Senior Full Stack Developer III (4233) INFORMATION SERVICES

SUMMARY:

Lexington Clinic, Central Kentucky's largest multi-specialty healthcare provider, is seeking a Senior Full Stack Developer to design, build, and own the application layer of our physician compensation intelligence platform. This platform will serve as the system of record for physician compensation analytics and financial reconciliation across the organization, providing role-based views to executives, finance leadership, and individual physicians.

This is not a typical enterprise web development role. The developer hired into this position must be fluent in both application engineering and financial data modeling. They will build the compensation calculation engine, earned-versus-paid reconciliation logic, and the rule-based systems that execute compensation plans including productivity thresholds, stipends, and bonuses. The application must meet enterprise standards for accuracy, auditability, and performance. This is a senior individual contributor role focused on hands-on development, technical mentorship, and direct partnership with clinical and operational stakeholders. This is an on-site position. Occasional weekend and evening work may be required.

 PREFERRED QUALIFICATIONS:

A bachelor's degree or higher in Computer Science, Software Engineering, Information Systems, or a related field is preferred, though extensive relevant experience will be accepted in place of formal education. Candidates must demonstrate 5 or more years of professional experience in full stack software development with strong proficiency in React (TypeScript), ASP.NET Core / C#, and PostgreSQL. Deep knowledge of application architecture, RESTful API design, and relational database modeling is required. Experience building financial calculation engines, reconciliation systems, or compensation modeling tools is strongly preferred. Candidates should be comfortable working with data where correctness has legal and compliance implications, including Stark Law and FMV standards. Experience with Snowflake, Azure Data Factory, and data integration patterns is highly desired. Experience with cloud deployment pipelines using GitHub Actions and Azure App Service or equivalent CI/CD platforms is expected. Candidates must be comfortable working directly with clinical and operational stakeholders, gathering requirements, demonstrating solutions, and communicating technical concepts to non-technical audiences. Experience with Entity Framework Core, MSAL / Azure AD authentication, and containerized deployments is advantageous.

 PHYSICAL GUIDELINES:

Physical guidelines include the ability to move, traverse, and remain in a stationary position for up to eight hours per day. Manual dexterity, articulate speech, visual acuity, and ability to hear.

NOTE:

 This document is intended to describe the general nature and level of work performed. It is not intended to act as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Attendance is an essential function of the job.

LEXINGTON CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE)