Senior Manager – Application Development, Support

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Upstream Rehabilitation

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

💰 Private Equity Round on 2015-12

Healthcare • Consulting • Healthcare Insurance

Upstream Rehabilitation is the country's largest dedicated provider of outpatient physical and occupational therapy services. Committed to advancing health, Upstream focuses on clinical excellence through post-doctoral educational programs, structured mentorship, and tracking of patient outcomes. The company offers extensive career opportunities in corporate and clinical roles, fostering an inclusive work environment and investing in professional development. Upstream also supports community outreach through its Pillars with Purpose benevolent funds, encouraging associates to engage in volunteer service. With over 1,200 clinics across the United States, Upstream Rehabilitation provides exceptional care and innovative rehabilitation technologies to empower patients on their healing journeys.

📋 Description

• Lead, mentor, and develop software developers and application support engineers • Establish team priorities, remove obstacles, and foster accountability, collaboration, continuous learning, and engineering excellence • Partner with business and operational leaders to translate needs into a technology roadmap • Prioritize new development, system integrations, enhancements, and production support initiatives • Lead software delivery through every phase of the Software Development Life Cycle • Promote best practices for design, testing, code reviews, CI/CD, release management, and documentation • Own the health and reliability of business-critical applications • Lead incident response, root cause analysis, and continuous improvement • Establish triage, escalation, change management, and on-call support processes • Drive improvements in application stability and service performance • Oversee development using .NET, C#, Azure, and Azure Service Bus • Collaborate with Enterprise Architecture on scalable, secure, and resilient solutions • Ensure engineering standards and architectural governance are followed • Oversee reporting and analytics solutions using Power BI and Databricks/Azure • Ensure reporting platforms and data pipelines are accurate, reliable, and governed • Evaluate AI, automation, and new Azure capabilities • Lead proof-of-concepts and pilot programs • Introduce technologies with appropriate security, compliance, and operational governance

🎯 Requirements

• Bachelor's degree in Computer Science, Software Engineering, Information Systems, or related field, or equivalent experience • 10+ years of experience delivering and supporting enterprise business applications • 4+ years leading software development and application support teams • Strong experience with .NET, C#, Microsoft Azure, and Azure Service Bus • Experience leading applications through the complete Software Development Life Cycle • Experience with Power BI and modern data platforms such as Databricks • Strong understanding of DevOps, CI/CD, testing, release management, and change management • Experience improving production reliability through monitoring, observability, incident management, and root cause analysis • Knowledge of SRE concepts including SLIs, SLOs, telemetry, logging, tracing, and alerting • Ability to collaborate with architects, technical teams, and business leaders to deliver scalable solutions • Excellent communication, leadership, and stakeholder management skills • Preferred: experience in healthcare or another highly regulated industry • Preferred: experience supporting EHR, Practice Management, or healthcare technology platforms • Preferred: experience implementing AI or machine learning solutions in production • Preferred: Azure or Microsoft technical certifications • Preferred: experience managing software development and long-term application support portfolios