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Salary
≈ $117k – $215k per year (Estimated)
Location
In office (Portland)
Seniority
Senior · 8+ years exp

Confirmed on the employer's own hiring board on Oct 19, 2026. First seen by Alion on Sep 23, 2026.

Overview
Company
Impact
Profile match
Make medication work as intended. Custom Health connects pharmacy, in-home technology, and pharmacist-led care for 98% adherence and improved outcomes.

Description

About the Company:

Custom Health is a fully integrated Health-Tech company focused on delivering patient-centric health care as a service. We are on a mission to transform patience experience for home-based patients, driving better patient outcomes and total cost of care reduction. Powered by our modern purpose-built technology platform, fully owned high-volume central fill pharmacy hubs, and a comprehensive in-house clinical care team, Custom Health delivers optimized and personalized care for home-based patients with precision and at scale.

Visit our website to learn more: www.customhealth.com

About the Job:

Custom Health Software (SW) Engineers develop, extend, and continuously improve our Cloud native technology platform that powers our healthcare businesses. SW engineers work in small teams and design, implement and test end-to-end software solutions to advance our high-availability and high-performance cloud platform. Our engineers are versatile and enthusiastic, who take great pride in our shared vision, quality, collaboration and continuously push forward our technology platform.

**CANDIDATE MUST BE LOCATED IN PORTLAND OREGON**

In this role, you will:

  • Design and implement applications & enhance cloud infrastructure consisting of web apps with front-end UI, APIs, communication channels, back-end services and gateways integrated with other cloud components and DBs. Towards this you will design, code and unit test features and/or core platform components.
  • Work closely with Product management and other technical leaders in implementation of features and functions and deliver ease of use and excellent user experience.
  • Participate in work planning, breaking down modules into small tasks and subtasks in an agile development environment. Contribute and/or lead in process improvements, design, and code reviews.
  • Continually raise the bar and evangelize a high standard. Partner with leaders and peers to identify and take initiatives.

Requirements

Qualifications:

  • Bachelor’s degree in computer science, Engineering, or related field.
  • 8+ years of experience in software development with expertise in C# .NET development.
  • Solid understanding of back-end development concepts, including RESTful APIs, database design, microservices architecture, message brokers, debugging methods and tools for microservices.
  • Experience with front-end technologies such as HTML5, CSS3 (e.g. Tailwind), JavaScript, ReactiveUI library.
  • Proficiency in SQL Server or other relational databases.
  • Expertise in modern large scale, distributed data architecture, data processing and data stores.
  • Working knowledge of modern architectural design patterns such as Model-View-ViewModel (MVVM).
  • Experience with cloud platforms such as AWS is a plus.

What we are looking for:

  • Passion for working with healthcare and building great technology and products with excellent user experience.
  • A self-starter and an excellent problem solver who can work comfortably from big picture to low level details. Strong software lifecycle management skills.
  • A motivated engineer who works with purpose and modesty and respect for all people.
  • Excellent communication skills, with the ability to communicate technical issues clearly and concisely.
  • CANDIDATES LOCATED IN PORTLAND OREGON ONLY

Also nice to haves:

  • Experience with Blazor framework, Razor markup syntax.
  • Experience with GraphQL.
  • Prior healthcare data experience.
  • Experience with complex systems which include software, hardware, and external devices.

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