Jobs Companies Jacobian Full-Stack Software Developer (.NET)

About this Full-Stack Software Developer (.NET) role at Jacobian

Jacobian · Pittsburgh, Pennsylvania, United States

Join our engineering team and help modernize a globally used medical imaging platform. In this role, you’ll work across the full stack on a revenue-critical product that combines modern web technologies with legacy systems, including backend services and a .NET desktop client.

You’ll contribute to both ongoing product development and modernization initiatives, supporting the transition to more scalable, cloud-ready architectures while ensuring stability for existing customers.

What you’ll do

  • Build and maintain full-stack features in a complex medical software environment
  • Modernize existing ASP.NET services through refactoring and re-architecture
  • Develop backend services, APIs, and data access layers
  • Work with relational databases and SQL to ensure performance and reliability
  • Support a .NET WinForms desktop client
  • Collaborate on frontend components across legacy Angular and newer React-based applications
  • Contribute to hybrid deployment environments, including on-premise and AWS
  • Participate in code reviews, technical discussions, and cross-functional collaboration
  • Help ensure solutions meet security, performance, and regulatory standards

Requirements

What you bring

  • 3+ years of software development experience
  • Strong full-stack development skills
  • Experience with ASP.NET and backend service development
  • Solid SQL and relational database knowledge
  • Familiarity with ORM frameworks such as Entity Framework
  • Understanding of software engineering best practices and maintainable code
  • Collaborative mindset and ability to work in cross-functional teams

Nice to have

  • Experience modernizing large, long-lived applications
  • Exposure to desktop development, ideally WinForms
  • Familiarity with Angular and/or React
  • Experience with AWS or hybrid cloud environments
  • Background in healthcare, medical imaging, or other regulated industries (e.g. Finance)
  • Experience working in Agile environments

Benefits

  • Join a fast-growing healthcare technology company shaping the future of AI in radiology
  • Work on meaningful products that improve radiology workflows and support better patient care worldwide
  • Be part of a mission-driven team that values trust, quality, collaboration, and innovation
  • Enjoy flexible working hours and up to 80% remote work within the U.S.
  • Receive competitive compensation and a comprehensive benefits package, including health insurance, a 401(k), and additional well-being perks
Ready to apply to Jacobian?
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About Jacobian

Jacobian is a newly formed company born from the union of Smart Reporting and Fluency for Imaging - two pioneers in diagnostic reporting technology. Built with significant investment and a singular focus on diagnostic reporting, Jacobian combines best-in-class speech recognition with advanced AI, structured reporting, and multilingual workflow automation. Its goal is to reduce cognitive load, improve consistency, and support physicians in delivering diagnostic excellence at scale. With over 80 million exams processed annually and a leadership team rooted in diagnostic practice and pioneering technology innovation, Jacobian is committed to evolving seamlessly integrated, responsible AI that amplifies physician expertise without disruption. The name is inspired by the Jacobian matrix in mathematics. Fundamental to the development of AI, it’s a concept that describes how small changes in multiple variables transform into large-scale outcomes

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