A C++ Visual Studio developer designs, codes, and debugs applications in C++ language using Microsoft's Visual Studio IDE. They utilize its features for code editing, debugging, code navigation, and version control to ensure efficient workflow. They also use Visual Studio's tools for static and dynamic analysis, unit testing, and performance profiling to maintain code quality. Moreover, they work on application logic, interfaces, and underlying databases. They collaborate with other developers, testers, and system architects to ensure applications meet specified requirements and performance goals. They also regularly update their skills and knowledge about new C++ language features and Visual Studio enhancements.