This position is not available for visa sponsorship or relocation assistance
We are seeking a Senior Software Engineer to play a key role in designing, building, and delivering high-quality solutions within our Gehrimed platform. This individual will bring strong technical expertise in .NET, C#, and SQL, along with the ability to lead initiatives, mentor others, and contribute to the success of complex, enterprise-level projects.
This is a highly collaborative role where you’ll work across teams, influence technical direction, and help shape scalable solutions that support critical clinical and financial workflows.
Gehrimed is a leading electronic health record (EHR) platform purpose‑built for post‑acute and long‑term care providers. We support clinicians and care teams with tools for clinical documentation, quality reporting, interoperability, and regulatory compliance—helping them deliver better care to complex, high‑acuity populations. As part of Netsmart, Gehrimed operates at meaningful scale while still tackling deep, interesting technical challenges across web, mobile, integrations, and healthcare data. Engineers on Gehrimed work on software that directly impacts patient care, provider workflows, and real‑world healthcare outcomes.
What You’ll Do- Drive and contribute to the full software development lifecycle across large, complex initiatives
- Design, build, and deliver scalable, high-quality software solutions with a high degree of independence
- Lead technical design discussions and influence architecture decisions
- Partner with cross-functional teams to translate business requirements into effective technical solutions
- Troubleshoot and resolve complex issues, ensuring system performance and reliability
- Collaborate with and help guide onshore and offshore teams, ensuring alignment and delivery consistency
- Provide technical leadership, mentorship, and coaching to junior and mid-level engineers
- Contribute to Agile ceremonies, project planning, and delivery execution using structured methodologies
- Establish and track metrics, risks, and mitigation plans, and communicate progress to stakeholders
- Participate in a rotational on-call schedule to support production systems as needed
- Bachelor’s degree in Computer Science, Software Engineering, or related field (or equivalent experience)
- Strong hands-on experience with .NET, C#, and SQL in an enterprise environment
- Proven experience delivering solutions across the full software development lifecycle using Agile methodologies
- Demonstrated ability to design and build complex systems with scalability and maintainability in mind
- Experience mentoring or leading other engineers in a team environment
- Strong problem-solving skills with the ability to work through ambiguity
- Excellent communication skills with the ability to collaborate across technical and non-technical stakeholders
- Ability to plan, prioritize, and deliver high-quality work within defined timelines
- Experience within healthcare, health and human services, or post-acute environments
- Familiarity with Netsmart EHR solutions, including Gehrimed
- Experience working in distributed team environments (onshore/offshore collaboration)
Netsmart is proud to be an equal opportunity workplace and is an affirmative action employer, providing equal employment and advancement opportunities to all individuals. We celebrate diversity and are committed to creating an inclusive environment for all associates. All employment decisions at Netsmart, including but not limited to recruiting, hiring, promotion and transfer, are based on performance, qualifications, abilities, education and experience. Netsmart does not discriminate in employment opportunities or practices based on race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, age, physical or mental disability, past or present military service, or any other status protected by the laws or regulations in the locations where we operate.
Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart’s sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart’s third party screening provider.
If you are located in a state which grants you the right to receive information on salary range, pay scale, description of benefits or other compensation for this position, please use this form to request details which you may be legally entitled.
All applicants for employment must be legally authorized to work in the United States. Netsmart does not provide work visa sponsorship for this position.
Netsmart's Job Applicant Privacy Notice may be found here.
Skills Required
- Bachelor's degree in Computer Science or related field
- Strong hands-on experience with .NET, C#, and SQL
- Proven experience delivering solutions using Agile methodologies
- Demonstrated ability to design and build complex systems
- Experience mentoring or leading other engineers
- Strong problem-solving skills
- Excellent communication skills
- Ability to plan, prioritize, and deliver high-quality work
- Experience within healthcare environments
- Familiarity with Netsmart EHR solutions
- Experience working in distributed team environments
NetSmart Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about NetSmart and has not been reviewed or approved by NetSmart.
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Wellbeing & Lifestyle Benefits — Offerings include a designated mental wellness day, paid volunteer time, telehealth, wellness events, and free 1:1 sessions with counselors and coaches. These wellbeing resources are positioned as stronger than many employers.
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Healthcare Strength — Medical, dental, and vision coverage are paired with short- and long‑term disability and telehealth. The breadth of core health coverage aligns with a comprehensive package.
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Leave & Time Off Breadth — PTO, paid holidays, paid volunteer time, and a designated mental wellness day are part of the offering, with some materials referencing flexible or unlimited PTO. This variety provides multiple avenues for time away.
NetSmart Insights
What We Do
Netsmart designs, builds and delivers electronic health records (EHRs), solutions and services that are powerful, intuitive and easy-to-use. Our platform provides accurate, up-to-date information that is easily accessible to care team members in behavioral health, care at home, senior living and social services. We make the complex simple and personalized so our clients can concentrate on what they do best: provide services and treatment that support whole-person care. By leveraging the powerful Netsmart network, care providers can seamlessly and securely integrate information across communities, collaborate on the most effective treatments and improve outcomes for those in their care. Our streamlined systems and personalized workflows put relevant information at the fingertips of users when and where they need it. For 50 years, Netsmart has been committed to providing a common platform to integrate care. SIMPLE. PERSONAL. POWERFUL. Our more than 2,200 associates work hand-in-hand with our 600,000+ users in more than 25,000 organizations across the U.S. to develop and deploy technology that automates and coordinates everything from clinical to financial to administrative.
