Senior Software Engineer
About the role
TSV is partnering with a high growth Healthcare Technology company in the Prior Authorization,(PA) space to hire a Senior Full Stack Engineer.
This role requires expertise in Kendo UI, JavaScript, Azure SQL, Azure Cloud, and stored procedures, with a strong preference for candidates who have worked in Healthcare Tech or PBM domains. You will be responsible for diagnosing complex issues, writing efficient queries to resolve database-layer problems, managing cache strategies, and improving application performance. The ideal candidate will be able to set the technical standards for the company, is seasoned with Product, and who can and is willing to take over features.
Responsibilities:
Identify, investigate, and resolve software issues across front-end (Kendo UI, JavaScript) and database-layer (stored procedures, query optimization) components.
Conduct root cause analysis, writing advanced SQL queries to troubleshoot data inconsistencies, performance bottlenecks, and application slowdowns.
Optimize database stored procedures and cache mechanisms to enhance execution speed and system efficiency.
Monitor, debug, and maintain applications running in Azure Cloud, ensuring reliability and scalability.
Develop query performance tuning strategies, including indexing and partitioning optimization.
Implement and manage cache-clearing strategies to prevent stale data and optimize system responsiveness.
Collaborate with developers, data engineers, and QA teams to maintain a stable and responsive system.
Conduct thorough code reviews, recommending improvements to enhance efficiency and prevent future issues.
Work in a fast-paced startup environment, adapting to evolving business needs and infrastructure changes.
Requirements:
10+ years of hands-on full stack experience with design, troubleshooting, debugging, database optimization, and cache management in the Health Tech or PBM domain.
Expertise in Kendo UI, JavaScript, Azure Cloud, and stored procedures.
Strong ability to write complex SQL queries for problem-solving at the database layer.
Ability to develop systems and patterns to measure both their own work and the work of the team.
Strong analytical skills to diagnose and resolve performance-related issues.
Ability to work independently and collaboratively in a high-growth startup setting.
Excellent problem-solving abilities and a detail-oriented mindset.
Bachelor’s degree in computer science, related field, or equivalent experience.
Responsibilities
- Identify, investigate, and resolve software issues across front-end and database-layer components.
- Conduct root cause analysis, writing advanced SQL queries to troubleshoot data inconsistencies.
- Optimize database stored procedures and cache mechanisms to enhance execution speed.
- Monitor, debug, and maintain applications running in Azure Cloud.
- Develop query performance tuning strategies, including indexing and partitioning optimization.
- Implement and manage cache-clearing strategies to optimize system responsiveness.
- Collaborate with developers, data engineers, and QA teams to maintain a stable system.
- Conduct thorough code reviews, recommending improvements to enhance efficiency.
Qualifications
- 10+ years of hands-on full stack experience in Health Tech or PBM domain.
- Expertise in Kendo UI, JavaScript, Azure Cloud, and stored procedures.
- Strong ability to write complex SQL queries for problem-solving.
- Ability to develop systems and patterns to measure work efficiency.
- Strong analytical skills to diagnose and resolve performance-related issues.
- Ability to work independently and collaboratively in a high-growth startup setting.
- Excellent problem-solving abilities and a detail-oriented mindset.
- Bachelor’s degree in computer science or related field.
Skills mentioned
About TSV Consulting LLC
TSV Consulting LLC is a woman-owned firm specializing in executive search, contingency staffing, contract recruitment and human resources strategy consulting for the Retail, Healthcare Technology and PBM sectors—trusted by clients, respected by candidates. Founded by Tracey Sullivan-Victor, TSV is built on the values of trust, integrity, and respect. With over two decades of industry experience, we deliver tailored recruitment solutions that align with each client’s unique goals, culture, and growth strategy. Whether you're seeking to identify talent for your leadership team, hire a sales executive to drive revenue, or build out high-performing teams to scale your business—TSV Consulting has you covered. We specialize in hiring niche talent and offer strategic insights into the recruitment landscape to help organizations stay competitive and agile. We partner closely with both clients and candidates nationwide to build teams that deliver measurable outcomes and long-term retention. Every search is conducted with transparency, precision, and care—because we believe the hiring process should reflect the value of the people behind it.