Senior Azure Cloud Engineer (.NET + AI Tools)

The posting, as Hearst wrote it

In Some Jobs You Take Orders. In This One, You Write History. Ready to Shape the Future of Healthcare IT?

Join the healthcare information technology team that’s turning drug and medical device data into knowledge used by thousands of hospitals, the majority of U.S. health plans, retail pharmacies and pharmacy benefit managers, and millions of health care decision-makers throughout the world. Partnering with our information system developer and healthcare institution customers, you’ll help evolve leading-edge thinking into reality and make a measurable difference in improving human health.

We’re looking for people who are intelligent, productive, committed, willing and able to go above and beyond, passionate about making a difference, innovative and energized. You’ll play an essential role in a successful company’s continued growth.

Are you ready for this exciting challenge?

First Databank (FDB) is currently seeking a Senior Azure Cloud Engineer (.NET + AI Tools) . The Senior Azure Cloud Engineer plays a critical role in designing, building, and optimizing cloud-native applications that power FDB’s enterprise healthcare solutions, as we accelerate our cloud modernization and AI-enabled development practices.

This is a hands-on engineering role that blends deep Azure expertise, strong .NET development skills, and the ability to leverage modern AI-based tools (such as GitHub Copilot, Cursor, or AI pair programmers) to accelerate velocity, improve code quality, and drive innovation. You will serve as a technical leader, mentor, and collaborator, contributing to architectural patterns, system design, test-driven development, and Agile delivery processes.

This position is based in our Durham, NC office and follows a hybrid work model, with an expectation to work on-site at least three days per week.

Responsibilities

• Design, develop, and maintain Azure-based applications and services using .NET/C#.
• Build and optimize cloud-native components including Azure Functions, Azure Storage (Blob/Table/Queue), Azure Service Bus, Cosmos DB, Azure SQL Database, Data Factory, Logic Apps, and Key Vault.
• Implement distributed, event-driven, and serverless architectures focused on scalability, reliability, and performance.
• Troubleshoot complex issues across APIs, microservices, data pipelines, and Azure-managed services.
• Use AI development tools (e.g., Copilot, Cursor, or AI-enabled IDEs) to accelerate coding, testing, debugging, and refactoring.
• Apply prompt-engineering techniques to improve code quality, system reliability, and developer efficiency.
• Explore emerging AI-assisted engineering practices and help embed them across FDB’s engineering teams.
• Write clean, maintainable, testable code using TDD and automated testing frameworks.
• Use Azure DevOps for work management, source control, CI/CD pipelines, and collaboration.
• Support performance, security, and compliance by implementing engineering and architectural best practice

[…]
zure SQL, Azure Data Factory, Logic Apps, and Azure Key Vault.

• Strong understanding of cloud-native patterns, distributed systems, async programming, and microservices architecture.
• Demonstrated experience with TDD, automated testing, and clean code practices.
• Proven experience using Azure DevOps, Git, CI/CD pipelines, and Agile methodologies.
• Ability to use AI-assisted development tools to enhance productivity and solution quality.
• Experience mentoring engineers and leading technical conversations.
• Excellent communication skills and ability to collaborate across teams.

Required Experience

• Bachelor’s degree in Computer Science, Software Engineering, or a related technical field.
• 5–8+ years of professional software development experience with .NET/C#.

Preferred Qualifications

• Experience with Docker, Kubernetes, or Azure Kubernetes Service (AKS).
• Familiarity with Domain-Driven Design (DDD) and advanced cloud architecture patterns.
• Experience in healthcare, clinical data, or other regulated industries.
• Azure certifications (e.g., AZ-204, AZ-305, AZ-400).

Accommodations

We are committed to an accessible application process. If you need an accommodation to apply, please contact accommodations@fdbhealth.com . This email address is for accommodation requests only.

Benefits

This role is also eligible for a competitive benefits package that includes medical, dental, vision, life and disability insurance; a 401(k) retirement plan; a flexible spending account; paid holidays; paid time off; an employee assistance program; and other company benefits.
Compensation

The base salary range below is the Company's good-faith estimate for this position in the posted work location at the time of posting. Final starting salary will be based on permissible, non-discriminatory factors, including but not limited to skills, experience, training, certifications, education, location and market considerations.

Base Salary Range

$123,000 — $155,000 USD