As a Senior Software Development Engineer at MCG, you will lead the design and delivery of complex cloud-native services that power healthcare decision-support solutions used by health plans, providers, and other stakeholders. You'll work across multiple cloud services, navigating evolving requirements and making critical tradeoffs that directly impact the reliability, security, and performance of our products.

This role sits at the intersection of deep technical skill and cross-service ownership — you won't just write great code, you'll shape how systems interact, fail gracefully, and scale.

You Will

Scope & Influence

• Own moderate to high complexity problems that span multiple cloud services, where tradeoffs, failure modes, and non-obvious interactions must be identified and resolved.

• Operate effectively when requirements evolve during execution, providing technical judgment that keeps delivery on track.

• Influence technical decisions and design direction beyond your immediate team, serving as a trusted technical voice in cross-service discussions.

Design & Delivery

• Lead the end-to-end design and delivery of complex, cloud-native services — from requirements analysis through production operation.

• Anticipate and proactively address non-functional requirements including operational readiness, security, performance, and testability.

• Drive work through ambiguity, decomposing unclear or shifting requirements into actionable, well-sequenced plans.

AI-Augmented Engineering

• Use AI tools (e.g., Claude, Copilot) as a core part of your daily workflow — for code generation, design exploration, debugging, code review, incident analysis, and knowledge retrieval.

• Author and maintain markdown skill files that codify repetitive workflows, runbooks, and best practices, enabling consistent and efficient execution across the team and reducing tribal knowledge.

Incident Response & Reliability

• Actively contribute to incident response, root cause analysis, and preventative improvements, helping the team build increasingly resilient systems.

• Own and improve on-call practices and runbooks for services you design and deliver.

Quality & Craft

• Design services that are scalable, secure, and testable by default.

• Debug complex, multi-service issues that cross team and domain boundaries.

• Raise the testing and code quality bar through code review, pairing, and leading by example.

• Proactively address performance, reliability, security, and maintainability concerns in every phase of development.

What We're Looking For:

• 5+ years of professional software development experience, with significant time building and operating Azure cloud native distributed systems 

• Strong proficiency in C#, .Net Framework, SQL Server, REST APIs, and Microservices.

• Demonstrated experience designing scalable, secure, and testable services for production.

• Track record of debugging complex issues across multiple services and system boundaries.

• Hands-on experience with CI/CD pipelines, infrastructure-as-code, and cloud operations.

• Solid understanding of security best practices, including secure coding, authentication/authorization patterns, and data protection.

• Experience participating in or leading incident response and root cause analysis.

• Proficiency with AI-assisted development tools (e.g., GitHub Copilot, Claude) and a demonstrated habit of integrating them into daily engineering work for code generation, review, documentation, and problem-solving.

• Experience building and maintaining markdown-based documentation (skill files, runbooks, process guides) to standardize repetitive tasks and enable team-wide automation and consistency.

• Strong communication skills — able to articulate tradeoffs, influence decisions, and mentor teammates.

Preferred Qualifications:

• Experience in healthcare technology or working with PHI/HIPAA-regulated systems.

• Familiarity with event-driven architectures, service mesh, or message bus patterns (e.g., Azure Service Bus, Kafka).

• Experience with observability tooling (logging, tracing, metrics) for distributed systems.

• Background in agile delivery and service ownership models.

Pay Range: $136,000 - $190,400

Other compensation: Bonus Eligible

Location Preference: Seattle-based talent preferred for this role

Perks & Benefits:

💻  Hybrid work

✈️ Travel expected 1–3 times per year for company-sponsored events

🩺 Medical, dental, vision, life, and disability insurance

📈 401K retirement plan; flexible spending and health savings account

🏝️ 15 days of paid time off + additional front-loaded personal days

🏖️ 14 company-recognized holidays + paid volunteer days

👶 up to 8 weeks of paid parental leave + 10 weeks of paid bonding leave

🌈 LGBTQ+ Health Services

🐶 Pet insurance

📣 Check out more of our benefits here: https://www.mcg.com/about/careers/benefits/

The Technical Sales Solutions Architect supports successful sales engagements by providing advanced technical expertise across MCG’s products and platform. Partnering with Sales Executives and clinician-led Sales Solution Architects, this client-facing role translates customer technical requirements into scalable, secure solution designs that align with integration architectures, implementation approaches, application environments, and security needs. 

Serving as a liaison between customer technical stakeholders and MCG’s Product, Engineering, Security, and Implementation teams, the role focuses on integration and deployment topics such as interoperability, AI models, security protocols, and deployment models, building customer confidence and supporting long-term adoption throughout the sales cycle. 

You Will:

• Partner with Sales Executives and clinician-led Sales Solution Architects to support pre-sales engagements across payer and provider markets, ensuring technical alignment with customer needs and MCG solutions. 
• Serve as the primary technical point of contact for customer and prospective IT, security, architecture, and digital health stakeholders throughout the sales cycle. 
• Lead technical discussions related to Smart on FHIR, RESTful APIs, healthcare data exchange, system integrations, and interoperability using standards such as FHIR and HL7. 
• Apply deep expertise in API-driven, service-based architectures to support embedded workflows, system extensibility, and scalable integration patterns. 
• Explain and validate integration approaches involving structured and unstructured healthcare data, including data normalization, transformation, and downstream data usage. 
• Articulate how AI models are incorporated into MCG solutions, including data inputs, outputs, governance considerations, and workflow integration. 
• Coordinate, lead and manage technical due diligence activities, including security questionnaires, vendor risk assessments, technical RFP and RFI responses, and penetration testing inquiries. 
• Discuss authentication, authorization, identity management, and secure data exchange patterns, including OAuth2, SSO, and role-based access controls. 
• Design and present technical solution architectures, system diagrams, data flow diagrams, integration specifications, and deployment models aligned to customer environments. 
• Partner with Product, Engineering, SEAD, Security, and Implementation teams to validate technical feasibility, assumptions, constraints, and solution scope. 
• Clearly communicate technical capabilities, limitations, dependencies, and trade-offs to internal and external stakeholders. 
• Assist in defining implementation approaches, integration timelines, and technical prerequisites to support effective post-sale handoff. 
• Collaborate with Marketing and Revenue Operations to develop and maintain technical collateral, reference architectures, and technical enablement materials. 
• Identify technical risks early in the sales cycle, including data quality, integration complexity, interoperability limitations, security posture, or deployment constraints, and recommend mitigation strategies. 

