About Us
Ennoble Care is a mobile primary care, palliative care, and hospice service provider with patients in New York, New Jersey, Maryland, DC, Virginia, Oklahoma, Kansas, Pennsylvania, Texas, Florida, and Georgia. Ennoble Care’s clinicians go to the home of the patient, providing continuum of care for those with chronic conditions and limited mobility. Ennoble Care offers a variety of programs including, remote patient monitoring, behavioral health management, and chronic care management, to ensure that our patients receive the highest quality of care by a team they know and trust. We seek individuals who are driven to make a difference and embody our motto, “To Care is an Honor.” Join Ennoble Care today!
About the Role:
We build and run the software that our clinicians, coordinators, and back-office teams use every day in a rapidly growing organization that is dominating its marketplace. The system is primarily a .NET web platform with a SQL Server back-end and Kendo front-end, along with a legacy WPF client we're migrating away from.
We're looking for an engineer who has internalized AI-assisted development (e.g., Claude Code, Cursor, or equivalent) and uses it to ship great software at pace. More than “I've tried Copilot", we’re looking for someone who can execute against multiple DevOps tickets at once, guide the AI coder towards the best design, and spot bad output before it becomes a bug or performance-slayer in production.
Equally important is an ability to work with a business owner who may only half-know what they want. You’ll need to come to understand our business quickly, be able to ask the right questions, and help improve the initial DevOps ticket into something that is ready to feed to the AI to code. You excel when you can deliver the thing that the business owner actually needed, not just a rote implementation of the first idea they had.
What you'll do
- Work directly with business owners and clinical operations leads to understand a problem, push back where their original DevOps ticket is fuzzy or self-contradictory, and help improve the ticket that makes the work buildable.
- Build features across the stack: C# / .NET, SQL Server (stored procs, schema changes, query tuning), Kendo/Telerik UI, JavaScript.
- Use AI coding tools as your primary leverage — running several small tasks in parallel, or a large feature with satellite work cooking alongside it.
- Review AI output with real skepticism: catch the invented column name, the reinvented helper, the plausible-looking method that quietly breaks an invariant three processes away.
- Test relentlessly. Unit tests, integration tests, and hands-on-the-app testing of your own work and your teammates' work before it reaches users.
- Occasional WPF work — bug fixes in the legacy client and migrating functionality out of it into the web platform.
- Own your changes through deployment and into production support.
What we're looking for
Required
- 1 year of relevant experience
- C# / .NET and SQL Server experience — enough that you can read a query plan, design a schema, and tell when generated SQL is wrong rather than merely ugly.
- Demonstrated fluency with an agentic AI coding tool (Claude Code, Cursor, Codex, or similar) in real production work. Be ready to talk specifics: how you scope prompts, how you verify output, where these tools fail you.
- The engineering judgment to know when the AI is confidently wrong. This is the single most important thing on this list.
- Excellent requirements skills — comfortable in the room with non-technical stakeholders, good at surfacing the unstated assumption before it becomes rework.
- A testing instinct that borders on adversarial. You look for the edge case, the null, the concurrent user, the bad data already sitting in the table.
- Comfort in a fast-paced environment with shifting priorities and short feedback loops.
Nice to have
- Kendo / Telerik UI for ASP.NET.
- WPF or another desktop XAML stack.
- Healthcare, EMR/EHR, or other regulated-domain experience.
- Azure (Functions, Service Bus / RabbitMQ-style messaging, App Service).
- Experience working with LLM-backed features in a product, not just as a dev tool.
How we work — read this part carefully
We move fast and we finish things. That means:
- Rework is part of the job. Sometimes the business owner sees it and realizes it's not right. We redo it without drama.
- There are occasional long days and occasional weekends. Not as a lifestyle, but they happen — around releases, production issues, and hard deadlines. If that's a dealbreaker, we'd rather know now, and there's no hard feelings.
- You'll test other people's code. Quality is a team output, not an individual one.
- You'll be trusted with a lot. Small team, direct access to decisionmakers, very little ceremony between you and shipping.
- The people who thrive here love building software — the craft of it, not just the paycheck — and would rather own an outcome than a ticket queue.
Salary Range: $120,000- $140,000 + 10% Bonus Target
Location: Fully remote
Travel: Up to 10% annual domestic travel
Full-time employees qualify for the following benefits:
- Medical, Dental, Vision and supplementary benefits such as Life Insurance, Short Term and Long Term Disability, Flexible Spending Accounts for Medical and Dependent Care, Accident, Critical Illness, and Hospital Indemnity.
- Paid Time Off
- Paid Office Holidays
All employees qualify for these benefits:
- Paid Sick Time
- 401(k) with up to 3% company match
- Referral Program
- Payactiv: pay-on-demand. Cash out earned money when and where you need it!
Candidates must disclose any current or future need for employment-based immigration sponsorship (including, but not limited to, OPT, STEM OPT, or visa sponsorship) before an offer of employment is extended.
Ennoble Care is an Equal Opportunity Employer, committed to hiring the best team possible, and does not discriminate against protected characteristics including but not limited to - race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.
Skills Required
- 1 year of relevant experience
- Experience with C# and .NET
- Experience with SQL Server, including query plans, schema design, and identifying incorrect generated SQL
- Demonstrated production fluency with an agentic AI coding tool such as Claude Code, Cursor, Codex, or similar
- Strong engineering judgment to identify incorrect AI-generated code
- Excellent requirements-gathering and stakeholder communication skills
- Strong software testing skills, including attention to edge cases, nulls, concurrency, and existing data quality
- Comfort working in a fast-paced environment with shifting priorities and short feedback loops
- Experience with Kendo or Telerik UI for ASP.NET
- Experience with WPF or another desktop XAML stack
- Healthcare, EMR/EHR, or other regulated-domain experience
- Experience with Azure Functions, Service Bus, RabbitMQ-style messaging, or App Service
- Experience building LLM-backed product features
What We Do
Ennoble Care is a community-focused provider of in‑home primary care, palliative care, and hospice services that helps seniors age in place. The clinician-led organization delivers mobile primary care, remote patient monitoring, bereavement support and hospice services across multiple U.S. states, emphasizing compassionate, comprehensive and responsive care delivered in patients’ homes and senior living communities.
