We build what healthcare runs on. Our pharmacy automation teams build the counting, packaging and robotic dispensing systems, and the software behind them, that pharmacies rely on to fill prescriptions at every scale, from a single retail counter to high volume central fill and mail order operations. It is engineering you can walk through. Join us and see how we're engineering a path to better care. Learn more about our solutions at www.capsahealthcare.com .

We are seeking a Lead Engineer, loT & Device Messaging, to shape the future of connected healthcare operations. Build high-scale loT and middleware systems that power automated prescription fulfillment from order intake to patient delivery.

This position reports to the Senior Director of Enterprise Architecture and is a REMOTE role requiring 50% travel.

Why Join Capsa?

When you join Capsa Healthcare, you're joining a team dedicated to innovation, collaboration, and meaningful impact. Your work will directly support caregivers, improve clinical workflows, and help healthcare organizations provide better patient outcomes.

We are a global organization that values work-life balance, continuous improvement, and empowering employees to do their best work. If you're looking for an opportunity to apply your expertise to technology that truly makes a difference, we'd love to hear from you.

As the Lead Engineer, you will need experience with the following:

IoT & Connected Device Platform Experience

Device identity and provisioning.

Digital twins/shadow state.

Fleet-scale device management.

Telemetry pipelines.

Offline/intermittent connectivity handling.

OTA (over-the-air) configuration and firmware updates.

Messaging Technologies (MQTT & gRPC)

Production experience with MQTT and gRPC.

Understanding of:

Delivery guarantees

Message ordering

Backpressure

Reliability patterns

Reliability, Guaranteed Delivery & High-Throughput Processing

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.

Cloud-Native Architecture, Security & Technical Leadership

Kubernetes and containerization.

Infrastructure as Code (IaC).

CI/CD.

Observability (OpenTelemetry, SLOs).

Security:

mTLS

Certificates

OAuth 2.0 / OIDC

Secrets management

Threat modeling

What We're Looking For

A 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.

What Capsa Offers

At Capsa Healthcare, we recognize that great people drive with great results. That's why we offer a competitive compensation and benefits package designed to support you professionally and personally, including:

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

Join Us in Engineering Better Care. If you're excited about using your engineering expertise to create innovative technologies that support healthcare professionals and improve patient outcomes, we invite you to apply and help us shape the future of healthcare.

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