---
title: "180. Senior FullStack Developer .NET - React"
company: "Source Meridian"
company_url: "https://www.remjobs.works/companies/source-meridian"
url: "https://www.remjobs.works/job/source-meridian-180-senior-fullstack-developer-net-react-7009531a-4671-455b-bfaa-50441bfaae93"
apply_url: "https://job-boards.greenhouse.io/sourcemeridian/jobs/5425248008"
workplace: onsite
location: "Quito, Pichincha, Ecuador"
employment_type: unspecified
seniority: senior
role: software-engineering
region: other
skills: ["aws", "csharp", "docker", "kubernetes", "mongodb", "react", "redis", "sql", "terraform", "typescript"]
date_posted: 2026-09-15T21:37:03.000Z
first_seen_by_remjobs: 2026-09-19T22:06:31.607Z
---

# 180. Senior FullStack Developer .NET - React

**Source Meridian** · Quito, Pichincha, Ecuador

Apply: https://job-boards.greenhouse.io/sourcemeridian/jobs/5425248008

## About Source Meridian

Nearshore engineering for regulated industries. 200+ engineers across the Americas — purpose-built for life sciences and healthcare.

## About the role

#### We’re looking for a Senior Full Stack Developer to join Source Meridian.

#### About Source Meridian

Source Meridian is a development software company that works to solve the industry’s most challenging problems in healthcare practices. We are laser focused on specific technologies in the healthcare and life science industries: Healthcare technology, artificial intelligence, and healthcare interoperability.

#### About the role

Senior Full-Stack / Backend Engineer for a healthcare care-team platform that brings patient context, contact records, call history, and AI-agent outreach into clinical workflows. You will design, build, and scale high-performance .NET 10 microservices, custom browser extensions (React/TypeScript), and AWS EKS infrastructure, acting as a true full-stack and infrastructure generalist in a regulated HIPAA/PHI environment.

#### What You'll Do

- End-to-End Feature Delivery: Build features end-to-end across the stack, from React 18 / TypeScript frontend interfaces (web portal and Chrome/Edge side-panel extensions) to C# / .NET 10 microservices, database schemas, and Terraform/Kubernetes deployments.

- Microservices & Messaging: Own and scale independently deployable .NET microservices using Dapr (pub/sub, service invocation, state management), managing database schemas, event processing, and background jobs.

- Telephony & AI Integration: Integrate third-party healthcare and communication platforms (Zoom Contact Center, Telnyx, ChartHero, Twilio), capturing call sessions, transcripts, recordings, and driving AI-agent outreach into clinical EHR workflows.

- Data Platform & Infrastructure Operations: Manage and harden data infrastructure (MongoDB replica sets and OpenSearch indices on Kubernetes, SQL Server, Redis), implementing automated backups, encryption, and restore drills.

- Quality & Compliance Engineering: Guarantee strict regulatory compliance (PHI, HIPAA, SOC2) through audit trails, least privilege access, multi-scheme authentication (JWT, SAML2/SSO, API keys), and greenfield automated testing suites (xUnit, Moq, FluentAssertions).

#### Required Qualifications

- Core .NET & Microservices: 5+ years of software development experience with expert-level proficiency in C# / ASP.NET Core (.NET 8+ / .NET 10), controller-based APIs, Dependency Injection, custom middleware, EF Core, and Dapr.

- Frontend & Extensions: Proficiency in React 18+ and TypeScript (Context API, strict typing, Material-UI v5) and experience developing Chrome/Edge extensions (Manifest V3, Side Panel API, background service workers).

- Databases & Search: Solid experience with relational databases (SQL Server, EF Core migrations, global query filters) alongside NoSQL/Search platforms (MongoDB, OpenSearch/Elasticsearch with driver-level queries and aggregations).

- Cloud & DevOps (AWS / Kubernetes): Hands-on experience with Infrastructure as Code via Terraform, AWS EKS, Helm, ECR, S3, KMS, SQS, CloudWatch, Docker, and CI/CD pipelines (GitHub Actions).

- Testing & Architecture: Strong foundations in testing frameworks (xUnit, Moq, FluentAssertions) for both backend integration and frontend test coverage, applying SOLID principles, Clean Architecture, and MediatR/CQRS patterns.

- B2+ or higher english level

#### Nice to have

- Telephony & EHR Domain: Experience with contact center/telephony domains (call flows, media streaming, SIP/VoIP) and EHR launch context/webhooks integrations.

- Advanced Operations & Security: Hands-on experience with distributed tracing (Zipkin), Hangfire, FluentValidation, Mapster/AutoMapper, and disaster recovery/backup engineering on Kubernetes.

- AI & Tooling: Experience collaborating with AI coding agents across large codebases, as well as AI-agent integrations into clinical communication workflows.

#### What We Offer

✔ Permanent contract
✔ High-impact projects in the healthcare industry
✔ Learning and continuous growth environment 🚀
✔ Competitive salary based on experience 💰
✔ Collaborative and international team

📍 **Apply only if you reside in Ecuador 📍**

At **Source Meridian**, you’ll be part of a high-impact **tech-health** company, building products that truly make a difference.

If you meet the profile — or know someone who might be interested — **apply now!**

We’d love to meet you 💬

---

Source: Source Meridian's own career page, read by RemJobs. Canonical HTML version: https://www.remjobs.works/job/source-meridian-180-senior-fullstack-developer-net-react-7009531a-4671-455b-bfaa-50441bfaae93