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 healthcare 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. Energized. And want to play an essential role in a successful company’s continued growth. 

Are you ready for this exciting challenge?

FDB is the leading provider of clinical and drug knowledge that helps healthcare professionals make precise medication-related decisions. As we accelerate our cloud modernization and AI-enabled development practices, we’re searching for a senior engineer who thrives at the intersection of Azure cloud engineering, modern .NET development, and AI-assisted software delivery.

We are seeking a Senior Azure Cloud Engineer (.NET + AI Tools) to design, build, and optimize cloud-native applications that power FDB’s enterprise healthcare solutions. 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 a hybrid role based out of our Durham, North Carolina office.

What You’ll Do

Cloud & Application Engineering

• 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.

AI-Augmented Development

• 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.

Quality, Testing & DevOps

• 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 practices.

Technical Leadership & Collaboration

• Mentor and coach junior developers, promoting high standards in cloud engineering and professional growth.
• Participate in design discussions, code reviews, architectural planning, and sprint ceremonies.
• Collaborate with Product, Architecture, QA, and DevOps teams to deliver high-quality cloud solutions.
• Champion continuous improvement, innovation, and knowledge sharing across engineering teams.

What You Bring

Required Qualifications

• Bachelor’s degree in Computer Science, Software Engineering, or a related technical field.
• 5–8+ years of professional software development experience with .NET/C#.
• Hands-on experience implementing solutions with:
• Azure Functions
• Azure Storage (Blob, Table, Queue)
• Azure Service Bus
• Cosmos DB
• Azure SQL
• Azure Data Factory
• Logic Apps
• 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.

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).

Why Join FDB?

• Work on meaningful healthcare technology that impacts millions of patients and providers.
• Build modern, cloud-native systems using cutting-edge Azure services and AI-enabled engineering tools.
• Join a collaborative, mission-driven team invested in mentorship, growth, and modern engineering excellence.
• Excellent benefits, career advancement opportunities, and a culture of innovation.

About FDB: 

FDB is the leading provider of drug and medical device knowledge that helps healthcare professionals make precise decisions. With thousands of customers worldwide, FDB enables our information system developer partners to deliver valuable, useful, and differentiated solutions. We offer more than three decades of experience in transforming medical knowledge into actionable, targeted, and effective solutions that help improve patient safety, operational efficiency, and healthcare outcomes. For a complete look at our solutions and services, please visit www.fdbhealth.com or follow us on LinkedIn.

We value Integrity, Respect, Responsibility, Teamwork, and Creativity. Our offices in South San Francisco and Indianapolis have been awarded with Top Workplaces honors by The Bay Area News Group and the Indy Star, since 2016 (the Top Workplaces honors are based solely on the results of an employee feedback survey by a leading research firm that specializes in organizational health and workplace improvement). FDB offers competitive salaries and extensive benefits – including medical, dental, vision, long term disability, life insurance, and matching 401k.

We are an Equal opportunity employer – vets/disabled. We do not discriminate in hiring on the basis of sex, gender identity, sexual orientation, race, color, religious creed, national origin, physical or mental disability, protected Veteran status, or any other characteristic protected by federal, state, or local law.

FDB endeavors to make www.fdbhealth.com accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please email accommodations@fdbhealth.com . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

FDB is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here . If you'd like more information on your EEO rights under the law, please click here .

In accordance with applicable law, FDB is required to include a reasonable estimate of the compensation for this role if hired in Durham, NC. The reasonable estimate, $123,000 - $155,000. Please note this information is specific to those hired in location. If this role is open to candidates outside of location, the salary range would be aligned to that specific location. A final decision on the successful candidate’s starting salary will be based on a number of permissible, non-discriminatory factors, including but not limited to skills and experience, training, certifications, and education.

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