Senior Software Engineer – Back-End Development

Full Time

About the Company: 

Custom Health is a fully integrated Health-Tech company focused on delivering patient-centric health care as a service. We are on a mission to transform the patient experience for home-based patients, driving better patient outcomes and total cost of care reduction. Powered by our modern purpose-built technology platform, fully owned high-volume central fill pharmacy hubs, and a comprehensive in-house clinical care team, Custom Health delivers optimized and personalized care for home-based patients with precision and at scale. 

Visit our website to learn more: 

About the Job: 

Custom Health Software (SW) Engineers develop, extend, and continuously improve our Cloud-native technology platform that powers our healthcare businesses. SW engineers work in small teams and design, implement, and test end-to-end software solutions to advance our high-availability and high-performance cloud platform. Our engineers are versatile and enthusiastic, take great pride in our shared vision, quality, and collaboration and continuously push forward our technology platform. 

In this role, you will: 

  • Design and implement applications & enhance cloud infrastructure consisting of back-end services and gateways integrated with other cloud components and DBs, web apps, APIs, communication channels, etc. Towards this you will design, code, and unit test features and/or core platform components. 
  • Design and manage databases, including schema design, query optimization, and data migration. 
  • Work with relational databases such as SQL Server, PostgreSQL, or MySQL, as well as NoSQL databases if applicable. 
  • Optimize applications for performance, scalability, and security. 
  • Write unit tests and integration tests, and conduct thorough testing of back-end components to ensure reliability and performance. 
  • Identify and fix bugs and performance issues promptly. 
  • Collaborate with front-end developers, UX/UI designers, and other team members to ensure seamless integration of front-end and back-end components. 
  • Work closely with Product management and other technical leaders in the implementation of features and functions and deliver ease of use and excellent user experience. 
  • Participate in work planning, breaking down modules into small tasks and subtasks in an agile development environment. Contribute and/or lead in process improvements, design, and code reviews. 
  • Continually raise the bar and evangelize a high standard. Partner with leaders and peers to identify and take initiatives


  • Bachelor’s degree in computer science, Engineering, or related field. 
  • 8+ years of experience in software development with expertise in C# .NET development. 
  • Solid understanding of back-end development concepts, and server-side development, including RESTful APIs, GraphQL, database design, microservices architecture, message brokers, debugging methods, and tools for microservices.  
  • Experience with database design, management, and optimization. Proficiency in SQL Server or other relational databases (e.g., SQL Server, PostgreSQL, MySQL).  
  • Expertise in modern large-scale, distributed data architecture, data processing, and data stores. 
  • Experience with cloud platforms such as AWS or Azure is a plus. 
  • Working knowledge of modern architectural design patterns such as Model-View-ViewModel (MVVM).

What we are looking for: 

  • Passion for working with healthcare and building great technology and products with excellent user experience. 
  • A self-starter and an excellent problem solver who can work comfortably from big picture to low-level details. Strong software lifecycle management skills. 
  • A motivated engineer who works with purpose, modesty, and respect for all people. 
  • Excellent communication skills, with the ability to communicate technical and project issues clearly and concisely.  

Also nice to haves: 

  • Prior healthcare data experience. 
  • Experience with complex systems which include software, hardware, and external devices.  

Job Type:

  • Remote: This is a remote position, and you will primarily work from home.
  • Full-time, Salaried


Stop the guesswork. Guessing is fun. But not when it comes to medication.

Custom Health is a tech-enabled health services company. We connect people with community pharmacists to manage drug complexity and maximize health benefits through personalized medication delivery, virtual monitoring, and proactive care. Our fully automated, high-volume central-fill pharmacy hubs, proprietary health platform, and medication adherence network power a robust, scalable solution to chronic condition management that leads to better patient outcomes and total cost of care reduction.

Together, we can support everyone to be successful in their roles. We know that supporting our employees means our customers, patients, and their families get the information and services they need to be successful.

Want to learn more about what we do? Watch this video.

Sound interesting? Ready to have some fun? Then apply today.

Custom Health is an equal-opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.


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