Backend Engineer Visa Sponsorship Jobs in Tennessee
Tennessee's backend engineer job market is anchored by Nashville's growing tech sector, with employers like HCA Healthcare, Vanderbilt University Medical Center, and AllianceBernstein actively hiring for backend roles. Smaller but active hubs in Memphis and Knoxville add further opportunity, particularly in healthcare IT, fintech, and logistics software where visa sponsorship is more common.
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INTRODUCTION
At ALSAC you do more than make a living; you make a difference.
We like people who are different…because we’re different, too. As one of the world’s most iconic and respected nonprofits, we know what it’s like to stand out. That’s why we’re looking at you. Your background, perspective, and desire to make an impact set you apart. As we work to help St. Jude cure childhood cancer, we're calling on the game-changers, innovators and visionaries to join our family. Not just for the kids of St. Jude, but also for you. Because at ALSAC, we develop and celebrate our employees. So, bring your whole, authentic self and become part of our shared mission: Finding cures. Saving children.®
ROLE AND RESPONSIBILITIES
As a Software Engineer IV on the BIDE platform, you’ll serve as a technical leader for the systems that power ALSAC’s enterprise analytics ecosystem. This role offers true end‑to‑end ownership—from architectural design through production stability—on a mission‑critical BI platform that supports decision‑making at scale.
You will lead the design, build, and evolution of complex, high‑scale data and software systems while partnering closely with Enterprise Architecture, Product, and Engineering teams. This role is ideal for someone who thrives on technical authority, architectural influence, and operational excellence, and who enjoys balancing delivery, reliability, and long‑term platform health.
Technical Leadership & Architecture
- Serve as the technical authority for platform‑level systems, owning architecture, data flows, and technical standards across products.
- Design, build, and maintain robust technical processes spanning multiple technologies, programming languages, and database structures.
- Partner closely with Enterprise Architects to ensure alignment between architecture standards, technical solutions, and business outcomes.
- Lead technical design reviews and make informed trade‑off decisions balancing speed, performance, reliability, data integrity, and maintainability.
Portfolio Ownership & Prioritization
- Own technical oversight for a portfolio of products and services, helping prioritize work across competing demands including delivery commitments, production support, technical debt, and platform modernization.
- Influence where engineering effort is invested to maximize organizational value.
End‑to‑End Ownership & Operational Excellence
- Be accountable for production readiness, system reliability, and incident prevention across portfolio systems.
- Establish and enforce standards for monitoring, alerting, resiliency patterns, runbooks, and post‑incident reviews.
- Drive continuous improvement in platform stability, observability, and operational maturity.
Delivery & Execution
- Plan, architect, and lead large‑scale technical initiatives, upgrades, and implementations.
- Collaborate with business leaders, product teams, and engineering managers to align technical execution with business priorities.
- Introduce and evaluate modern tools and emerging technologies that improve platform capability and sustainability.
Mentorship & Collaboration
- Act as a technical lead and mentor to Software Engineers I–III through coaching, design guidance, code reviews, and pair programming.
- Support team growth by promoting best practices across the full Software Development Life Cycle (SDLC).
BASIC QUALIFICATIONS
- 8+ years of experience in software engineering, systems development, and large‑scale technical design.
- Proven experience designing and supporting enterprise‑scale data platforms in both on‑prem and cloud environments.
- Deep expertise in SQL Server / database engineering, including performance tuning, reliability, and troubleshooting long‑running or blocking workloads.
- Strong understanding of enterprise data ingestion patterns using SQL, APIs, and cloud‑based platforms (AWS), with awareness of downstream analytics and warehouse impacts.
- Experience with modern data ingestion and transformation tools (e.g., CData, dbt, or equivalent), with a focus on production ownership and maintainability.
- Working knowledge of SQL Server replication technologies, including Microsoft Replication and Change Data Capture (CDC).
- Strong skills in process modeling, data modeling, database design, and technical specification creation.
- Excellent communication, organization, and planning skills; able to manage multiple priorities with minimal supervision.
- Bachelor’s degree in Computer Science, Information Systems, Engineering, Mathematics, or a related field (or equivalent experience).
- Hands‑on experience with containerization supporting data engineering or AI/ML workloads.
- Exposure to cloud‑native architectures supporting scalable, reliable data pipelines.
- Experience with project planning, technical road‑mapping, and deployment strategies.
