a focus on work-life balance.
• Opportunities for professional growth and development.
• A collaborative and inclusive team culture.
• Engagement in meaningful work that impacts healthcare solutions.