• Serve as a trusted advisor to the client • Identify and lead internal strategic initiatives • Guide customers in deploying emerging technologies • Work collaboratively and teach complex concepts • Identify and proactively manage risk areas • Manage customer expectations and negotiate solutions • Review and correct project direction and approaches • Work closely with Delivery Managers and Solution Architects

• Serve as a trusted advisor to the client • Identify and lead internal strategic initiatives to grow the consulting practice • Guide customers and colleagues in rationalizing and deploying emerging technologies • Work collaboratively and having very strong communications skills • Identify and proactively manage risk areas • Manage customer expectations; negotiate solutions to complex problems • Review and correct project/program direction, approach, and key artifacts • Work closely with Delivery Managers, Solution Architects, and directly with clients to architect technology solutions • Contribute to a program vision while advising and articulating program/project strategies

Role Description We are seeking a highly motivated Senior Salesforce Developer to support our Salesforce team, clinical, and frontline staff in caring for our members affected by multiple chronic conditions. As a Senior Salesforce Developer, you will play a vital role at Monogram Health. We are looking for a proactive individual that will play a central role in our continuous improvement and enhancement efforts within Salesforce HealthCloud, Service Cloud, Field Lightning Service, and Marketing Cloud. Responsibilities - Facilitates collaboration with the Salesforce Administrators and Developers to validate business requirements and review proposed technical designs, including any considerations (e.g., security, scalability, limits). - Conducts peer review of any designed builds. - Develops/Reviews/understands Apex (classes and triggers), Visualforce, to extend Salesforce as needed to support business requirements of higher degree and complexity. - Serves as part of the Salesforce team developing Custom User Interfaces, including Visualforce pages/Lightning pages, Aura Components, and Lightning Web Components. - Uses Salesforce APIs to integrate with other systems used in the organization. - Adheres to Salesforce best practices, maintains code documentation, and writes/maintains test classes for all custom development. - Takes ownership of project development release cycles to implement and deploy new/updates to existing applications and code. - Collaborates with IT/Developers for other systems as needed to integrate across the business. - Implements and optimizes data validation, deduplication, and cleansing strategies to ensure high-quality data in Health Cloud. - Ensures HIPAA, SOC2, and general Salesforce security best practices are consistently applied, including field-level security, encryption, and audit logging. - Troubleshoots governor limits, optimizes SOQL queries, and designs scalable batch/async processing solutions. - Demonstrates a proactive attitude to Salesforce enhancements and bringing existing code into best practices. - Ability to write, interpret, and audit technical specifications. - Assists with planning and scheduling the rollout of new features and updates, coordinating with various stakeholders to align with business objectives. - Assists different Salesforce environments (e.g., development, testing, staging) and manages the deployment of changes across the release pipeline. - Implements and maintains a version control system (e.g., Git) to track changes and manage code merges. - Utilizes and manages Continuous Integration/Continuous Deployment (CI/CD) tools like Jenkins, GitLab CI, or AutoRABIT to automate the application development and deployment stages. - Identifies and mitigates potential release risks, ensuring system stability and reliability before and after deployment. - Reviews, develops, and maintains comprehensive documentation for release plans and deployment activities. - Establishes and enforces change control policies, including peer code reviews, quality gates, and rollback plans. - Implements and maintains automated regression testing for deployments (e.g., Provar, Selenium, or custom Apex test frameworks). - Familiarity with Copado, Gearset for Salesforce DevOps; ADO for Agile collaboration. Qualifications - Bachelor’s/Postgraduate degree in Computer Sciences, professional qualification, or equivalent relevant experience. - Salesforce HealthCloud, Service Cloud, and/or Marketing Cloud product knowledge and a minimum of five (5) years of Salesforce development experience, including experience working with large data sets and bulkification, and implementing and developing Apex, LWC, and Visualforce. - General web development experience with HTML, CSS, JavaScript. - Ability to collaborate and communicate effectively with business stakeholders/other Salesforce team members. - Certified Salesforce Platform Developer I, Salesforce Certified DevOps Center Specialist. - Proficient with Microsoft SQL Server, Salesforce Lightning Design