Senior Full Stack Engineer – Architecture Team

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RethinkFirst

51 - 200 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

RethinkFirst is a company dedicated to transforming behavioral health through clinical expertise, data science, and technology. By leveraging these strengths, RethinkFirst aims to empower its customers and drive improved outcomes, thereby positively impacting the lives of millions worldwide. The company provides solutions for various sectors, including schools and businesses, by supporting students and employees alike with mental health resources and tools. With substantial contributions in education, such as working with eight of the largest school districts and supporting over 3 million students, and in corporate wellness, such as reducing absenteeism for companies like Volvo, RethinkFirst utilizes AI and big data to predict patient progress and enhance clinical outcomes. Its services extend across 225 countries, significantly influencing 11 million lives globally.

📋 Description

• Contribute to architectural design aligned with scalability, performance, security, and compliance standards • Develop, design, test, and deploy cloud-based applications using C#, .NET Core, SQL, Azure, and Angular • Establish and enforce coding standards, design patterns, and development methodologies including Agile, CI/CD, and DevOps • Write, review, and maintain high-quality code with emphasis on unit testing, integration testing, and automated pipelines • Mentor and coach engineers across teams • Collaborate with cross-functional stakeholders to translate requirements into technical designs and solutions • Drive adoption of DevOps, microservices, Docker, Service Bus, Redis, and observability tools • Participate in architectural reviews, code reviews, and design discussions • Contribute to platform strategy, modernization, and cloud migration initiatives • Troubleshoot production issues and guide root cause analysis to ensure system reliability

🎯 Requirements

• Bachelor’s degree in Computer Science, Engineering, or related field (or equivalent experience) • 8+ years of professional software development experience, with at least 3+ years in a senior or lead role • Proven experience designing and implementing enterprise-scale applications on the Microsoft stack (C#, .NET Core/Framework, SQL Server, Azure) • Strong expertise in object-oriented design, design patterns, SOLID principles, and domain-driven design • Experience with Angular, TypeScript, HTML, CSS, JavaScript • Strong SQL skills including query optimization, schema design, and stored procedures • Cloud-native development in Microsoft Azure: App Services, Functions, Service Bus, Storage, Key Vault, Azure SQL, and monitoring tools • Familiarity with microservices architecture, RESTful APIs, and event-driven systems • Hands-on experience with CI/CD pipelines, Azure DevOps, Git, Docker, and Infrastructure as Code (Terraform/ARM) • Experience implementing unit testing frameworks (XUnit, NUnit, Moq), automated testing, and test-driven development (TDD/BDD) • Knowledge of healthcare domain standards (HIPAA, HITRUST, SOC2) is a strong plus • Candidates with experience designing, developing, or integrating AI-driven systems will have an advantage • Experience with AI agentic systems, large language models (LLMs), vector databases, machine learning frameworks, scalable APIs, MCPs, microservices supporting AI/ML workloads, ethical AI practices, data governance, and secure handling of sensitive information • Demonstrated ability to mentor and grow engineering talent • Excellent problem-solving, communication, and leadership skills • Strong adaptability in a fast-paced, evolving environment • Passion for innovation, continuous learning, and delivering high-quality products

🏖️ Benefits

• Generous health, dental, & vision benefits package • Flexible paid time off • 11 paid company holidays • 401k + matching • Parental leave • Access to our award-winning RethinkCare platform supporting neurodiversity in the workplace through parental success, professional resilience, and personal wellbeing

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