What We're Looking For:

• Bachelor's degree in computer science, Information Systems, Engineering, Healthcare Informatics, or a related field, or equivalent practical experience. 
• At least five years of consultative experience guiding large healthcare customers through complex technical integrations, architecture design, AI-enabled solutions, and workflow integration. 
• Experience responding to detailed security, privacy, and compliance questions from enterprise customers. 
• Strong understanding of modern software development concepts, API-driven integrations, service-based architectures, and embedded application workflows. 
• Demonstrated experience with healthcare interoperability standards, including FHIR and HL7, and supporting Smart on FHIR–based integrations. 
• Ability to clearly communicate complex technical concepts to both technical and non-technical stakeholders. 
• Strong presentation skills and exceptional client-facing communication abilities. 
• Travel up to 50% to client sites and MCG-sponsored events. 

Licensure/Certifications/Registrations/Permits: 

• Relevant technical certifications (e.g., cloud, security, interoperability, or integration technologies) are preferred. 

Preferred Qualifications: 

• Ability to clearly communicate complex technical concepts to both technical and non-technical audiences 
• Strong written and verbal communication skills 
• Consultative, customer-focused mindset with the ability to build trust and credibility with technical and non-technical stakeholders 
• Strong problem-solving skills and comfort working through ambiguity in complex technical environments 
• Excellent organizational skills and attention to detail, particularly in documenting technical requirements and risks. 

The Director, People Partnerships leads the People Business Partner (HRBP) function, serving as a trusted advisor on organizational design, leadership effectiveness, employee experience and company culture. This role is accountable for building manager capability, guiding organizational change, and driving the successful adoption and scale of programs and initiatives designed to support MCG’s people strategy and culture. This role serves as a people-centric coach to MCG’s leaders, an escalated advisor for complex employee relations issues, and the operational leader for HRBP consistency and delivery.   

You Will:

• Lead, coach and scale a team of People Business Partners to deliver proactive HR partnership across the business (talent planning, performance, compensation, engagement, retention). 
• Serve as a trusted advisor to executive leadership, translating business goals into workforce plans and impactful people outcomes. 
• Own complex employee relations cases, investigations and risk mitigation, ensuring timely, fair resolution and legal compliance. 
• Drive talent management programs, succession planning, leadership development, talent management and retention strategies. 
• Lead organizational design and change management for restructures, integrations, or new ways of working. 
• Partner with Centers of Excellence within the People Team to identify trends, recommend interventions, and develop solutions that improve MCG’s people programs and business results. 
• Build manager capability through coaching, advising on performance conversations, career discussions and inclusive leadership. 
• Optimize People processes and tools; lead continuous improvement and automation initiatives across the HRBP function 
• Serve as HR for HR and other client groups as necessary.  
• Act as a visible champion for MCG's culture, representing and building our values into talent and people practices. 

What We're Looking For:

• Bachelor’s degree (Human Resources, Business, Organizational Psychology or related). 
• 10+ years HR experience with at least 5 years in HR Business Partnership or organizational development. 
• Demonstrated leadership experience managing HRBP teams and coaching senior leaders. 
• Proven experience handling complex employee relations and change initiatives. 
• Strong data literacy — experience partnering using people analytics to drive decisions. 
• Excellent communication, influencing and stakeholder management skills. 
• Experience with enterprise HRIS, Tableau/Power BI, and modern HR case management tools. 
• Experience in fast-growing or matrixed organizations and remote team leadership. 
• Experience with collaborative work management tools (such as Atlassian), HR systems & solutions (such as Lattice, Pequity, Greenhouse) 

Licensure/Certifications/Registrations/Permits:     

• HR certification (SHRM-SCP, SPHR) preferred.

Pay Range (Base): $150,000 - $210,000 

Other compensation: Bonus Eligible 

Perks & Benefits:  

💻 Remote work 

✈️ Travel expected 2-3 times per year for company-sponsored events

🩺 Medical, dental, vision, life, and disability insurance 

📈 401K retirement plan; flexible spending and health savings account 

🏝️ 15 days of paid time off + additional front-loaded personal days 

🏖️ 14 company-recognized holidays + paid volunteer days  

👶 up to 8 weeks of paid parental leave + 10 weeks of paid bonding leave  

🌈 LGBTQ+ Health Services 

🐶 Pet insurance  

📣 Check out more of our benefits here: https://www.mcg.com/about/careers/benefits/  

MCG Health is a Seattle, Washington-based company and is considering remote/hybrid candidates with some travel for company-sponsored events.  

The ideal candidate should be comfortable balancing the independence of remote/hybrid work with the collaborative opportunities offered by periodic in-person engagements. 

We embrace diversity and equal opportunity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. Only with diverse thoughtsand ideas will we be able to create the change we want in healthcare. The more inclusive we are, the better our work will be for it.