Senior .Net Engineer; Integrations; Remote

Overview

tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.

We are currently looking for a Senior .Net Engineer (Integrations) to join our growing team! This is a remote position for a Senior Software Engineer with deep experience in healthcare interoperability, specifically EDI and FHIR-based integrations, and strong expertise across the Microsoft technology stack. The role requires hands‑on experience in .Net Core/ASP/React, Web Services (SOAP, REST, XML) along with Git and Dev Ops tools.

The Senior Engineer will play a key role in architecture decisions, integration strategy, and cross‑team collaboration, while continuing to be an individual contributor. This role requires the ability to think strategically, mentor others, and deliver resilient, compliant solutions in a complex healthcare ecosystem.

• 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.
• Proactively identify performance, scalability, security, and reliability risks and drive mitigation strategies.
• Oversee source control, branching strategies, and CI/CD pipelines in Azure Dev Ops.
• Actively participate in production releases, deployments, monitoring, and incident resolution.
• Mentor mid‑level and junior engineers through design reviews, code reviews, and technical guidance.
• Manage multiple priorities while contributing to roadmap planning and technical strategy.
• Participate in customer, partner, and internal stakeholder meetings as a senior technical representative.
• Perform other duties as assigned.

• 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.
• Proven experience architecting mission‑critical, high‑availability systems handling large data volumes and high transaction throughput.
• 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 Dev Ops, CI/CD pipelines, and infrastructure‑aware development.
• Strong experience with Git and collaborative development workflows.
• Solid experience with SQL Server (2008+) and working knowledge of No
  
  SQL databases.
• Experience with Agile/Scrum methodologies in a mature engineering organization.
• Experience in healthcare, regulated environments, or compliance‑driven systems is strongly preferred.

• Demonstrated ability to own solutions end‑to‑end, from architecture through production support.
• Strong leadership and collaboration skills, with the ability to influence without direct authority.
• Ability to translate complex healthcare business needs into scalable…