Systems Developer

Schedule: Full-Time
Base Salary: $90,000-$100,000, commensurate with experience
At Professional Physical Therapy, we do more than deliver exceptional patient care - we build the systems that help our people do their best work. This role will shape how data, applications, automation, Microsoft Teams, and practical AI support 200+ clinics across the Northeast. If you want to build across databases, applications, integrations, automation, and AI, you are in the right place.
Why You'll Love Working Here

• Stay Covered: Comprehensive medical, dental, and vision insurance options for you and your eligible dependents.
• Real Balance: Generous paid time off because life outside of work matters.
• Plan Ahead: Company-matched 401(k).
• Care for Your Crew: MetLife Pet Insurance with flexible plans, reimbursement on eligible expenses, and 24/7 telehealth support.
• Play More, Pay Less: Exclusive savings through PlumBenefits and LifeMart on travel, entertainment, shopping, dining, and more.

What You'll Do

• Develop, optimize, and support Microsoft SQL Server solutions using advanced T-SQL, sound database design, and performance analysis.
• Build and maintain SSRS reports, data imports, transformations, integrations, and queries across SQL Server.
• Support report development within an existing BI environment using SQL Server and MySQL.
• Maintain and enhance production applications within an existing C#/.NET environment that supports integrations among applications, databases and external systems (via API and SFTP).
• Build Copilot Studio agents and Power Automate workflows that connect Teams, SQL Server, APIs, knowledge sources, and internal systems.
• Apply prompt-engineering and RAG techniques with appropriate testing, grounding, access controls, security, and responsible AI practices.
• Partner with business and technical teams to turn operational needs into scalable solutions and clear documentation.

What You'll Bring

• 3-5+ years of professional experience in software, database, application, or data development.
• Strong Microsoft SQL Server, advanced T-SQL, database design, performance optimization, and SSRS experience.
• Ability to develop and translate between SQL Server and MySQL.
• Experience supporting production applications and reading, troubleshooting, and modifying an existing codebase.
• Strong software-development fundamentals, including object-oriented programming, application architecture, debugging, and error handling.
• Experience integrating databases, applications, including connecting to existing external APIs.
• Clear communication, strong judgment, and a collaborative, solutions-focused mindset.

Nice to Have

• Experience with KingswaySoft a plus.
• Healthcare technology experience or HIPAA/PHI knowledge - beneficial but not required.

Equal Opportunity Employer, including Disabled/Veterans.