About the Role

We are seeking a Senior Software Engineer to play a key role in designing, building, and delivering high-quality solutions within our Gehrimed platform. This individual will bring strong technical expertise in .NET, C#, and SQL, along with the ability to lead initiatives, mentor others, and contribute to the success of complex, enterprise-level projects.

This is a highly collaborative role where you’ll work across teams, influence technical direction, and help shape scalable solutions that support critical clinical and financial workflows.

Gehrimed is a leading electronic health record (EHR) platform purpose‑built for post‑acute and long‑term care providers. We support clinicians and care teams with tools for clinical documentation, quality reporting, interoperability, and regulatory compliance—helping them deliver better care to complex, high‑acuity populations. As part of Netsmart, Gehrimed operates at meaningful scale while still tackling deep, interesting technical challenges across web, mobile, integrations, and healthcare data. Engineers on Gehrimed work on software that directly impacts patient care, provider workflows, and real‑world healthcare outcomes.

What You’ll Do

• Drive and contribute to the full software development lifecycle across large, complex initiatives
• Design, build, and deliver scalable, high-quality software solutions with a high degree of independence
• Lead technical design discussions and influence architecture decisions
• Partner with cross-functional teams to translate business requirements into effective technical solutions
• Troubleshoot and resolve complex issues, ensuring system performance and reliability
• Collaborate with and help guide onshore and offshore teams, ensuring alignment and delivery consistency
• Provide technical leadership, mentorship, and coaching to junior and mid-level engineers
• Contribute to Agile ceremonies, project planning, and delivery execution using structured methodologies
• Establish and track metrics, risks, and mitigation plans, and communicate progress to stakeholders
• Participate in a rotational on-call schedule to support production systems as needed

What You’ll Bring

Required

• Bachelor’s degree in Computer Science, Software Engineering, or related field (or equivalent experience)
• Strong hands-on experience with .NET, C#, and SQL in an enterprise environment
• Proven experience delivering solutions across the full software development lifecycle using Agile methodologies
• Demonstrated ability to design and build complex systems with scalability and maintainability in mind
• Experience mentoring or leading other engineers in a team environment
• Strong problem-solving skills with the ability to work through ambiguity
• Excellent communication skills with the ability to collaborate across technical and non-technical stakeholders
• Ability to plan, prioritize, and deliver high-quality work within defined timelines

Preferred

• Experience within healthcare, health and human services, or post-acute environments
• Familiarity with Netsmart EHR solutions, including Gehrimed
• Experience working in distributed team environments (onshore/offshore collaboration)

Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.

Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart’s third party screening provider.

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All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.

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