Full-Time

Senior Software Development Engineer

MCG Health

MCG Health

501-1,000 employees

Unbiased clinical guidance and AI solutions

Compensation Overview

$136k - $190.4k/yr

+ Bonus Eligible

Seattle, WA, USA

Hybrid

Hybrid work arrangement; Seattle-based talent preferred.

Category
Software Engineering (1)
Required Skills
Claude
Microsoft Azure
SQL
Infrastructure as Code (IaC)
.NET
Microservices
C#
REST APIs
DevOps
Requirements
  • 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
Responsibilities
  • 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
  • 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
  • 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
  • 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
  • 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
Desired 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

MCG Health provides unbiased clinical guidance and technology solutions to healthcare organizations to support patient-centered care decisions. Its offerings combine artificial intelligence and software with objective clinical expertise so providers can prioritize and simplify workflows, guided by evidence-based recommendations. Clients license MCG solutions and receive strong customer service to maximize value while aiming for better financial and clinical outcomes. As part of the Hearst Health network, MCG differentiates itself through its commitment to objective, clinically grounded guidance, a focus on usability, and a partnership approach that supports licensing and implementation. The goal is to help healthcare systems make reliable, patient-centered decisions that improve both care quality and cost efficiency.

Company Size

501-1,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Seattle, Washington

Founded

1988

Simplify Jobs

Simplify's Take

What believers are saying

  • Stormont Vail Health boosts revenue cycle using MCG Indicia Synapse NLP.
  • Sharp HealthCare slashes case reviews by 80%, saving $6.95 million.
  • 85% of organizations adopt gen AI, with 64% positive ROI per surveys.

What critics are saying

  • Wolters Kluwer automates value sets, undercuts MCG pricing in 6-12 months.
  • Nabla and Suki embed UM in EHRs, bypass MCG tools in 12-18 months.
  • Milliman 2026 AI guidelines steal hospital share in 12 months.

What makes MCG Health unique

  • MCG releases 30th edition guidelines with AI-enhanced content for gene therapy.
  • MCG CareWebQI Synapse cuts medical necessity reviews by 70-80% using AI.
  • MCG Path integrates FHIR APIs for CMS prior authorization compliance.

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Your Connections

People at MCG Health who can refer or advise you

Benefits

Remote Work Options

Hybrid Work Options

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Health Savings Account/Flexible Spending Account

Paid Vacation

Paid Holidays

Parental Leave

Pet Insurance

Company News

The Outlook Online
Apr 7th, 2026
MCG and Loma Linda University Health to highlight ai-driven advances in utilization and Case Management at ACMA 2026.

MCG and Loma Linda University Health to highlight ai-driven advances in utilization and Case Management at ACMA 2026. PR Newswire Today at 6:31am PDT Experts will highlight how artificial intelligence and clinical guidelines deliver actionable insights into admission decisions and discharge readiness for UM and complex case management SEATTLE, April 7, 2026 /PRNewswire/ - MCG Health, part of the Hearst Health network and the industry's source of truth for trusted clinical guidance, announces that its Director of Product Management, Provider & Population Health Solutions, Marivie Lanter, MBA, RN, BSN, will join leaders from Loma Linda University Health to present at the ACMA 2026 National Conference. The ACMA conference will take place April 20-23, 2026, in Orlando, Florida, bringing together case management and transitions of care professionals (including nurses, social workers, physicians, and health plan leaders). The annual event offers opportunities to network, exchange ideas, and explore the latest innovations and best practices to improve patient outcomes while supporting professional growth. Ms. Lanter will moderate the session, "Beyond Burnout: Evidence-Based Automation Enhances Efficiency from Admission to Discharge," alongside Loma Linda University Health's Chelcee Howard, MSHSA, Director of Operational Excellence; Deborah Johnson, DNP, RN, Director of Case Management; and Shelly Vincent, BSN, RN, ACM-RN, Utilization Review Manager. The session will take place on Monday, April 20, 2026, from 4:00-5:00 p.m. ET. Speakers will discuss how AI, automation, and evidence-based care guidelines can efficiently support utilization management decision-making across the full patient stay by helping clinicians quickly access patient information, interpret clinical data, and streamline manual tasks while keeping a human in the loop. Loma Linda University Health will share its experience using these tools to improve efficiency from admission through discharge while supporting safe, consistent, and appropriate patient care. "Healthcare teams need practical tools that reduce administrative complexity without compromising clinical integrity," said Ms. Lanter. "This session will show how evidence-based automation and AI can help organizations improve efficiency in care management while keeping clinicians in the loop for critical decision-making." About MCG Health MCG, part of the Hearst Health network, is the trusted source of truth for clinical guidance in the healthcare industry. MCG combines evidence-based guidelines and analytics with artificial intelligence to guide efficient and accurate clinical decisions. MCG solutions are licensed by a vast majority of health plans, thousands of hospitals, and many state and federal government agencies to drive quality health outcomes while controlling costs. For more information, visit www.mcg.com. About Hearst Health The mission of Hearst Health is to guide healthcare organizations by delivering essential intelligence and software that improve the quality, safety and efficiency of care. Hearst Health has been innovating with care for more than 40 years, with a commitment to making a lasting positive impact on health. The Hearst Health companies - FDB, Homecare Homebase, MCG, MHK, QGenda, and Zynx Health - elevate care by informing and empowering participants across the health journey. To learn more, visit www.hearst.com/hearst-health and follow @Hearst Health on LinkedIn. SOURCE MCG Health This is a paid placement. For further inquiries, please contact PR Newswire directly.

PR Newswire
Mar 3rd, 2026
MCG Health releases 30th edition of care guidelines with AI-enhanced content for utilisation review

MCG Health has released the 30th edition of its care guidelines, introducing extensive updates across cardiovascular surgery, gene therapy and orthopedic procedures. The company has enhanced its guideline content with structured intelligence to enable accurate AI reasoning over its clinical guidance. The edition includes new guidelines for transcatheter mitral valve repair, gene and cellular therapies, specialty medications, orthopedic procedures and behavioral health. It also adds content aligned with CMS's TEAM bundled payment model, effective 1 January 2026. MCG has introduced MCG CareWebQI Synapse, which uses an AI reasoning engine to automatically extract clinical information and match it to evidence-based indications, reducing medical necessity review time by an estimated 70-80%. The company's solutions are used by a majority of payers, over 3,200 hospitals and many government agencies.

PR Newswire
Sep 4th, 2025
Smile Digital Health Partners with MCG to Advance HL7(R) FHIR(R)-Based Prior Authorization Modernization

Smile Digital Health partners with MCG to advance HL7(R) fhir(r)-based Prior Authorization modernization.

MobiHealthNews
Sep 3rd, 2025
MCG, Avo team up to reduce hospital length of stay

MCG Health, part of the Hearst Health network, and Avo, an artificial intelligence platform that focuses on operational outcomes for healthcare organizations, have announced the launch of a new AI assistant that aims to reduce hospital length of stay.

Hydrocarbon Processing
Jul 18th, 2025
Mitsubishi Chemical Group invests in Licella Holdings, oil conversion technology using supercritical water

With this investment, the MCG Group will deepen its collaboration with Licella, aiming for the social implementation of oil conversion technology using waste plastics and biomass as feedstock and expansion of the business.