Truveta
Truveta is the world’s first health provider led data platform with a vision of Saving Lives with Data. Our mission is to enable researchers to find cures faster, empower every clinician to be an expert, and help families make the most informed decisions about their care. Achieving Truveta’ s ambitious vision requires an incredible team of talented and inspired people with a special combination of health, software and big data experience who share our company values . This position is based out of India (Hyderabad). Who We Need Truveta is rapidly building a talented and diverse engineering team to solve complex healthcare and technology challenges. We are seeking a Senior Software Engineer with deep backend services engineering experience and a proven track record of building reliable, scalable, cloud-native systems. This role is ideal for an experienced engineer who can design and deliver backend APIs, distributed services, data-driven applications, and platform capabilities using Microsoft Azure and .NET technologies. You will work closely with product managers, architects, security teams, and other engineers to build services that power Truveta’s healthcare data platform. As a senior engineer, you will also help shape technical direction, drive engineering best practices, mentor other engineers, and contribute to the long-term reliability, scalability, and maintainability of Truveta’s services. This Opportunity Join the founding team of the Truveta India Development Center (IDC) and play a pivotal role in shaping its future. As one of the initial members, you'll help build and scale a high-impact organization while contributing to products and platforms that advance healthcare through data and AI. This is a unique opportunity to influence both the technical direction and the culture of a growing global engineering hub. Patients, doctors, and medical researchers deserve the same cutting-edge technological innovations that have transformed other industries. We are looking for passionate senior software engineers who are excited to apply their backend engineering expertise to help revolutionize healthcare. In this role, you will design, develop, test, deploy, and operate cloud-native backend services that support Truveta’s platform. You will build APIs, service integrations, data processing capabilities, and scalable application components using Azure, .NET, and modern engineering practices. This opportunity requires strong software engineering fundamentals, technical leadership, creative problem solving, and the ability to build high-quality services that are secure, observable, reliable, and maintainable at scale. What You’ll Do Lead the design, development, testing, and maintenance of backend services using C#, .NET, and modern cloud-native architectures. Design and build RESTful APIs, service integrations, background workers, and data processing components. Develop and operate services that run on Microsoft Azure. Partner with product managers, architects, security teams, and other engineers to define and deliver reliable platform capabilities. Make sound technical decisions that balance scalability, performance, security, reliability, and delivery speed. Write clean, maintainable, well-tested code and set a high bar for engineering quality. Participate in and lead design reviews, code reviews, debugging, and production issue resolution. Build secure services that follow engineering best practices for authentication, authorization, data protection, and compliance. Improve observability through structured logging, metrics, tracing, alerting, and operational dashboards. Drive service reliability, performance improvements, and operational readiness. Mentor engineers, provide technical guidance, and help improve team practices. Learn and apply domain knowledge related to healthcare data, distributed systems, and large-scale cloud platforms. Key Qualifications Bachelor’s degree in Computer Science, Software Engineering, a related technical field, or equivalent practical experience. 5+ years of professional software engineering experience, with significant experience developing backend services, APIs, or cloud-based applications. Strong hands-on programming experience with C# and .NET/.NET Core. Proven experience designing and building REST APIs, microservices, or distributed backend systems. Experience building and operating cloud-native services on Microsoft Azure. Experience working with relational or NoSQL databases. Strong understanding of software engineering practices including unit testing, code reviews, debugging, source control, CI/CD, and production service ownership. Solid understanding of security concepts such as authentication, authorization, secrets management, secure API design, and data protection. Experience troubleshooting complex issues across services, infrastructure, data stores, and distributed systems. Ability to lead technical discussions, influence design decisions, and mentor other engineers. Strong problem-solving skills and ability to deliver high-quality software in a fast-moving engineering environment. Effective communication and collaboration skills. Preferred Qualifications Hands-on experience with Azure services. Experience building scalable services using ASP.NET Core, Web API, or similar frameworks. Experience with distributed systems, event-driven architectures, queues, messaging, or data pipelines. Experience with large-scale data processing frameworks such as Apache Spark. Familiarity with Docker, Kubernetes, or containerized application deployment. Experience with observability tools and practices, including logging, metrics, tracing, alerting, and service health monitoring. Experience improving service reliability, performance, scalability, and operational excellence. Experience working with healthcare, data platforms, analytics platforms, or regulated environments. Interest in building reliable software that improves healthcare outcomes and helps save lives with data.