PREFERRED QUALIFICATIONS
Benefits & Perks
The following Benefits & Perks apply to Full-Time Roles Only.
We’re dedicated to ensuring children and their families have every opportunity to enjoy life’s special moments. We’re also committed to giving our staff excellent benefits so they can do the same.
- Core Medical Coverage: (low cost low deductible Medical, Dental, and Vision Insurance plans)
- 401K Retirement Plan with 7% Employer Contribution
- Exceptional Paid Time Off
- Maternity / Paternity Leave
- Infertility Treatment Program
- Adoption Assistance
- Education Assistance
- Enterprise Learning and Development
- And more
ALSAC is an equal employment opportunity employer.
ALSAC does not discriminate against any individual with regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, transgender status, disability, veteran status, genetic information or other protected status.
No Search Firms:
ALSAC does not accept unsolicited assistance from search firms for employment opportunities. All resumes submitted by search firms to any ALSAC employee or ALSAC representative via email, the internet or in any form and/or method without being contacted and approved by our Employee Experience team and without a valid written search agreement in place will result in no fee being paid if a referred candidate is hired by ALSAC.

INTRODUCTION
At ALSAC you do more than make a living; you make a difference.
We like people who are different…because we’re different, too. As one of the world’s most iconic and respected nonprofits, we know what it’s like to stand out. That’s why we’re looking at you. Your background, perspective, and desire to make an impact set you apart. As we work to help St. Jude cure childhood cancer, we're calling on the game-changers, innovators and visionaries to join our family. Not just for the kids of St. Jude, but also for you. Because at ALSAC, we develop and celebrate our employees. So, bring your whole, authentic self and become part of our shared mission: Finding cures. Saving children.®
ROLE AND RESPONSIBILITIES
As a Software Engineer IV on the BIDE platform, you’ll serve as a technical leader for the systems that power ALSAC’s enterprise analytics ecosystem. This role offers true end‑to‑end ownership—from architectural design through production stability—on a mission‑critical BI platform that supports decision‑making at scale.
You will lead the design, build, and evolution of complex, high‑scale data and software systems while partnering closely with Enterprise Architecture, Product, and Engineering teams. This role is ideal for someone who thrives on technical authority, architectural influence, and operational excellence, and who enjoys balancing delivery, reliability, and long‑term platform health.
Technical Leadership & Architecture
- Serve as the technical authority for platform‑level systems, owning architecture, data flows, and technical standards across products.
- Design, build, and maintain robust technical processes spanning multiple technologies, programming languages, and database structures.
- Partner closely with Enterprise Architects to ensure alignment between architecture standards, technical solutions, and business outcomes.
- Lead technical design reviews and make informed trade‑off decisions balancing speed, performance, reliability, data integrity, and maintainability.
Portfolio Ownership & Prioritization
- Own technical oversight for a portfolio of products and services, helping prioritize work across competing demands including delivery commitments, production support, technical debt, and platform modernization.
- Influence where engineering effort is invested to maximize organizational value.
End‑to‑End Ownership & Operational Excellence
- Be accountable for production readiness, system reliability, and incident prevention across portfolio systems.
- Establish and enforce standards for monitoring, alerting, resiliency patterns, runbooks, and post‑incident reviews.
- Drive continuous improvement in platform stability, observability, and operational maturity.
Delivery & Execution
- Plan, architect, and lead large‑scale technical initiatives, upgrades, and implementations.
- Collaborate with business leaders, product teams, and engineering managers to align technical execution with business priorities.
- Introduce and evaluate modern tools and emerging technologies that improve platform capability and sustainability.
Mentorship & Collaboration
- Act as a technical lead and mentor to Software Engineers I–III through coaching, design guidance, code reviews, and pair programming.
- Support team growth by promoting best practices across the full Software Development Life Cycle (SDLC).
BASIC QUALIFICATIONS
- 8+ years of experience in software engineering, systems development, and large‑scale technical design.
- Proven experience designing and supporting enterprise‑scale data platforms in both on‑prem and cloud environments.
- Deep expertise in SQL Server / database engineering, including performance tuning, reliability, and troubleshooting long‑running or blocking workloads.
- Strong understanding of enterprise data ingestion patterns using SQL, APIs, and cloud‑based platforms (AWS), with awareness of downstream analytics and warehouse impacts.
- Experience with modern data ingestion and transformation tools (e.g., CData, dbt, or equivalent), with a focus on production ownership and maintainability.
