About this opportunity
Nexus Health Systems lists this Senior Software Engineer opportunity in houston, Texas. Review the employer’s description below for duties, qualifications and application requirements.
Job description
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Senior Software Engineer
Full Time Technical Houston, TX, US
5 days ago Requisition ID: 2193
Senior Software Engineer
Location: Onsite/Hybrid Reports To: Senior Manager, Platform Engineering
ABOUT THE ROLE
We're looking for a Senior Software Engineer to design, build, and maintain mission-critical applications and integrations that support clinical and administrative operations across our facilities. This role blends hands-on full-stack development with architectural ownership, and you'll work across the stack from software design to cloud deployment and mobile delivery, with growing opportunities to shape how we apply AI to real clinical and operational workflows.
WHAT YOU'LL DO
Design and build cross-platform mobile applications using .NET MAUI , extending clinical and operational tools to phones and tablets used across facilities
Assist with SQL-based data solutions that move and transform data across clinical, operational, and reporting systems
Contribute to software architecture and API/service design discussions, evaluating trade-offs and ensuring systems are scalable, secure, and maintainable across web, desktop, and mobile
Partner directly with the CIO on software design initiatives and AI solution strategy, translating executive vision into practical technical roadmaps
Build clean, maintainable, secure, and well-tested code following engineering best practices
AI ARCHITECTURE & ENABLEMENT
Design and implement AI-powered features, integrations, and architectures , to shape the organization's AI solution roadmap
Help drive adoption of AI-assisted development tools and workflows across the engineering organization
Evaluate emerging AI technologies, LLM platforms, and automation opportunities that improve engineering velocity and clinical/operational outcomes
Promote best practices around responsible and effective use of AI within software engineering workflows
AZURE PLATFORM & TECHNICAL DELIVERY
Develop and support applications hosted within Microsoft Azure , including Web Apps/App Services, Functions, background services, and related cloud-native services
Work with SQL Server/relational databases , including query optimization and performance tuning; experience withDatabricks or similar platforms is a plus
Support CI/CD pipelines and modern deployment practices using Azure DevOps, including build/release pipelines for MAUI mobile app distribution
Participate in performance optimization, monitoring, reliability, and operational improvement initiatives
PROJECT & TEAM COLLABORATION
Plan and manage your own project work: scoping, estimating, and coordinating delivery with minimal oversight
Provide technical guidance and code reviews to engineers across varying experience levels
Help improve engineering standards, delivery processes, and development practices
Take ownership of assigned initiatives from technical design through production delivery
WHAT YOU BRING
Required
7+ years of professional software engineering experience
Strong experience building enterprise applications using C#/.NET
Experience designing and shipping cross-platform mobile apps with .NET MAUI (or Xamarin.Forms)
Solid experience with SQL and relational databases
Demonstrated understanding of software architecture , REST APIs, and distributed system design
Practical experience with Azure-hosted applications and cloud-native development practices
Experience with CI/CD pipelines and modern development workflows
Familiarity with AI-assisted development tools and AI/LLM integration patterns
Strong problem-solving, project management, and communication skills
Ability to operate effectively in environments where requirements and priorities evolve over time
Preferred
Experience partnering with executive leadership on technology strategy
Experience publishing mobile apps to app stores (Apple App Store, Google Play) and managing mobile device deployment/MDM considerations
Experience with Databricks or other big-data/lakehouse platforms
Experience with AI integrations, LLM APIs, or AI-enabled product features
Experience in healthcare IT or other regulated, compliance-driven industries (HIPAA)
Familiarity with Infrastructure-as-Code (Terraform/OpenTofu, Bicep) and observability/monitoring tooling
Experience mentoring engineers and contributing to engineering process improvements
KEY TRAITS
Comfortable navigating ambiguity and evolving business requirements
Strong ownership mindset with the ability to independently drive initiatives forward
Balances architectural thinking with practical hands-on execution
Curious about emerging technologies, especially AI and modern application development
Collaborative communicator who works effectively across technical and executive stakeholders
Passion for continuous improvement in both engineering practices and product quality
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Worksite address
houston, TX, 77246, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.