Who we are:

Integrated Home Care Services (IHCS) provides a comprehensive Integrated Delivery System in the home setting, offering Durable Medical Equipment (DME), Respiratory, Home Health, and Home Infusion services. Through our select network of Medicare and Medicaid Certified and Accredited providers, we are available 24/7 to meet the needs of our patients with compassion, expertise, and excellence.

For more than 30 years, we have been dedicated to improving lives by delivering the highest quality in-home care services. As a trusted market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services, we proudly serve more than 2 million lives across the United States and the Commonwealth of Puerto Rico. Our integrated care model is trusted by leading Managed Care Organizations (MCOs), physicians, and healthcare partners because of our commitment to exceptional patient outcomes and coordinated care.

At IHCS, our patients are at the heart of everything we do. We believe in creating a culture built on compassion, integrity, collaboration, and innovation. Every team member plays a vital role in fulfilling our mission of enhancing the quality of life for those we serve through Exceptional Customer Service, Proven Outcomes, and Seamless Care.

If you are passionate about making a meaningful impact, thrive in a collaborative environment, and are committed to excellence, we invite you to join our growing team. Together, we can continue transforming home healthcare while making a difference in the lives of our patients and the communities we serve.

Join IHCS where our patients are #1, and our people make the difference. Apply today!

Offering a competitive compensation package, including but not limited to;

Medical, Vision, Dental, Short- and Long-term insurance
6+ Days of Holidays Pay
17 days of PTO
Employer paid life insurance
401K with employer contribution
Wellness program with reward incentives
Employee recognition and reward programs
Comprehensive paid training program

What will you be doing:

The incumbent will be hands-on building and shipping agents yourself, while also growing and leading a small engineering team as it scales. You will bring senior software engineering judgment to a fast-evolving space, with the freedom to set technical direction on architecture and stack. You will build the product from source across our .NET Framework and .NET Core codebases, and prepare complete, verified deployment assets for each release. Own and execute production releases during scheduled off-hours windows, including web applications on IIS, Windows Services, and SQL Server database changes. Design, build, and maintain CI/CD pipelines that automate deployments to lower environments and production. Automate database deployment — schema changes, stored procedures, and data migration — as a reviewed, repeatable part of the release process. Support developers in improving branching strategy and the local development experience. Lead diagnosis of deployment-related issues across the application, web, service, and database tiers. Partner with our cloud engineering team on the infrastructure and environment improvements that reliable delivery depends on.

What will you need to succeed:

5+ years of professional software engineering experience, including at least 2 years with direct responsibility for production deployments and the infrastructure they run on.
Proven experience modernizing long-lived legacy systems — you've worked in codebases with accumulated history and older frameworks, inherited the fragile manual processes around them, and had the judgment to find where automation actually paid off.
Hands-on experience building and deploying Microsoft .NET applications — both .NET Framework and .NET Core — including comfort working in both C# and VB.NET
Hands-on infrastructure experience — you've configured, deployed to, and troubleshot the Windows Server and IIS environments your applications run on, including installing and upgrading Windows Services, rather than handing deployments off to another team. Ours runs on AWS EC2; equivalent cloud or virtualized environments translate.
SQL Server deployment experience: schema, stored procedures, and data migration scripts as part of a release
Strong deployment scripting skills, particularly PowerShell
Experience building and maintaining CI/CD pipelines in Azure DevOps, GitHub Actions, or comparable platforms — treating pipelines, scripts, and infrastructure definitions as version-controlled, reviewed, testable code
Experience automating deployment to auto-scaled compute fleets built on machine images — automated VM image builds AMIs or equivalent, as distinct from container images), rolling instance replacement, health-check gated promotion, and rollback on failure
Availability to execute production releases during off-hours windows

Preferred

AWS experience, particularly Windows workloads on EC2 and AMI pipelines
Configuration management — Ansible, Packer, or similar technologies
Familiarity with SQL Server Data Tools SSDT) and DACPAC Data-tier Application Package) deployments
Experience operating in a SOC 2 environment
Healthcare or other regulated-industry experience

Join our team as we strive for excellence through teamwork, where our patients are #1!

IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

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Build & Release Engineer

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