Job Description
At MCG, we lead the healthcare community to deliver patient-focused care. We have a mission-driven team of talented physicians and technical experts developing our evidence-based content and innovating our products to accelerate improvements in healthcare. If you are driven to enhance the US healthcare system, MCG is eager to have you join our team. We cultivate a work environment that nurtures personal and professional growth, and this is a thrilling time to become a part of our organization. With dynamic roles that offer meaningful impact, you’ll be able to fully realize your potential. Plus, you’ll enjoy world-class benefits and the security, stability, and resources of our parent company, Hearst, with over 100 years of experience.
As a Senior Software Development Engineer at MCG, you will lead the design and delivery of complex cloud-native services that power healthcare decision-support solutions used by health plans, providers, and other stakeholders. You’ll work across multiple cloud services, navigating evolving requirements and making critical tradeoffs that directly impact the reliability, security, and performance of our products.
This role sits at the intersection of deep technical skill and cross-service ownership — you won’t just write great code, you’ll shape how systems interact, fail gracefully, and scale.
You Will
Scope & Influence
Own moderate to high complexity problems that span multiple cloud services, where tradeoffs, failure modes, and non-obvious interactions must be identified and resolved.
Operate effectively when requirements evolve during execution, providing technical judgment that keeps delivery on track.
Influence technical decisions and design direction beyond your immediate team, serving as a trusted technical voice in cross-service discussions.
Design & Delivery
Lead the end-to-end design and delivery of complex, cloud-native services — from requirements analysis through production operation.
Anticipate and proactively address non-functional requirements including operational readiness, security, performance, and testability.
Drive work through ambiguity, decomposing unclear or shifting requirements into actionable, well-sequenced plans.
AI-Augmented Engineering
Use AI tools (e.g., Claude, Copilot) as a core part of your daily workflow — for code generation, design exploration, debugging, code review, incident analysis, and knowledge retrieval.
Author and maintain markdown skill files that codify repetitive workflows, runbooks, and best practices, enabling consistent and efficient execution across the team and reducing tribal knowledge.
Incident Response & Reliability
Actively contribute to incident response, root cause analysis, and preventative improvements, helping the team build increasingly resilient systems.
Own and improve on-call practices and runbooks for services you design and deliver.
Quality & Craft
Design services that are scalable, secure, and testable by default.
Debug complex, multi-service issues that cross team and domain boundaries.
Raise the testing and code quality bar through code review, pairing, and leading by example.
Proactively address performance, reliability, security, and maintainability concerns in every phase of development.
What We’re Looking For:
5+ years of professional software development experience, with significant time building and operating Azure cloud native distributed systems
Strong proficiency in C#, .Net Framework, SQL Server, REST APIs, and Microservices.
Demonstrated experience designing scalable, secure, and testable services for production.
Track record of debugging complex issues across multiple services and system boundaries.
Hands-on experience with CI/CD pipelines, infrastructure-as-code, and cloud operations.
Solid understanding of security best practices, including secure coding, authentication/authorization patterns, and data protection.
Experience participating in or leading incident response and root cause analysis.
Proficiency with AI-assisted development tools (e.g., GitHub Copilot, Claude) and a demonstrated habit of integrating them into daily engineering work for code generation, review, documentation, and problem-solving.
Experience building and maintaining markdown-based documentation (skill files, runbooks, process guides) to standardize repetitive tasks and enable team-wide automation and consistency.
Strong communication skills — able to articulate tradeoffs, influence decisions, and mentor teammates.
Preferred Qualifications:
Experience in healthcare technology or working with PHI/HIPAA-regulated systems.
Familiarity with event-driven architectures, service mesh, or message bus patterns (e.g., Azure Service Bus, Kafka).
Experience with observability tooling (logging, tracing, metrics) for distributed systems.
Background in agile delivery and service ownership models.
Pay Range: $136,000 - $190,400
Other compensation: Bonus Eligible
Location Preference: Seattle-based talent preferred for this role
Perks & Benefits:
💻 Hybrid work
✈️ Travel expected 1–3 times per year for company-sponsored events
🩺 Medical, dental, vision, life, and disability insurance
📈 401K retirement plan; flexible spending and health savings account
🏝️ 15 days of paid time off + additional front-loaded personal days
🏖️ 14 company-recognized holidays + paid volunteer days
👶 up to 8 weeks of paid parental leave + 10 weeks of paid bonding leave
🌈 LGBTQ+ Health Services
🐶 Pet insurance
📣 Check out more of our benefits here: https://www.mcg.com/about/careers/benefits/
All roles at MCG are expected to engage in occasional travel to participate in team or company-sponsored events for the purposes of connection and collaboration.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Note on interviews : We may use AI tools to audio-record and transcribe interviews for note-taking purposes. These are used only by our hiring team and do not make decisions on their own. Let us know if you prefer an alternative.
MCG is a leading healthcare organization dedicated to patient-focused care. We value our employees’ unique differences and are an Equal Employment Opportunity (EEO) employer. Our diverse workforce helps us achieve our goal of providing the right care to everyone. We welcome all qualified applicants without regard to race, religion, nationality, gender, sexual orientation, gender identity, age, marital status, veteran status, disability, pregnancy, parental status, genetic information, or political affiliation. We are committed to improving equity in healthcare and believe that a diverse workplace fosters curiosity, innovation, and business success. We are happy to provideaccommodationsfor individuals. Please let us know if you require any support.
