Backend Software Engineer

Strategic Healthcare Programs (SHP) is a leader in analytics and performance management solutions for the post-acute healthcare market. Since 1996, we have helped more than 10,000 organizations nationwide, including home health agencies, hospices, and skilled nursing facilities, and turn clinical and operational data into real-time intelligence that improves patient outcomes. We are a SaaS company headquartered in Santa Barbara, CA, and a subsidiary of Roper Technologies (NYSE: ROP).

We are not just building software. We are building tools that help caregivers deliver better care to patients when it matters most. If that mission resonates with you, keep reading.

We are seeking a talented individual to join our company as a Backend Software Engineer. As part of our Software team, you will develop and operationalize software applications that drive healthcare decisions for Home Health, Hospice, and Skilled Nursing providers.

This is a remote or hybrid position within the United States. Employees living within 75 miles of the Santa Barbara office are required to work in-person in the office every Wednesday.

About the Role

We're looking for a Backend Software Engineer to join the engineering team behind our healthcare analytics platform — data ingestion and retrieval, measure computation, regulatory compliance workflows, data processing pipelines, and APIs.

This role goes beyond writing code from a spec. You'll be part of our shift to an AI-driven development lifecycle — using frontier models and the latest tooling to change how we build software, from architecture through implementation.

What You'll Do

• Design, implement, and maintain backend services, business logic, and data access layers in .NET and SQL Server
• Implement data processing logic and derived metrics
• Develop and optimize SQL queries and define OLTP structures
• Build and maintain data ingestion pipelines and API services
• Apply spec-driven development by contr