Senior Lead Software Engineer

Job Description:

About Streamline:

Streamline’s mission is to build innovative technological solutions that empower people who improve behavioral health and quality of life of those in need. We are a high growth technology company that delivers web-based software for healthcare organizations to provide and coordinate all service delivery processes. Streamline has been offering software in the behavioral health marketplace since 2003. Streamline has built and maintains systems for some of the premier behavioral health organizations in United States of America, using the latest web-based technology.

Key Responsibilities

• Design, develop, and maintain full-stack web applications using .NET, C#, ASP.NET Web Forms, jQuery, and MS SQL Server.
• Lead technical design discussions, evaluate implementation options, and help the team make practical architecture decisions that balance reliability, maintainability, performance, and delivery timelines.
• Develop and optimize database objects, queries, stored procedures, and performance using MS SQL Server tools such as SQL Profiler and Execution Plans.
• Translate business requirements and workflow needs into technical design, implementation, and maintainable application changes.
• Prepare and maintain technical design documents, low-level design specifications, implementation notes, and supporting documentation for complex features and system changes.
• Troubleshoot production issues, perform root cause analysis, and implement fixes that improve reliability, performance, and user experience.
• Identify technical debt, recommend practical improvements, and contribute to scalable, secure, and maintainable software delivery.
• Promote engineering best practices through code reviews, technical documentation, testing discipline, secure development practices, and mentoring team members through complex design and implementation decisions.

Required Skills and Experience

• 8+ years of hands-on software development experience, preferably in enterprise or healthcare software applications, with experience leading complex technical work or guiding other engineers.
• Proven ability to own complex features or technical initiatives from analysis and design through development, testing, release support, and post-release issue resolution.
• ASP.NET Web Forms: Strong experience developing and maintaining web-based applications.
• .NET and C#: Strong hands-on experience building reliable, scalable application components and business logic.
• MS SQL Server: Strong skills in database design, stored procedures, query optimization, troubleshooting, execution-plan analysis, and performance tuning for enterprise application workloads.
• jQuery: Proficiency in client-side scripting, UI behavior, and integration with server-side application functionality.
• SSRS (SQL Server Reporting Services): Experience in developing and maintaining reports.
• Excellent communication and collaboration skills, with the ability to work cross-functionally with product management and other teams.
• Software engineering best practices: Strong understanding of agile delivery, CI/CD concepts, code quality, peer review, unit testing, secure development practices, and maintainable design patterns.

Preferred Qualifications

• Experience with Azure DevOps or cloud-based development and deployment workflows is a plus.
• Knowledge of GitHub Copilot or similar AI-assisted development tools is a plus.
• Experience in healthcare, behavioral health, EHR, compliance, or reporting applications is a plus.

Streamline Healthcare Solutions is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin, or any other characteristic protected under federal, state, or applicable local law.