Senior Full Stack Software Developer - Remote (WFH)
Company: Cognitive Medical Systems
Location: United States (Remote)
Salary: $130,000 - $160,000 a year
Type: Full-time
Remote: Yes
Posted: 2026-06-30
About this role
About Cognitive:
Cognitive is an IT and software engineering services company dedicated to elevating the quality, speed and delivery of today’s US government healthcare programs. With a wealth of clinical expertise and hands-on experience, our team understands the significant challenges our government clients—and their customers—face every day. This real-world experience equips us to develop IT solutions that seamlessly connect all facets of healthcare delivery. At Cognitive, we’re guiding government agencies to the forefront of technology innovation in healthcare delivery.
Position Overview:
We are looking for a Senior Full Stack Software Developer with a strong DevOps background to support the Medical Document Chase (MDC) application on the VA Community Care Network contract for TriWest Healthcare Alliance. This is a developer-first role: the selected candidate will design, build, test, and enhance modern web application capabilities while also applying hands-on DevOps and production engineering experience to improve deployment reliability, observability, performance, and operational readiness.
The ideal candidate combines advanced ReactJS, NodeJS, and Microsoft SQL Server skills with practical experience in CI/CD, release management, application monitoring, production troubleshooting, and root-cause analysis. The role supports a high-volume enterprise application with complex case, document, and claims-related workflows.
Key Responsibilities:
Software Development and Technical Design
- Design, develop, maintain, and enhance responsive, user-friendly MDC web application capabilities using ReactJS and modern JavaScript tooling, including Vite or similar build tooling.
- Develop and integrate server-side services and REST APIs using NodeJS; ExpressJS experience is preferred.
- Write clean, secure, testable, and well-documented code; perform peer code reviews and contribute to technical debt reduction.
- Develop and optimize Microsoft SQL Server qu...