Gem

Senior Software Engineer - Fullstack

Gem$120K — $150K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Computer Science, Software Engineering, or a related field.
  • 6+ years building production systems in ASP.NET Core / C#.
  • Full-Stack experience with modern JavaScript/TypeScript frontends and ASP.NET Core backends in production.
  • Experience designing microservices, RESTful APIs, and event-driven systems.
  • Deep experience with SQL Server.
  • Proven track record of mentoring engineers and influencing engineering strategy.
  • Excellent written & verbal communication skills with a collaborative mindset.

Responsibilities

  • Join a passionate and collaborative team dedicated to groundbreaking health solutions.
  • Deliver full-stack solutions from crafting customer-facing UIs to optimizing database queries.
  • Lead design and delivery of end-to-end features emphasizing high-performance ASP.NET Core services.
  • Architect clean, maintainable, and secure APIs that integrate with EMRs, imaging partners, and AI services.
  • Mentor & coach engineers through code reviews, pair programming, and design sessions.
  • Collaborate with product, design, and clinical teams to translate requirements into intuitive experiences.
  • Own quality by defining automated test strategies and champion CI/CD in Azure.

Benefits

  • Stock options.
  • Comprehensive health, dental, and vision plans for you and your family.
  • Flexible work environment.
  • Team off-sites and wellness initiatives.
  • Competitive vacation policy.
  • A culture that emphasizes continuous learning and personal growth.
Full Job Description
Senior Software Engineer - Fullstack

Location: Remote (US or Canada)

Type: Full-time

Role:

As a SeniorFull Stack Developer on the imaging team, you will be a technical leader who architects, builds, and scales the web platforms that power our cancer-screening experience. You'll mentor engineers, drive best practices, and ensure that our .NET-based backend and modern Vue frontend work seamlessly together to deliver reliable, secure, and delightful products that save lives.

We are seeking a collaborative and detail-oriented developer who thrives in a supportive and mission-driven environment. Must have a problem-solving mindset, excellent communication skills, and the ability to clearly articulate technical concepts. This position will align well if you enjoy working as part of a team, have a human-centered approach to technology, and are passionate about the positive impact your work can have on people's health.

Key Responsibilities:

  • Join a passionate and collaborative team dedicated to groundbreaking health solutions.
  • Deliver full-stack solutions, from crafting customer-facing UIs to optimizing database queries and owning the interactions between all layers.
  • Lead design and delivery of end-to-end features across the stack, with an emphasis on high-performance ASP.NETCore services.
  • Architect clean, maintainable, and secure APIs that integrate with EMRs, imaging partners, and AIservices.
  • Mentor & coach other engineers through code reviews, pair programming, and design sessions.
  • Collaborate closely with product, design, and clinical teams to translate requirements into intuitive desktop, tablet, and mobile experiences.
  • Own quality and define automated test strategies (unit, integration, e2e) and champion CI/CD and DevOps in Azure.
  • Drive continuous improvement by introducing best-in-class engineering practices, performance tuning, and observability.
  • Shape technical roadmap and contribute to development planning, daily stand-ups, and retrospectives in our Agile process.


Qualifications/Skills:

  • Bachelor's degree in Computer Science, Software Engineering, or a related field.
  • 6+years building production systems in ASP.NETCore / C#.
  • Full-Stack experience with demonstrated ownership of both modern JavaScript/TypeScript frontends and ASP.NETCore backends in production.
  • Experience designing microservices, RESTful APIs, and event-driven systems; shaping data models and domain boundaries.
  • Deploying and operating workloads in Azure (or AWS/GCP) using IaC, containerization (Docker/Kubernetes), pipelines, and monitoring.
  • Deep experience with SQLServer.
  • Proficiency in implementing automated testing with xUnit/NUnit/Jest/Playwright and enforcing clean code standards.
  • Proven track record of mentoring engineers, leading projects, and influencing engineering strategy.
  • Excellent written & verbal communication and a bias for collaboration in a cross-functional, Agile environment.


Nice-to-Have Skills and Experiences:

While the core competencies are essential, the following qualifications will distinguish exceptional candidates:

  • Experience with DICOM, HL7/FHIR, or other healthcare standards.
  • Background in security & compliance (HIPAA, SOC2).
  • Passion for responsive design, PWAs, and accessibility.
  • Experience with Python, GCP & FastAPI a plus for future initiatives.


Why You'll Love Working With Us:

As a Senior Full Stack Developer, you'll have the opportunity to make meaningful contributions within a fast-growing organization committed to early cancer detection. You'll also have access to:

  • Stock options.
  • Comprehensive health, dental, and vision plans for you and your family.
  • Flexible work environment.
  • Team off-sites and wellness initiatives.
  • Competitive vacation policy.
  • A culture that emphasizes continuous learning and personal growth.


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