Senior Full Stack & DevOps Engineer

Company Description

Seegnal is a cutting-edge Prescription Operating System powered by AI, designed to reduce patient risk and healthcare costs by enabling real-time, data-driven medication decisions. Integrated seamlessly into clinical workflows, Seegnal delivers explainable decision support to prevent costly errors and enhance system-wide prescription management. Operating at a national scale, Seegnal impacts millions of patients and hundreds of thousands of prescriptions daily, providing proven clinical and economic value. Our mission is to build the Intelligence Layer of Prescriptions to transform healthcare outcomes.

About the Role

We are seeking a highly capable Senior Full Stack & DevOps Engineer to modernize and scale our healthcare-oriented platform. With a strong focus on clinical integrations and operational reliability, this role is heavily backend- and infrastructure-oriented (approximately 80% backend/DevOps and 20% frontend). You will tackle complex interoperability challenges, manage multi-cloud environments, and take true ownership of production systems. A major focus of this position is leading our transition into an autonomous, "agentic" DevOps era using tools like n8n, AI-assisted workflows, advanced automation pipelines, and intelligent operational tooling. If you combine deep backend expertise with a passion for infrastructure automation and solving intricate healthcare integration puzzles, we want you on our team.

Key Responsibilities

Backend Development

• Design, develop, and maintain scalable backend services using C# and modern .NET.
• Build and maintain REST APIs, integration services, background workers, and processing pipelines.
• Architect resilient, secure healthcare integration flows for complex interoperability scenarios involving legacy and modern EHR systems, with a primary focus on US-based EHR platforms.
• Implement comprehensive logging, observability, monitoring, and fault-tolerant architectures.
• Optimize system performance and ensure high reliability in production environments.

DevOps, Cloud & Infrastructure

• Design and manage CI/CD pipelines using Azure DevOps and related tooling.
• Manage and optimize Docker-based deployments and Linux environments across multi-cloud setups.
• Lead the transition toward agentic DevOps workflows using n8n and AI-assisted operational tooling.
• Implement robust infrastructure automation and operational workflows.
• Troubleshoot complex production issues spanning infrastructure, networking, deployments, and integrations.
• Take active participation in production maintenance and operational ownership.

Frontend Development & Compatibility Solutions

• Maintain and enhance React-based web applications.
• Build internal operational dashboards and administration interfaces.
• Integrate frontend applications securely and efficiently with backend APIs.
• Familiarize with old browser technologies for applying compatibility site hosting, utilizing tools like extensions, plugins, and iframes to engineer highly creative and effective bridge solutions.
• Ensure strict security compliance when hosting and integrating browser-based applications.

Architecture & Innovation

• Propose creative technical solutions for challenging healthcare interoperability problems, specifically navigating the intricacies of US healthcare standards.
• Improve overall operational efficiency through automation and intelligent workflows.
• Contribute to architectural decisions and the long-term evolution of the platform.
• Research and evaluate emerging technologies relevant to automation, cloud operations, and healthcare systems.

Required Qualifications

• Experience integrating with EHR/EMR systems (HL7 and/or FHIR experience highly desired), with extensive knowledge of major US platforms.
• Proven ability to design and implement creative, browser-based plugin and extension solutions for legacy system integrations.
• Software Engineering: Strong experience with C# and modern .NET (.NET 8/9/10 preferred). Proven experience building scalable RESTful APIs, distributed systems, and working with SQL, ORM on No-SQL technologies.
• DevOps & Cloud: Strong hands-on experience with Docker, containerized environments, Linux system administration, and CI/CD pipelines. Familiarity with multi-cloud environments, networking, reverse proxies, SSL, and infrastructure security.
• Automation Mindset: Experience with workflow automation platforms (e.g., n8n) and a keen interest in AI-assisted tooling to eliminate repetitive operational tasks.
• Frontend: Working knowledge of React, modern frontend development practices, and API integration.
• Problem Solving: Strong debugging and production troubleshooting skills with a deep understanding of asynchronous programming.

Preferred Qualifications

• Experience with identity and access management systems such as Keycloak.

• Experience with Redis, messaging systems, event-driven architecture, or Kubernetes.

• Experience building AI-assisted operational workflows and internal tooling.

• Background working in regulated, high-availability, or compliance-driven environments.

Work Environment & Availability

Flexibility and operational responsibility are key aspects of this role. Given the nature of global and high-availability systems, this position may occasionally require:

• Accommodation of late working hours for overseas meetings.
• After-hours DevOps maintenance or critical production support.
• Participation in strategic deployment activities outside standard working hours.