Senior Backend Engineer (.NET)

Company Overview

Head Diagnostics enhances patients' quality of life with innovative neurological diagnostic solutions. Our cloud-native software as a Medical Device (SaMD) platform enables healthcare providers to achieve better outcomes through accurate neurological assessments.

As we continue evolving our platform, we seek a Senior Backend Engineer to help build scalable and reliable software systems that positively impact healthcare.

In return, we offer a chance to work on meaningful technology, a collaborative remote-first culture, and growth opportunities. Join us in solving challenging problems and improving patient care within a supportive team environment.

Contract Terms

Fully Remote (India)

Fixed-term contract position

Opportunity to extend based on performance

Working hours aligned with the Ireland time zone (typically 1 : 30 PM - 10 : 30 PM IST)

Occasional travel may be required

About The Role

This role involves expanding our neurology platform by implementing cloud-native solutions and optimizing existing software. You'll be responsible for the backend ecosystem that powers our medical device software.

In this hands-on coding position, you will own backend components - from infrastructure implementation to system architecture- design scalable microservices, optimize database architecture, enhance security protocols, maintain cloud architecture for SaaS products and work on product compliance documentation to ensure healthcare regulations and collaborate closely with other stakeholders to deliver technically robust solutions.

As an experienced engineer, you will identify technical challenges, propose solutions, and collaborate on quality software development and problem-solving with the team. You'll help shape our technical direction while delivering solutions that advance neurological care and improve patient outcomes.

What You Bring

Technical Toolkit :

7+ years of experience in backend development with C# and .NET

Experience with both legacy (.NET Framework 4.x) and modern (.NET Core through .NET 5+) development

Knowledge of microservices architecture and RESTful API design

Strong understanding of database design and optimization

Development experience with either AWS or Azure Cloud Computing

Experience with container orchestration (ECS / EKS, Service Fabric)

Experience with event-driven architectures and message queues

Hands-on experience with Redis caching, Docker containerization, and Entity Framework

Working knowledge of Serverless computing

Proven ability to :

Work independently and deliver complete solutions

Handle legacy code maintenance and modernization

Implement secure coding practices

Optimize application performance

Troubleshoot complex system issues efficiently

Nice to have :

Experience with medical device software development

Knowledge of healthcare IT standards and regulations

Understanding of HIPAA compliance requirements

Previous work with FDA or CE-regulated software

Experience with healthcare data security standards

Our Tech Stack

Backend : .NET Core, ASP.NET Core, C#, Node.JS, Python

Cloud Platforms :

AWS : EKS, EC2, Lambda, RDS

Azure : Service Fabric, IoT Hub, Functions

Monitoring : Application Insights, Prometheus, Grafana

Database : PostgreSQL on RDS, Azure Table

Messaging : AWS SQS / SNS, RabbitMQ, Azure Service Bus

Tools : Docker, RabbitMQ, Redis

Alerting : PagerDuty

You Will Be a Good Fit If

You balance pragmatism with perfection. In medical software, quality is essential, but you know when to make practical trade-offs to ensure safety and compliance.

You are a backend specialist who sees the bigger picture. While you excel in software development, you also have a strong understanding of user experience and effective collaboration across disciplines.

You are comfortable with autonomy but know when to seek input. You can drive projects independently, yet you recognize when decisions need broader discussion.

You approach legacy systems with strategic patience. Instead of looking for rewrites, you can work with existing code while incrementally improving architecture and performance.

You can communicate clearly. You have key skills for remote teamwork across time zones, including explaining technical concepts clearly, providing constructive feedback, and maintaining up-to-date documentation.

You care about creating lasting solutions. You are excited to build software that healthcare professionals rely on, and you take pride in creating robust and maintainable systems over time.

Why Join Us

Head Diagnostics provides a rewarding opportunity to drive healthcare innovation that impacts lives. As we launch new products, you will help shape how clinicians detect cognitive conditions and help patients monitor progress.

We have created a workplace where everyone can thrive :

A collaborative team : A culture where knowledge is freely shared, and everyone's input is valued regardless of tenure or title

Supportive environment : You will work with colleagues who support your success and well-being, celebrate your wins, and help you during challenges

Continuous growth mindset : We promote skill expansion through peer mentoring, technical discussions, and innovative exploration beyond formal learning allowances

Work that matters : Every feature you help develop directly contributes to a platform designed to improve neurological care and patient outcomes

Our Interview Process

Initial intake with an Engineering Manager

System design and architecture discussion

Team fit and culture conversation

Offer and joining discussions

Benefits

Competitive fixed salary

Learning and certification allowance

Home office setup, including a laptop and peripherals for home / office work

Professional development opportunities