Software Engineer, Backend

Loyal is an organization centered on experience and building a platform that allows consumers to make meaningful decisions when it comes to healthcare. We deeply understand providers, locations, services, appointments, business rules, and moreover, we understand patients -- who they are, the preferred method of communication, upcoming appointments, lapsed appointments, outstanding bills, health risks, and more. With this intelligence, our platform fuels highly relevant and personalized experiences across all mediums (website, email, voice…) allowing patients to get healthy, stay healthy, and have a better relationship with the health care provider. Summary At Loyal, we're transforming how healthcare organizations manage their online reputation and patient engagement. Our unified platform processes millions of patient interactions across directory listings, reviews, and feedback systems, directly impacting how patients discover and choose their healthcare providers. With 94% of healthcare consumers using online reviews to evaluate care choices, our APIs and backend systems are critical infrastructure that helps hospitals earn $1.2M+ more through a positive online reputation. Our highly collaborative engineering team builds scalable solutions that integrate with major EHR systems, process real-time review data from Google and other platforms, and leverage AI to optimize patient engagement workflows. We foster a team environment that is open, encourages questions and ideas, and is continuously learning. If you're looking to join a down-to-earth team who cares about improving healthcare access while building robust, scalable systems, you've found the right place! We are currently only considering candidates who are based in Georgia and can occasionally travel to our Atlanta headquarters for team events and meetings. You Will Design and implement scalable APIs that handle millions of patient interactions, directory updates, and review processing across healthcare systems Build robust integrations with EHR systems (Epic, Cerner, Athena) and major platforms (Google Business Profile, Apple, Facebook) to sync provider data and automate patient outreach Architect backend services for our AI-powered features, including sentiment analysis, automated review responses, and clinical taxonomy mapping Develop real-time data processing pipelines that ingest patient survey data and publish across multiple reputation products. Optimize database performance and queries for healthcare analytics, handling complex reporting across providers, locations, and patient feedback categories Implement security and compliance measures for HIPAA-compliant systems, ensuring patient data protection across all integrations Collaborate with product and frontend teams to deliver features that directly impact patient acquisition and healthcare organization success Monitor and maintain production systems processing 24/7 healthcare data flows, ensuring 99.9% uptime for critical patient engagement workflows Manage DevOps processes and Azure Pipelines for continuous integration and deployment, ensuring smooth releases and infrastructure automation across staging and production environments Collaborate effectively with offshore EMIDS development team, providing technical guidance, code reviews, and ensuring consistent development practices across distributed team members You Have Bachelor's degree in Computer Science, Software Engineering, or related technical field Minimum of 3+ years of software engineering experience, ideally with high-scale consumer or healthcare applications Strong expertise in Microsoft .NET technology stack (C#, .NET, ASP.NET, Web APIs, Microsoft SQL Server) Experience with cloud platforms (Microsoft Azure preferred) and containerization (Docker/Kubernetes) Proficiency in Git, unit testing frameworks (xUnit, NUnit), debugging, and performance monitoring Experience building and consuming REST APIs, with understanding of rate limiting, authentication, and error handling Knowledge of testing frameworks and practices (NSubstitute, Playwright, Jest) Experience with real-time systems and data processing at scale Bonus Points Healthcare or regulated industry experience Third-party API integration experience (Google APIs, social media platforms, directory services) EHR integration experience (Epic, Cerner, Athena, Allscripts) Frontend development skills (React, JavaScript) Experience with AI/ML systems, natural language processing, or sentiment analysis Background in reputation management, patient engagement, or healthcare marketing technology Interview Process Prescreening Form Video Screening with People Operations Manager Take-home Technical Assignment Peer Interview with Senior Software Engineer 2:1 Interview Panel Engineering Manager (Hiring Manager) Engineering Manager (Stakeholder) Pay Transparency Certain states and localities require employers to post a reasonable estimate of salary range. A reasonable estimate of the current base salary range for this position is $110,000 - $125,000. Actual salary will be based on a variety of factors, including location, experience, skill set, performance, licensure and certification, and business needs. The range for this position in other geographic locations may differ. In addition, certain roles also have the opportunity to earn sales incentives based on revenue or utilization, depending on the terms of the plan and the employee's role. Please note that this job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the role. Loyal reserves the right to make changes and/or assign additional responsibilities of a role within reason at any time with or without notice. #LI-REMOTE We know that potential candidates are often less likely to apply to a position if they don’t match 100% of the job qualifications. Don’t let that be why you miss out on this opportunity! We encourage you to apply if you can demonstrate many of these skills and competencies. Loyal to our employees We believe in a work/life balance that fulfills you while you’re here and supports you when you’re not. We built our benefits package to prove that we’re committed to you having everything you need (including a little fun). Here is what we offer full-time employees: Flexible paid time off, sick and personal days At least one holiday per month (sometimes, more!) A week off for everyone in December during the winter holiday period Full health, dental, and vision insurance - Loyal pays the premium for all employees! Monthly Internet Stipend for Remote & Hybrid Roles Long-term & short-term disability 401[k] plan Stock Options Bonus Program 16 Weeks Paid Parental Leave 2 Volunteer days per year Matching Gift Program Participation Grant Program Our Commitment We believe that the key to Loyal's success is you. Your unique background, life experience, knowledge, self-expression, and talent make you uniquely you. Who you are, what you have experienced, and how you think inspires us to be innovative and bold. Loyal is an equal opportunity employer. We hire great people from a wide variety of backgrounds, not just because it's the right thing to do, but because it makes our company stronger. We welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, ancestry, sex, gender identity and expression, national origin, citizenship, marital status, age, languages spoken, veteran status, color, religion, disability, sexual orientation, and beliefs. We consider qualified applicants regardless of criminal histories, consistent with legal requirements. Further, consistent with applicable federal and state law, Loyal provides reasonable accommodations when requested by qualified applicants or employees with disabilities, unless doing so would cause an undue hardship. Loyal’s policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If you require a reasonable accommodation in connection with the application process, please contact the Talent Acquisition Department at talentacquisition@loyalhealth.com . E-Verify This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. Employers can only use E-Verify once you have accepted a job offer and completed the I-9 Form.