Intrahealth is seeking a Senior Software Developer with expertise in .NET and AI-augmented development to modernize and build backend services for its flagship electronic health record (EHR) platform. You will work remotely in Canada, delivering scalable solutions that support tens of thousands of healthcare providers across multiple countries while helping to pioneer AI-driven software development practices.
What You'll Do
- AI-First Delivery: AI coding tools and agentic workflows are a core part of your development process. You don't just prompt an AI to help with a feature — you think about how to build systems, skills, and workflows that let AI do more of the work, more reliably, over time.
- Software Development: Design, build, test, and deploy backend services and APIs using C#/.NET. Ensure code quality, maintainability, and performance across a modern platform built alongside a large legacy system.
- Innovation in AI-Assisted Development: Drive innovation in how the team builds software. Explore and champion new tools, techniques, and agentic patterns — whether that's custom Claude skills, orchestration frameworks, or something that doesn't exist yet. We invest in systems that build features, not in hand-coding every feature.
- Database Engineering: Design and evolve database schemas, write and optimize complex SQL, and contribute to migration strategies. You are comfortable working deep in the data layer across large, complex relational databases.
- Architecture & Design: Contribute to architectural decisions including API design, component design, database schema evolution, and system scalability. Ensure solutions align with long-term platform sustainability.
- End-to-End Ownership: Own features from conception through QA through production. Work closely with Product to validate functionality, clarify requirements, and ensure successful releases. Communicate technical concepts clearly to both technical and non-technical stakeholders.
- Quality & Engineering Practices: Take full ownership of quality. Write and maintain unit, integration, and end-to-end tests. Participate in code reviews and contribute to CI/CD pipeline improvements and technical documentation. You are responsible for what you ship.
What We're Looking For
- BSc in Computer Science, Software Engineering, or equivalent work experience.
- 5+ years of hands-on experience with C# and the .NET framework.
- 1+ year of demonstrated fluency with AI development tools (e.g., Claude Code) and agentic coding workflows.
- Strong SQL proficiency including schema design, query optimization, and migration planning across PostgreSQL or MS SQL Server.
- Ability to independently read, analyze, and extract business logic from large, complex codebases with or without using AI-assisted tools.
- Solid understanding of API design, distributed systems concepts, and modern software development practices.
- Strong problem-solving and analytical skills.
- Excellent communication and teamwork skills.
- Ability to manage time effectively and prioritize tasks in a dynamic environment.
Nice to Have
- Experience with Electronic Medical Record software or regulated healthcare environments.
- Experience with React / TypeScript.
- Experience with K8s, Azure, or cloud-native architectures.
- Experience modernizing or refactoring legacy systems.
Technical Stack
- C#, .NET, PostgreSQL, MS SQL Server, AI coding tools (e.g., Claude Code), agentic workflows, API design, distributed systems, CI/CD, React, TypeScript, Kubernetes (K8s), Azure, cloud-native architectures
Team & Environment
- AI-driven development as core to how they work
- Proactive and technically strong
- Deep fluency in AI coding tools and agentic workflows
- Treats continuous learning as a core professional skill
- Stays current with rapidly evolving tools, techniques, and development paradigms
- Strong problem solver
- Excellent communicator
- Thrives in a collaborative, fast-moving environment
- Invests in systems that build features, not in hand-coding every feature
Work Mode
- Remote in Canada
We are an equal opportunity employer and welcome candidates of all backgrounds to apply.
