Senior Back-End Engineer (6-Month Contract)

7+ years professional experience in back-end engineering in HIPAA applications Deep expertise in C# and .NET 8+ Strong experience with Azure cloud services Proven experience designing and implementing microservices Experience with distributed or event-driven architectures Solid understanding of relational database design Strong understanding of application security and modern API best practices Ability to self-organize and take ownership in ambiguous environments High-scale or real-time system architecture Extensive Healthcare experience (HIPAA/HITRUST, FHIR, HL7, labs, PHI workflows) building new applications (Bonus) Wearable integrations, device data ingestion, or sensor data APIs (Bonus) Data lakes, analytics pipelines, or ML integration patterns (Bonus) Experience deploying services in highly regulated environments (Bonus)

Build modern, cloud-native backend services using .NET 10 and C# Design and develop robust APIs, microservices, and domain-driven components Implement event-driven and distributed systems Optimize services for performance, reliability, scalability, and fault tolerance Implement services using Azure Functions, API Management, Service Bus/Event Grid, Cosmos DB, SQL, Key Vault, and distributed caching Contribute to designing secure, multi-tenant architectures Improve end-to-end monitoring, telemetry, and observability Implement secure-by-default patterns suitable for HIPAA/HITRUST workloads Work with PHI/PII data handling standards, encryption, auditing, and compliance Partner with the compliance team to ensure systems support audit-readiness Build scalable data pipelines and workflows Integrate with labs, diagnostic systems, wearables, EHRs (FHIR/HL7), and third-party health APIs Contribute to structuring Youtopia’s long-term health data platform and data lake Work closely with Front-End, Platform, DevOps, Compliance, and Product teams Participate in architecture reviews and drive engineering best practices Ship high-quality code quickly in a fast-moving, mission-driven environment