Senior ServiceNow Systems Developer
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About the role
Residence In Texas - Required Remote - Full-Time We need a senior-level developer who can do more than write clean code; someone who shapes how software gets built across the organization. The Senior Systems Developer operates with wide autonomy, leads full-lifecycle development on complex features, and serves as the technical authority on architecture, integration, and security for systems that support pediatric care around the clock. If you've spent years working at the intersection of healthcare IT and enterprise platform development - and you're ready to mentor others, drive standards, and leave a system better than you found it - this role is built for you. Cook Children's Health Care System Cook Children's Health Care System offers a unique approach to caring for children because we are one of the country's leading integrated pediatric health care delivery organizations. Patients benefit from the integrated system because it allows Cook Children's to use all of its resources to treat a patient and allows for easy communication between the various companies by physicians with a focus on caring for children and adolescents. Cook Children's is an equal opportunity employer. As such, Cook Children's offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status , genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
Responsibilities
- Development Lifecycle Leadership: Lead code reviews, oversee testing across unit, integration, and UAT phases, and set the release quality bar. You're not just shipping features - you're accountable for what gets to production and how it gets there.
- Preferred Certifications
- ServiceNow Certified System Administrator (CSA)
- ServiceNow Certified Application Developer (CAD)
Requirements
- 5+ years of professional software development experience with a focus on full-stack, mobile, or data-centric environments.
- Bachelor's degree in Computer Science, Information Technology, or a related field.
- In lieu of degree: 10 years of experience plus a high school diploma.
- Proficiency in at least two primary programming languages (C#, SQL, Java, Swift, Kotlin, or equivalent)
- Experience integrating with EMR systems (Epic, Cerner) using HL7 or FHIR - strongly preferred
- Hands-on expertise in platform security: ACLs, encryption, identity management, HIPAA compliance
- Demonstrated ability to architect systems and lead technical decision-making, not just execute tickets
- Strong communicator who can partner with clinical leadership, vendors, and non-technical stakeholders
Benefits
Additional Information
Location: Remote - TX Department: Enterprise Systems Shift: First Shift (United States of America) Standard Weekly Hours: 40
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