

Senior .Net Developer - Birmingham, AL POST NUMBER: 447203
Location: Birmingham, AL - Hybrid (Relocation not provided)
Employment Type: Direct Hire (Visa sponsorship cannot be provided)
Salary Range: $150,000 – $175,000
We are seeking a Senior .NET Software Engineer with deep technical expertise and a strong track record of independently delivering scalable, cloud-based solutions. This role is ideal for someone who thrives on solving complex problems, brings solutions without needing direction, and operates with a high level of technical confidence and autonomy.
This is a hands-on engineering role focused on enhancing an established healthcare application used by hospitals and providers nationwide. Candidates must be able to contribute immediately, relying on their own experience and knowledge—not external research—to make architectural and development decisions.
Key Responsibilities:
- Design, build, and maintain scalable software solutions using C#, .NET, and AWS
- Lead development of new features based on evolving healthcare clients’ needs
- Architect and optimize backend services and data structures using MySQL and DynamoDB
- Ensure performance, security, and scalability across all systems, especially in healthcare environments
- Translate business requirements into clean, efficient, and maintainable code
- Present solutions or features to stakeholders as needed (virtually or in person, up to once per quarter)
- 10 years of hands-on experience in enterprise software development
- Advanced proficiency in C#/.NET and AWS
- Deep understanding of database systems, particularly MySQL and DynamoDB
- Experience building robust, secure, and scalable cloud-native applications
- Ability to independently assess technical problems and implement solutions without guidance
- Familiarity with healthcare data standards (e.g., HL7, FHIR, DICOM, CCDA)
- Prior experience supporting healthcare products or regulated environments
- Experience collaborating with distributed development teams
- Highly autonomous—able to execute and deliver without step-by-step direction
- Strong analytical and problem-solving skills; can draw directly from prior experience to inform decisions
- Effective communicator and natural collaborator within fast-paced, cross-functional teams
- Comfortable navigating ambiguity and adapting to shifting priorities
- High personal accountability and technical ownership of assigned work
Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
EEO Notice
Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.
Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .
Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.
By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.
Privacy Notice
Vaco by Highspring and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco by Highspring”) respects your privacy and are committed to providing transparent notice of our policies.
- California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here.
- Virginia residents may access our state specific policies here.
- Residents of all other states may access our policies here.
- Canadian residents may access our policies in English here and in French here.
- Residents of countries governed by GDPR may access our policies here.
Pay Transparency Notice
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to:
- the individual’s skill sets, experience and training;
- licensure and certification requirements;
- office location and other geographic considerations;
- other business and organizational needs.
With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.