# Full-Stack Software Developer (.NET)

> Jacobian · Pittsburgh, United States · Full-time · Posted 2026-03-12

**Workplace:** on_site

**Department:** Engineering

## Description

Join our engineering team and help modernize a globally used medical imaging platform. In this role, you’ll work across the full stack on a revenue-critical product that combines modern web technologies with legacy systems, including backend services and a .NET desktop client.

You’ll contribute to both ongoing product development and modernization initiatives, supporting the transition to more scalable, cloud-ready architectures while ensuring stability for existing customers.

**What you’ll do**

-   Build and maintain full-stack features in a complex medical software environment
-   Modernize existing ASP.NET services through refactoring and re-architecture
-   Develop backend services, APIs, and data access layers
-   Work with relational databases and SQL to ensure performance and reliability
-   Support a .NET WinForms desktop client
-   Collaborate on frontend components across legacy Angular and newer React-based applications
-   Contribute to hybrid deployment environments, including on-premise and AWS
-   Participate in code reviews, technical discussions, and cross-functional collaboration
-   Help ensure solutions meet security, performance, and regulatory standards

## Requirements

**What you bring**

-   3+ years of software development experience
-   Strong full-stack development skills
-   Experience with ASP.NET and backend service development
-   Solid SQL and relational database knowledge
-   Familiarity with ORM frameworks such as Entity Framework
-   Understanding of software engineering best practices and maintainable code
-   Collaborative mindset and ability to work in cross-functional teams

**Nice to have**

-   Experience modernizing large, long-lived applications
-   Exposure to desktop development, ideally WinForms
-   Familiarity with Angular and/or React
-   Experience with AWS or hybrid cloud environments
-   Background in healthcare, medical imaging, or other regulated industries (e.g. Finance)
-   Experience working in Agile environments

## Benefits

-   Join a fast-growing healthcare technology company shaping the future of AI in radiology
-   Work on meaningful products that improve radiology workflows and support better patient care worldwide
-   Be part of a mission-driven team that values trust, quality, collaboration, and innovation
-   Enjoy flexible working hours and up to 80% remote work within the U.S.
-   Receive competitive compensation and a comprehensive benefits package, including health insurance, a 401(k), and additional well-being perks

## Apply

[Apply at Jacobian](https://apply.workable.com/jacobian/j/5E8874B154/apply)

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