Full Stack Developer, Senior

. Design, develop, test, and maintain front-end and back-end application components .

Posted 10/15/2026full-timeTennessee • United StatesMid-LevelSenior💰 $118,000 - $145,000 per yearWebsite

Tools & technologies

ASP.NETJavaScriptRubyRuby on RailsSQL.NET

Key responsibilities & impact

Design, develop, test, and maintain front-end and back-end application components
Build high-performing web applications interacting with large datasets, APIs, services, and databases
Contribute to web application architecture and recommend technical solutions
Develop scalable, flexible, and dynamic websites, portals, and application features
Ensure application quality, responsiveness, reliability, and maintainability
Write efficient, secure, and reusable code following established standards and best practices
Troubleshoot and resolve complex application defects and performance issues
Support database design, optimization, data modeling, and query performance
Participate in architecture discussions, code reviews, sprint planning, and release activities
Provide technical guidance and support to junior developers
Support the Department of Clinical Research and Informatics

What you’ll need

Must be able to obtain and maintain the required customer clearance for access to systems, facilities, equipment and property
Strong knowledge of modern front-end frameworks, component-based architecture, state management, and responsive design
Well versed with PQS/PRIA/PEARLS, 4th Dimension Databases, .NET, Simple VB, and Ruby On Rails
Established in coding in a Clinical/Medical environment
Ability to convert a very large and complex existing 4D application to a web-based MVC 5 application
Ability to translate business requirements into technical solutions
High level SQL coding skills focusing on data acquisition and manipulation
Advanced web design knowledge (HTML, CSS, JavaScript)
Advanced markup language knowledge (JSON, XML)
Advanced skills in ASP.NET coding languages (VB, C#) and ASP.NET MVC 5+ coding practices
4D Database technology experience is a large plus, including updating UI, methods, and exporting data
Bachelor’s degree and a minimum of four to seven (4-7) years’ of relevant experience, or equivalent combination of education/experience
Must be able to work in an office environment and meet the stated physical demands

Comp & perks