Overview

Overview We are looking for a hands-on Technical Lead and experienced .NET engineer to help lead the development of a newly formed Adherence Engineering Team. This team will design and build technology solutions that help medical practices improve patient vaccination adherence through targeted outreach and automation. Early pilot programs have already demonstrated strong results, showing over a 10% increase in vaccination rates when practices leverage patient outreach tools. This team will play a key role in scaling and operationalizing those capabilities to support our growing network of practices and improve patient health outcomes. This role is ideal for a technical leader who enjoys building high-quality software, mentoring engineers, and shaping scalable platform architecture. What You'll Do Provide technical leadership for a new engineering team focused on adherence and patient engagement solutions. Help build a collaborative engineering culture grounded in trust, craftsmanship, and delivery excellence. Design and develop scalable, high-performance software architectures. Guide the team in building maintainable, well-tested code with strong automation practices. Partner with product and business teams to define and evolve the future of vaccine adherence solutions. Lead development efforts from architecture and design through production deployment and support. Mentor and develop engineers, helping grow technical skills across the team. Required Experience 3+ years of experience in a technical lead or team lead role 5+ years developing enterprise applications using .NET Strong expertise in C#, .NET, and SQL Server Experience building service-based and distributed applications Experience with technologies and patterns such as: ASP.NET / ASP.NET Core Single Page Applications (Angular, React, or similar frameworks) Message brokers or service buses (RabbitMQ, Azure Service Bus, etc.) Dependency Injection / Inversion of Control (IoC) Task scheduling frameworks (Quartz.NET or similar) Third-party API integrations Automated testing frameworks (MsTest, NUnit, xUnit) Long-running workflows that balance performance and reliability Desired Skills Strong analytical and problem-solving abilities Curiosity to understand business challenges and translate them into effective technical solutions Passion for continuously improving software quality and architecture Ownership mindset - comfortable leading solutions from design through production Enthusiasm for mentoring and developing junior engineers Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k) retirement plan. Additional disclaimer: Unless otherwise noted in the job description, the position Vaco/Highspring is filing for is occupied. Please note, however, that Vaco/Highspring is regularly asked to provide talent to other organizations. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions. Submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. Further assessment of candidates beyond this initial phase within Vaco/Highspring will be otherwise assessed by recruiters and hiring managers. Vaco/Highspring does not have knowledge of the tools used by its clients in making final hiring deci