- Working knowledge of SQL Server replication technologies, including Microsoft Replication and Change Data Capture (CDC).
- Strong skills in process modeling, data modeling, database design, and technical specification creation.
- Excellent communication, organization, and planning skills; able to manage multiple priorities with minimal supervision.
- Bachelor’s degree in Computer Science, Information Systems, Engineering, Mathematics, or a related field (or equivalent experience).
- Hands‑on experience with containerization supporting data engineering or AI/ML workloads.
- Exposure to cloud‑native architectures supporting scalable, reliable data pipelines.
- Experience with project planning, technical road‑mapping, and deployment strategies.
PREFERRED QUALIFICATIONS
Benefits & Perks
The following Benefits & Perks apply to Full-Time Roles Only.
We’re dedicated to ensuring children and their families have every opportunity to enjoy life’s special moments. We’re also committed to giving our staff excellent benefits so they can do the same.
- Core Medical Coverage: (low cost low deductible Medical, Dental, and Vision Insurance plans)
- 401K Retirement Plan with 7% Employer Contribution
- Exceptional Paid Time Off
- Maternity / Paternity Leave
- Infertility Treatment Program
- Adoption Assistance
- Education Assistance
- Enterprise Learning and Development
- And more
ALSAC is an equal employment opportunity employer.
ALSAC does not discriminate against any individual with regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity, transgender status, disability, veteran status, genetic information or other protected status.
No Search Firms:
ALSAC does not accept unsolicited assistance from search firms for employment opportunities. All resumes submitted by search firms to any ALSAC employee or ALSAC representative via email, the internet or in any form and/or method without being contacted and approved by our Employee Experience team and without a valid written search agreement in place will result in no fee being paid if a referred candidate is hired by ALSAC.
Backend Engineer Job Roles in Tennessee
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Search Backend Engineer Jobs in TennesseeBackend Engineer Jobs in Tennessee: Frequently Asked Questions
Which companies in Tennessee sponsor visas for backend engineers?
Healthcare IT companies are the most consistent sponsors in Tennessee. HCA Healthcare, Change Healthcare, and Vanderbilt University Medical Center have a track record of filing H-1B petitions for backend engineers. Nashville-based fintech firms like AllianceBernstein and Avenue Bank also sponsor, as do larger consulting firms with Tennessee offices. Sponsorship activity is most concentrated in Nashville, with smaller volumes coming from Knoxville and Memphis.
What visa types are most commonly used for backend engineer roles in Tennessee?
The H-1B is by far the most common visa category for backend engineers in Tennessee, as the role typically qualifies as a specialty occupation requiring a bachelor's degree in computer science or a related field. Some backend engineers at multinational firms may also qualify for the L-1B intracompany transfer visa. Candidates from Australia and Canada may find the E-3 and TN visa categories available through qualifying employers as well.
Which cities in Tennessee have the most backend engineer visa sponsorship jobs?
Nashville accounts for the large majority of backend engineer sponsorship activity in Tennessee, driven by its concentration of healthcare IT companies, fintech firms, and growing startup ecosystem. Knoxville has a smaller but notable presence tied to Oak Ridge National Laboratory and University of Tennessee spin-offs. Memphis sees backend engineering demand primarily from logistics and supply chain technology companies, including those connected to FedEx operations.
How to find backend engineer visa sponsorship jobs in Tennessee?
Migrate Mate is built specifically for international candidates seeking visa sponsorship and lets you filter backend engineer roles by state, including Tennessee. Rather than sifting through general job boards and guessing which employers sponsor, Migrate Mate surfaces roles from companies with a documented history of sponsorship. For backend engineers targeting Nashville's healthcare IT or fintech sectors specifically, filtering by those industries on Migrate Mate will give the most relevant results.
Are there any state-specific factors backend engineers should know when pursuing sponsorship in Tennessee?
Tennessee has no state income tax on wages, which can make total compensation more attractive compared to states with higher tax burdens, though this does not directly affect the visa sponsorship process. The state's healthcare IT concentration means backend engineers with experience in HL7, FHIR, or EHR systems are particularly competitive for sponsored roles. University pipelines from Vanderbilt, the University of Tennessee, and Tennessee Tech also mean employers in the state have established OPT-to-H-1B pathways already in place.
What is the prevailing wage for sponsored backend engineer jobs in Tennessee?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
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