Okay, I've searched for senior PowerBuilder developer roles in the United States, full-time positions, requiring 10+ years of experience, with expertise in PowerBuilder and Microsoft SQL Server within the healthcare and EMR software industry. I have found 23 positions that match your criteria.

Sure. Here's the analysis:

Job Analysis:

This Senior PowerBuilder Developer role is fundamentally designed to ensure the stability, enhancement, and gradual modernization of a critical legacy Electronic Medical Record (EMR) system within a specialized inpatient psychiatric hospital environment. The core responsibility is maintaining and improving the existing PowerBuilder-based eChart application while supporting its strategic migration to a modern, web-based .NET architecture. Given the highly sensitive and regulated nature of mental health and psychiatric care, the candidate must deeply understand not only the technical frameworks of PowerBuilder and SQL Server but also the nuances of clinical workflows and regulatory requirements tied to behavioral health EMRs. The role demands a mix of technical mastery, particularly around legacy systems maintenance, debugging, and optimization of stored procedures, alongside effective collaboration with database administrators and Agile cross-functional teams. Success in this position means delivering timely, quality software updates that minimize disruption to clinical operations and pave the way for a smooth platform migration. The senior developer must exercise sound judgment in troubleshooting complex system issues, estimating effort accurately, and communicating risks effectively, all while balancing independent initiative and team alignment within tight project schedules.

Company Analysis:

The company operates in a niche but critical segment focused on delivering technology solutions to healthcare providers specializing in behavioral health. By supporting a state-operated psychiatric hospital’s EMR modernization, the organization sits at the intersection of healthcare compliance, legacy system transformation, and evolving clinical technology needs. It likely values precision, reliability, and security given the sensitivity of psychiatric patient data. Although not broadly detailed, the company’s use of AI and data-driven behavioral assessments suggests an innovation mindset and commitment to leveraging advanced analytics for long-term talent and operational enhancement. This environment probably favors candidates who can thrive in complex, regulated settings while embracing evolving technologies and methodologies. The culture is presumably technical and mission-driven, with an emphasis on collaboration within Agile frameworks and accountability to tight deadlines. For this role, visibility may be moderate but meaningful, interfacing with IT leadership and clinical stakeholders to ensure that both technical and operational goals align. The hire is clearly strategic—a key player in stabilizing the current system while enabling digital transformation, critical for the company’s future readiness and the hospital’s improved patient care delivery.

Absolutely. Here are some mock interview questions that could come up:

• Tell me about a time when you had to troubleshoot a complex issue in a legacy PowerBuilder application that was impacting user workflows. How did you identify the root cause and implement a fix?
• Describe a situation where you coordinated with cross-functional teams, such as DBAs and QA testers, during a software release. What communication strategies did you use to ensure alignment and success?
• Can you provide an example of how you balanced working independently with being a collaborative member of an Agile team?
• How have you managed prioritization and estimation of development tasks, especially when working under tight project deadlines?
• What is your experience with migrating or integrating legacy PowerBuilder systems to modern platforms such as .NET? What challenges did you encounter and how did you address them?
• Walk me through your approach to optimizing SQL Server stored procedures in an EMR system. What key factors do you consider to maintain performance while ensuring data integrity?
• Given that you will be enhancing an inpatient psychiatric hospital’s EMR, how do you ensure your development work respects healthcare compliance and clinical operational needs?
• How would you handle a scenario where a critical bug is discovered late in the Agile sprint cycle affecting patient data entry in eChart?
• Imagine the hospital leadership requests a quick enhancement to the EMR system to support a new clinical workflow. How do you evaluate, plan, and deliver this update while maintaining project priorities?
• Why are you interested in working with a state-operated psychiatric hospital’s EMR system, particularly in this period of technological migration?
• How do your personal values and work style align with a company focused on AI-driven, data-oriented talent solutions for healthcare recruiters and managers?
• What motivates you to work in a healthcare technology environment, specifically in behavioral health settings?
• Can you describe how you stay current with both legacy development environments like PowerBuilder and newer .NET technologies concurrently?
• What questions do you have about the transition strategy from PowerBuilder to .NET within the hospital’s EMR modernization plan?
• How does the company support continuous learning and adaptation for developers working with both legacy and emerging technologies?