• Build and maintain the core back-end systems that power the Hub • Design and develop secure, scalable services and REST/GraphQL APIs • Implement notification logic, identification flows, and brand integrations • Build and maintain data pipelines (Aurora Postgres, ClickHouse, ETL flows) • Deploy and maintain infrastructure on AWS (ECS, Lambda, S3, CloudWatch, RDS) • Implement MCP (Model Context Protocol) servers and clients for the Hub’s agent-readiness layer • Ensure test coverage, monitoring, and documentation • Contribute to CI/CD pipelines and automation tooling

• Design and develop infrastructure APIs in Go for cloud resource management. • Implement REST and gRPC endpoints across the cloud platform API surface. • Contribute to backend service architecture: API design, data models, service communication. • Integrate services with the platform ecosystem: IAM, Terraform provider, OpenStack, Kubernetes. • Maintain and improve CI/CD pipelines and release automation. • Own services end-to-end: from development through production monitoring and incident response.

Role Description At Trinetix we are looking for a Senior .NET FullStack Developer to join our team on a long-term project for a US-based client operating in the Healthcare domain. This project is specialized in agile, community-based healthcare delivery, bridging the gap between massive, crowded trauma centers and basic urgent care clinics. - Design, develop, and maintain applications using .NET (C#) in backend and React or Angular in frontend - Write and optimize complex SQL Server queries, stored procedures, and database schemas - Build and consume RESTful APIs and integrate with third-party systems - Develop and support HL7 interfaces for healthcare data exchange between clinical and administrative systems - Collaborate with cross-functional teams (product, QA, stakeholders) to translate requirements into tech solutions - Deploy and manage applications in Microsoft Azure (App Services, Azure SQL, Azure Functions, etc.) - Participate in code reviews, technical planning, and architecture discussions - Troubleshoot production issues and implement performance improvements - Support claims processing workflows and ensure data integrity across the claims lifecycle Qualifications - 6+ years of experience in Full Stack Development roles. - Strong proficiency in .NET / C# and at least one frontend framework, React or Angular. - Solid experience with SQL Server, including query optimization and database design. - Hands-on experience with RESTful API development and third-party integrations. - Proficient understanding of code versioning tools such as GIT. - Experience with healthcare data standards, in specific with HL7 messaging (ADT, ORM, ORU, etc) is a must. - Understanding of claims processing concepts (837/835 transactions, adjudication workflows, provider dataflows). - Excellent problem-solving skills, attention to detail, and strong communication skills. Requirements - Experience with Microsoft Azure cloud services (deployment, monitoring, DevOps pipelines). - Exposure to FHIR or other modern healthcare interoperability standards. - Experience working in Agile/Scrum environments. - Knowledge of HIPAA compliance and healthcare data security best practices. Benefits - Competitive USD monthly salary - Real flexible working hours - Continuous learning and career growth opportunities - Professional training and English language classes - Comprehensive medical insurance - Mental health support - Specialized benefits program with compensation for fitness activities, hobbies, pet care and more - Inclusive and supportive culture

• Backend Engineer – Azure Integration and Workflow Orchestration • Responsible for developing solutions using Azure Functions and Azure Logic Apps • Collaborate with an international team