Backend Full Stack Engineer Jobs in Baltimore, MD

SG2 Recruiting has partnered with Trend Health Partners to identify a Senior Full-Stack AI Engineer who will help shape the future of healthcare technology. This role is ideal for an experienced engineer who enjoys building modern cloud-native applications, architecting scalable systems, and leveraging AI-assisted development to accelerate product delivery. The successful candidate will have the opportunity to influence technical strategy, mentor fellow engineers, and play a critical role in delivering innovative solutions that solve complex healthcare compliance and financial challenges.

Why This Role Matters

Trend Health Partners is investing heavily in the next generation of AI-enabled healthcare technology. As a Senior Full-Stack AI Engineer, you will help define how artificial intelligence is integrated into the software development lifecycle while building products that directly impact healthcare organizations nationwide.

This is more than a software engineering role. You will help establish engineering best practices, guide architectural decisions, and influence how AI-driven development is safely and effectively implemented across the organization.

Work Environment

• Remote-first work environment (United States)
• High-impact engineering team focused on innovation and product delivery
• Opportunity to work with cutting-edge AI development tools and agentic workflows
• Collaborative culture that values technical excellence, experimentation, and continuous learning
• Direct interaction with Product, Data Science, QA, and Platform Engineering teams

What You Will Be Doing:

Building Modern Full-Stack Applications

• Design, develop, and maintain production-grade applications using .NET/C# and Angular.
• Deliver scalable backend services and intuitive user experiences that support critical healthcare operations.
• Translate business requirements into reliable, maintainable software solutions.
• Drive feature development from concept through deployment.

Architecting Scalable Event-Driven Systems

• Design and implement sophisticated CQRS and event-sourcing architectures.
• Build highly scalable and resilient systems leveraging MongoDB and OpenSearch.
• Contribute to long-term platform strategy and architectural evolution.
• Support modernization initiatives that improve performance, scalability, and maintainability.

Leveraging AI to Accelerate Engineering

• Utilize AI-assisted development tools including GitHub Copilot, Claude Code, and agent-based workflows.
• Develop repeatable processes that safely increase engineering productivity and software quality.
• Validate, test, and audit AI-generated code to ensure accuracy, security, and maintainability.
• Establish practical guardrails for responsible AI-assisted software development.

Building Cloud-Native Solutions

• Develop and operate secure AWS-native applications and services.
• Work across ECS, EKS, Lambda, S3, RDS, and related AWS technologies.
• Design solutions that meet reliability, scalability, and security requirements.
• Support infrastructure and deployment strategies that enable rapid product delivery.

Mentoring and Technical Leadership

• Provide architectural guidance and technical mentorship to engineering team members.
• Participate in code reviews and collaborative design sessions.
• Share best practices related to software engineering, cloud architecture, and AI-assisted development.
• Help cultivate a high-performing engineering culture focused on continuous improvement.

Success in Your First Year

• Become a trusted technical leader within the engineering organization.
• Deliver multiple high-impact product features that directly support company growth objectives.
• Successfully integrate AI-assisted development practices that improve team productivity and delivery velocity.
• Contribute to the evolution of Trend's event-driven architecture and cloud platform.
• Mentor engineers and help elevate development standards across the team.
• Establish yourself as a key contributor to strategic technology decisions.

What You Need: (Required)

• Extensive hands-on experience designing, building, and supporting production-grade software applications.
• Advanced full-stack development expertise using .NET/C# and Angular.
• Demonstrated experience implementing CQRS and event-sourcing patterns in real-world environments.
• Strong experience with AWS cloud services and cloud-native application development.
• Experience working with MongoDB, OpenSearch, and modern data-driven architectures.
• Practical experience using AI coding assistants and AI-assisted development workflows in production environments.
• Strong testing, validation, and software quality practices.
• Ability to communicate technical decisions, tradeoffs, and architectural concepts clearly.
• Proven ability to work effectively within cross-functional product and engineering teams.

It's a Plus If You Have:

• Experience with Domain-Driven Design (DDD), including aggregates, projections, commands, and read models.
• Experience modernizing legacy systems into event-driven architectures.
• Prior experience in healthcare technology, fintech, compliance, or other regulated industries.
• Experience implementing governance and security controls around AI-assisted development.
• Familiarity with multi-agent orchestration workflows and advanced AI engineering practices.
• Experience leading technical initiatives or serving as a technical mentor.

Why People Join Trend Health Partners

Meaningful Impact

• Build technology solutions that help healthcare organizations solve complex financial and compliance challenges.
• Work on products that directly influence business outcomes and operational performance.
• Help shape the future use of AI within healthcare technology.

Professional Growth

• Gain hands-on experience with modern AI-assisted engineering workflows.
• Expand your expertise in cloud-native architecture, event-driven systems, and large-scale application development.
• Influence technical strategy and architectural decisions across the organization.

Engineering Culture

• Join a team that embraces innovation, continuous learning, and technical excellence.
• Work alongside experienced engineers, product leaders, and data professionals.
• Have the freedom to explore emerging technologies while maintaining a strong focus on practical business outcomes.

Benefits

• Comprehensive medical, dental, and vision coverage.
• Health Savings Account (HSA) and Flexible Spending Account (FSA) options.
• Life and disability insurance.
• Voluntary benefits including accident, hospital, and pet insurance.
• Employee Assistance Program (EAP).
• Access to benefits management through the Nava Benefits platform.

About Trend Health Partners

Trend Health Partners develops innovative healthcare technology solutions that help organizations navigate complex compliance, reimbursement, and financial challenges. By combining advanced analytics, artificial intelligence, cloud-native technologies, and deep industry expertise, Trend delivers solutions that drive measurable operational and financial outcomes.

The company is committed to building a forward-thinking engineering organization where talented professionals can solve meaningful problems, leverage emerging technologies, and make a lasting impact on the future of healthcare.