Essential Duties & Responsibilities
Take a technical leadership role in building and scaling national-scale healthcare data exchange systems
Deliver extremely reliable, scalable, and observable software capable of supporting massive transaction volumes
Lead architecture and implementation of highly scalable, API-driven systems powering healthcare data exchange at scale
Provide practical, balanced technical guidance—considering both engineering best practices and business priorities
Guide design decisions on fault tolerance, throughput optimization, and system resilience
Contribute to CI/CD pipeline improvements to maintain quality while accelerating delivery
Collaborate with product and implementation teams to shape technical execution
Document technical designs, workflows, and release notes for cross-team and customer consumption
Participate in and lead design and code reviews
Mentor engineers through pairing, design discussions, and pull request feedback
Qualifications
10+ years of software engineering experience, with a focus on building large-scale, high-throughput distributed systems
Have a balanced, pragmatic approach—able to apply the right level of engineering rigor to meet business needs
Experience designing and scaling API-driven systems with extreme reliability and throughput requirements
Experience with event-driven, queue-backed, and asynchronous processing architectures
Skilled in observability practices including distributed tracing, metrics, and log aggregation
Strong background in Microsoft SQL Server and experience optimizing relational data access
Familiar with other database technologies (NoSQL, distributed databases)
Deep experience with the .NET ecosystem, with exposure to other technical stacks as a plus
Familiar with containerization, cloud-native architectures, and Kubernetes deployment patterns
Strong architectural skills with a focus on reliability, scalability, and performance
Proven ability to lead architecture across multiple systems and teams
Experience writing and optimizing parallel and asynchronous code
Strong knowledge of IHE profiles, FHIR, and other healthcare data exchange standards is a significant plus
Front-end development experience with modern JavaScript/TypeScript frameworks is a plus but not required
Bachelor’s degree or equivalent experience in a technical field
Benefits
ELLKAY offers a comprehensive and competitive benefit package that starts day one!
Including
Medical, Dental, and Vision benefits
Employer-paid Life and LTD
401k w/ matching – once eligibility is met
Work/life balance
Paid Volunteer Program
Flexible working hours
Generous FTO
Remote work options
Employee Discounts
Parental Leave
Gym membership / Exercise class stipends
Our awesome culture includes
Working with talented, collaborative, and friendly people who love what they do
Professional growth within
Innovation environment
On site in HQ Free daily lunches
Awards
2025 Top Workplaces Employee Appreciation
2025 Top Workplaces Employee Well-Being
2025 Top Workplaces Professional Development
2025 Top Workplaces Leadership
2026 USA Today Top Workplaces
2026 NJ Top Workplaces
Additional information
At ELLKAY, we are committed to operating as a hybrid workplace, offering employees flexibility in how they structure their time between in-office and remote work. We recognize the significance of fostering connections, collaboration, and creativity within our office culture and its positive impact on our business. Our philosophy of operating as a hybrid workplace underscores our dedication to enabling employees to tailor work-life balance to their individual preferences. For those who do not live within 40 miles of one of our offices, we are open to considering remote work for candidates whose skills and experience strongly align with the role. While we prioritize a hybrid work environment for most roles, we understand the importance of flexibility and are open to remote work for specific positions and specialized skill sets.
For more information on our company, visit www.ELLKAY.com.
ELLKAY LLC is a Smoke-Free Workplace.
ELLKAY, LLC provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Compensation Range: $165,000-$195,000
