.Net Engineer with Healthcare/Payer industry Must (Remote)

.NET Engineer  
 Location: 100% Remote 
 
 Business Context 
The team is accelerating its product roadmap with a focus on payment reconciliation and underpayment resolution ensuring providers are reimbursed accurately per contract terms. 
The application supports:

• Correct reimbursement rate determination

• Health plan and region validation

• Place of service identification

• Payment routing and responsibility assignment

• Contract adherence checks

• Payment dispute resolution

 
  Ideal Candidate Profile

• Experience building or supporting payment dispute, payment integrity, or claims reconciliation applications in healthcare.

• Strong background in claims processing/administration.

• Exposure to Revenue Cycle Management (RCM) is a major plus.

• Familiarity with healthcare transactions (A35/A37) and payer organizations (e.g., Anthem/Blue Cross Blue Shield).

• Claimsdriven, datadriven, and architecturefocused mindset.

 
 Technical Environment

• Microsoft-centric development stack

• Fullstack role: 60% Backend / 40% Frontend

• Core responsibilities:

  • Backend/API development

  • Data integration and analytics functionality

  • UI features supported by backend services

 
 Cloud & DevOps

• Dedicated cloud team in place, but engineers should understand:

  • CI/CD pipelines

  • Code commits and deployment processes

  • Pipeline variables and environment management

• AWS preferred (Azure acceptable if open to transition).

 
  Data & Database Requirements

• Snowflake is the primary analytics/data platform.

• PostgreSQL experience preferred.

• Strong knowledge of:

  • Data modeling (normalized vs. denormalized structures)

  • Handling large claims datasets

  • Transforming raw claims data into consumable analytics datasets

  • Moving/transforming data between operational systems and Snowflake

 
  Must-Haves

• Healthcare/Payer industry experience

• Claims processing or administration background

• Payment reconciliation, disputes, or integrity solutions experience

• Strong backend/API development skills

• Data-driven architecture expertise

• AWS (or willingness to transition from Azure)

• Snowflake and SQL/data modeling exposure

 
  Nice-to-Haves

• Revenue Cycle Management (RCM) experience

• Anthem/Blue Cross Blue Shield exposure

• Healthcare transaction knowledge (A35/A37)

• PostgreSQL expertise