System, and the Salesforce development lifecycle. - Ability to gather requirements and present solutions to stakeholders. - Additional Salesforce certifications e.g., Certified Salesforce Administrator, Certified Salesforce Platform App Builder, Platform Developer II, JavaScript Developer I. - Direct experience with HL7/FHIR integrations, EHR/EMR systems, or healthcare regulatory requirements preferred. Benefits - Comprehensive Benefits: Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts. - Financial & Retirement Support: Competitive compensation, 401k with employer match, and financial wellness resources. - Time Off & Leave: Paid holidays, flexible vacation time/PSSL, and paid parental leave. - Wellness & Growth: Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts. Company Description Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Role Description We're seeking a Senior Salesforce Developer who combines strong technical expertise with a deep understanding of public health operations. You'll lead development efforts on complex implementations, mentor junior developers, and help shape the technical direction of solutions that serve health departments nationwide. This role is about building technology that fits how public health actually operates. Your background in public health means you can anticipate needs before they're articulated, push back on designs that won't work in practice, and advocate for the end users who will rely on what you build. You won't just execute on requirements; you'll help define what the right solution looks like. You'll be part of a collaborative team working on our PH360 platform and client implementations. You'll work alongside architects to make technical decisions, guide junior developers in their growth, and bring your public health perspective to every design conversation. We're looking for someone who wants to build systems that genuinely make public health work better. If you've ever been frustrated by technology that didn't fit the reality of public health work, this is your chance to build it right. How You'll Work - Participate in quarterly Program Increment (PI) Planning sessions, helping shape the technical roadmap and contributing your public health perspective. - Work in two-week sprints with daily standups, regular backlog refinement, and sprint retrospectives. - Guide technical decisions within your team and help junior developers grow their skills. - Work closely with solutions analysts, architects, and QA to ensure what we build truly serves our clients. Key Responsibilities - Develop and maintain Salesforce applications using Apex, Lightning Web Components, and Flow. - Lead technical discussions and contribute to solution design alongside architects. - Mentor junior developers through pair programming, code reviews, and guidance. - Bring your public health perspective to technical decisions and design conversations. - Write clean, well-documented, testable code that sets the standard for the team. - Identify and resolve complex technical challenges. - Collaborate with QA to ensure high-quality deliverables. - Help translate public health requirements into scalable technical implementations. - Contribute to code reviews with constructive, supportive feedback. Qualifications - 3+ years of hands-on Salesforce development experience. - 1-3 years working for a governmental public health agency (local, state, federal, or tribal). - Salesforce Platform Developer I certification required (Platform Developer II preferred). - Experience working in Agile or SAFe environments. - Strong collaboration and communication skills. - Track record of mentoring or guiding less experienced developers. Requirements - Strong proficiency in Apex, SOQL, and Lightning Web Components. - Experience with Salesforce Flow and declarative automation tools. - Solid understanding of Salesforce data modeling and security model. - Familiarity with integration patterns and REST/SOAP APIs. - Experience with version control (Git) and CI/CD practices. - Knowledge of testing frameworks and test-driven development. Preferred Qualifications - Salesforce Platform Developer II certification. - Experience with Service Cloud or Health Cloud. - Familiarity with HIPAA compliance requirements. - Experience with SAFe Agile methodology. - Background in public health data systems, case management, or epidemiology workflows. Notice - Must be authorized to work in the United States without sponsorship. - Willingness to adhere to our no-drug workplace policy. - You must agree to undergo eVerify for employment status at hiring. - No 3rd Party Recruiters. We value initiative. If you're genuinely interested in this role, show us. (However, please do not use the "Schedule a Meeting" feature on our website. You will be disqualified.) We notice candidates who take the extra step to express real interest. Demonstrate the value that you will add to F&T Labs. At Flourish and Thrive Labs, we believe in the unique value each candidate brings. We encourage applications from diverse backgrounds and experiences, even if you don't meet all listed qualifications.