Lead Engineer, IoT & Device Messaging

Capsa Healthcare

. Shape the future of connected healthcare operations .

Posted 9/23/2026full-timeRemote • Ohio • United StatesSenior💰 $140,000 - $190,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in building scalable .NET and C# services, designing distributed systems, and implementing IoT solutions. Proficient in cloud-native technologies, messaging systems, and security practices essential for connected healthcare operations.

Highest-signal resume keywords

Expertise In .NET And C#Distributed Systems DesignIoT And Connected Device PlatformsKubernetes And ContainerizationMessaging Systems (MQTT, gRPC)

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

.NETC#MicroservicesAsynchronous ProgrammingPerformance OptimizationDistributed SystemsIoTCloud-Native SystemsInfrastructure As Code (IaC)Observability

Tools & Technologies

KubernetesContainersCI/CDOpenTelemetryMTLSOAuth 2.0/OIDC

Industry Keywords

Connected HealthcareAutomated Prescription FulfillmentDevice IdentityTelemetryOTA Updates

Tech Stack

Tools & technologies

CloudGRPCIoTKubernetesMicroservices.NET

About the role

Key responsibilities & impact

Shape the future of connected healthcare operations
Build high-scale IoT and middleware systems powering automated prescription fulfillment from order intake to patient delivery
Engineer systems supporting pharmacy counting, packaging, and robotic dispensing operations
Design and build distributed, real-time, or high-throughput production systems
Develop scalable .NET and C# services, microservices, and service architectures
Work with device identity, provisioning, digital twins, fleet-scale device management, telemetry, connectivity handling, and OTA updates
Implement MQTT and gRPC messaging systems
Design for delivery guarantees, message ordering, backpressure, reliability, and high-throughput processing
Apply idempotency, deduplication, transactional outbox, retry, dead-letter, partitioning, and ordering patterns
Build and operate cloud-native systems using Kubernetes, containers, IaC, CI/CD, and observability
Apply security practices including mTLS, OAuth 2.0/OIDC, secrets management, and threat modeling
Report to the Senior Director of Enterprise Architecture
Travel 50%

Requirements

What you’ll need

Bachelor's degree in engineering or equivalent field
10+ years of professional software engineering experience
4+ years designing and building distributed, real-time, or high-throughput production systems
Deep hands-on expertise in .NET and C#, including asynchronous programming, performance optimization, microservices, and scalable service architectures
Experience with IoT and connected device platforms
Experience with device identity and provisioning, digital twins/shadow state, fleet-scale device management, telemetry pipelines, offline/intermittent connectivity handling, and OTA configuration and firmware updates
Production experience with MQTT and gRPC
Understanding of delivery guarantees, message ordering, backpressure, and reliability patterns
Experience with at-least-once and effectively-once processing, idempotency, deduplication strategies, transactional outbox patterns, retry and dead-letter handling, partitioning, and ordering
Proven experience with low-latency, concurrent systems
Experience with Kubernetes and containerization
Experience with Infrastructure as Code (IaC), CI/CD, and observability including OpenTelemetry and SLOs
Knowledge of mTLS, certificates, OAuth 2.0/OIDC, secrets management, and threat modeling
Willingness to travel 50%

Benefits

Comp & perks

Competitive salary commensurate with experience
Paid time off
Paid holidays
Medical, dental, and vision coverage
Paid parental leave
401(k) with company match
Company-paid Life, AD&D, and Long-Term Disability insurance
Voluntary Short-Term Disability, Supplemental Life, AD&D, Accidental Injury, and Hospital Indemnity insurance
Work-life balance
Continuous improvement opportunities