We are looking for a hands-on Technical Lead and experienced .NET engineer to help lead the development of a newly formed Adherence Engineering Team. This team will design and build technology solutions that help medical practices improve patient vaccination adherence through targeted outreach and automation.
Early pilot programs have already demonstrated strong results, showing over a 10% increase in vaccination rates when practices leverage patient outreach tools. This team will play a key role in scaling and operationalizing those capabilities to support our growing network of practices and improve patient health outcomes.
This role is ideal for a technical leader who enjoys building high-quality software, mentoring engineers, and shaping scalable platform architecture.
Provide technical leadership for a new engineering team focused on adherence and patient engagement solutions.
Help build a collaborative engineering culture grounded in trust, craftsmanship, and delivery excellence.
Design and develop scalable, high-performance software architectures.
Guide the team in building maintainable, well-tested code with strong automation practices.
Partner with product and business teams to define and evolve the future of vaccine adherence solutions.
Lead development efforts from architecture and design through production deployment and support.
Mentor and develop engineers, helping grow technical skills across the team.
3+ years of experience in a technical lead or team lead role
5+ years developing enterprise applications using .NET
Strong expertise in C#, .NET, and SQL Server
Experience building service-based and distributed applications
ASP.NET / ASP.NET Core
Single Page Applications (Angular, React, or similar frameworks)
Message brokers or service buses (RabbitMQ, Azure Service Bus, etc.)
Dependency Injection / Inversion of Control (IoC)
Task scheduling frameworks (Quartz.NET or similar)
Third-party API integrations
Automated testing frameworks (MsTest, NUnit, xUnit)
Long-running workflows that balance performance and reliability
Strong analytical and problem-solving abilities
Curiosity to understand business challenges and translate them into effective technical solutions
Passion for continuously improving software quality and architecture
Ownership mindset — comfortable leading solutions from design through production
Enthusiasm for mentoring and developing junior engineers
Vaco by Highspring values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.
Vaco by Highspring is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.
Vaco by Highspring and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .
Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal.
By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.
Vaco by Highspring and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco by Highspring”) respects your privacy and are committed to providing transparent notice of our policies.
Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to:
With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.