Salary
≈ $16k – $38k per year (Estimated)
Location
Hybrid (Bengaluru, India)
Seniority
Senior · 8+ years exp
Employment
Full-Time
First seen by Alion on Oct 24, 2026.
Overview
Company
Impact
Profile match
MatrixCare provides software solutions in out-of-hospital care settings. As the multiyear winner of the Best in KLAS award for Long-Term Care Software and Home Health and Hospice EMR, MatrixCare is trusted by thousands of facility-based and home-based care organizations to improve provider efficiencies and promote a better quality of life for the people they serve. As an industry leader in interoperability, MatrixCare helps providers connect and collaborate across the care continuum to optimize outcomes and successfully manage risk in out-of-hospital care delivery.
Backed by Frazier Healthcare Partners
Highlights
About MatrixCare
MatrixCare provides software solutions to more than 15,000 providers supporting skilled nursing, senior living and long-term care, life plan communities, and home health and hospice care. A multi-year winner of the Best in KLAS award, MatrixCare is trusted by thousands of facility-based and home-based care organizations to improve provider efficiencies and promote a better quality of life for the people they serve. For more information, visit www.matrixcare.com.
About The Role
We are looking for a Senior Software Engineer –.NET & Database Performance to improve application and database performance across our products. In this role, you will design, develop, and optimize scalable backend and database solutions using C#/.NET,Entity Framework/Core, ADO.NET, and SQL Server. You will work closely with engineering teams to driveperformance improvements, solve complex production issues, and improve system reliability and scalability.
What You'll Do
Required Qualifications
Why Join MatrixCare
At MatrixCare, we are committed to fostering a culture where teammates can grow their careers and make a meaningful impact on the healthcare industry. We offer opportunities to contribute to innovative solutions that help improve care delivery, while providing a supportive and collaborative work environment. Our teammate value proposition includes comprehensive health and wellness benefits, leave benefits, professional development opportunities, and a culture built on trust, innovation, and teamwork. By joining MatrixCare, you'll be part of a purpose-driven organization dedicated to advancing healthcare technology and creating an exceptional experience for both teammates and customers.
Employment Opportunity / Legal Statements
MatrixCare is committed to fostering a diverse, inclusive, and equitable workplace where every individual is treated with respect and dignity. We are an Equal Opportunity Employer and make employment decisions based on qualifications, merit, business needs, and performance, without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by applicable law. We are dedicated to providing equal access to opportunities and reasonable accommodations throughout the recruitment and employment process, ensuring that all teammates can contribute, grow, and succeed in an environment where diverse perspectives are valued and encouraged.
- Location Bengaluru, KA
- Start Date Immediately to Nov 23, 2026
- Work Location Allows Hybrid Remote Work
- .NET
- C#
- SQL Server
About MatrixCare
MatrixCare provides software solutions to more than 15,000 providers supporting skilled nursing, senior living and long-term care, life plan communities, and home health and hospice care. A multi-year winner of the Best in KLAS award, MatrixCare is trusted by thousands of facility-based and home-based care organizations to improve provider efficiencies and promote a better quality of life for the people they serve. For more information, visit www.matrixcare.com.
About The Role
We are looking for a Senior Software Engineer –.NET & Database Performance to improve application and database performance across our products. In this role, you will design, develop, and optimize scalable backend and database solutions using C#/.NET,Entity Framework/Core, ADO.NET, and SQL Server. You will work closely with engineering teams to driveperformance improvements, solve complex production issues, and improve system reliability and scalability.
What You'll Do
- Design, develop, and maintain scalable, reliable, and high-performing .NET backend and SQL Server solutions.
- Take end-to-end ownership of production database performance and proactively identify performance bottlenecks and improvement opportunities.
- Diagnose and resolve performance issues across .NET applications, Entity Framework/Core, LINQ,ADO.NET, and SQL Server.
- Develop and optimize data-access solutions, queries, stored procedures, indexes, and database structures to improve performance and scalability.
- Build monitoring, observability, and alerting solutions that detect performance degradation before customers are impacted.
- Partner with engineering teams to review database designs and ensure solutions meet performance,scalability, and reliability requirements.
- Participate in a rotational on-call model to support production incidents and performance-related issues when required.
Required Qualifications
- Bachelor's degree in Computer Science, Engineering, Information Technology, or equivalent practical experience.
- 8+ years of software development experience.
- Strong hands-on experience with C#, .NET, ASP.NET, Entity Framework/Core, LINQ, and ADO.NET.
- Strong SQL Server performance tuning experience, including query optimization, execution plans, indexing, and database design.
- Experience troubleshooting production performance issues across application and database layers.
- Experience with monitoring, logging, observability, and performance analysis tools.
- Strong problem-solving, communication, and collaboration skills.
- Experience working in a SaaS product environment.
- Experience supporting large-scale customer-facing applications.
- Familiarity with AWS and cloud-native architecture.
- Knowledge of distributed systems, microservices, and observability practices.
- Experience with production support and on-call rotations.
- Exposure to Oracle databases is a plus.
- Become the go-to engineer for application and database performance challenges.
- Deliver measurable improvements in performance, scalability, and system reliability.
- Establish proactive monitoring and alerting capabilities.
- Reduce time to diagnose and resolve production issues.
- Drive adoption of performance engineering best practices across teams.
Why Join MatrixCare
At MatrixCare, we are committed to fostering a culture where teammates can grow their careers and make a meaningful impact on the healthcare industry. We offer opportunities to contribute to innovative solutions that help improve care delivery, while providing a supportive and collaborative work environment. Our teammate value proposition includes comprehensive health and wellness benefits, leave benefits, professional development opportunities, and a culture built on trust, innovation, and teamwork. By joining MatrixCare, you'll be part of a purpose-driven organization dedicated to advancing healthcare technology and creating an exceptional experience for both teammates and customers.
Employment Opportunity / Legal Statements
MatrixCare is committed to fostering a diverse, inclusive, and equitable workplace where every individual is treated with respect and dignity. We are an Equal Opportunity Employer and make employment decisions based on qualifications, merit, business needs, and performance, without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by applicable law. We are dedicated to providing equal access to opportunities and reasonable accommodations throughout the recruitment and employment process, ensuring that all teammates can contribute, grow, and succeed in an environment where diverse perspectives are valued and encouraged.
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