Job DescriptionExperience: 12-15 years
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Skillset: Provider Domain, Full Stack Development (.NET/C#, React/Angular), AWS, Healthcare Interoperability (HL7, FHIR, X12 EDI), AI-Assisted Engineering, Onshore/Offshore Delivery Leadership
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Role Overview
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We are looking for a Senior Manager of Full Stack Development with deep expertise in the US healthcare provider domain to lead design, development, and delivery of complex, high-availability applications on .NET/C# and modern front-end frameworks. This is a hands-on technical leadership role with direct ownership of engineering standards, team performance, and delivery outcomes across onshore and offshore teams supporting health plan provider network and credentialing systems.
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You will partner closely with architects, product owners, and client stakeholders to translate provider domain requirements into robust, scalable full stack solutions, while championing an AI-first engineering culture across every team you lead.
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Key Responsibilities
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Engineering Leadership & Delivery\\n
\\n - Lead end-to-end full stack development across provider domain applications, from architecture and design through delivery and production support.
\\n - Define and enforce engineering best practices, coding standards, and design patterns for .NET/C# backend and React/Angular frontend development.
\\n - Own technical delivery across multiple concurrent workstreams, managing timelines, dependencies, quality, and stakeholder expectations.
\\n - Lead technical design reviews, architecture discussions, and code review processes to maintain solution quality and consistency.
\\n - Drive sprint planning, backlog grooming, and Agile delivery governance across distributed onshore and offshore engineering teams.
\\n - Manage and mentor a team of Technical Leads and Senior Engineers, establishing clear accountability and supporting career growth.
\\n - Lead incident response, root-cause analysis, and long-term reliability improvements for provider-facing systems.
\\n - Collaborate with DevOps and cloud engineering teams to ensure CI/CD pipelines, infrastructure, and deployment practices meet quality and compliance standards.
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Provider Domain & Client Engagement\\n
\\n - Serve as the primary technical point of contact for provider domain requirements, translating complex business rules around provider credentialing, network management, contracting, and directory into technical solutions.
\\n - Partner with client stakeholders and product owners to define and refine requirements, acceptance criteria, and solution trade-offs.
\\n - Ensure all solutions adhere to HIPAA-compliant design principles and data privacy requirements relevant to provider data.
\\n - Drive implementation and maintenance of healthcare interoperability standards including HL7, FHIR R4, and X12 EDI transactions relevant to provider data exchange.
\\n - Contribute to SOW scoping, estimation, and technical proposal development for provider domain engagements.
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Technical & Architecture Partnership\\n
\\n - Partner with solution architects to design scalable, resilient .NET/C# microservices and APIs supporting provider network, credentialing, and directory systems on AWS.
\\n - Evaluate and introduce technologies, frameworks, and tools that improve engineering velocity, system performance, and maintainability.
\\n - Own cross-team technical dependency resolution across full stack, integration, and cloud/DevOps disciplines.
\\n - Drive test automation strategy across unit, integration, and end-to-end test layers for provider domain applications.
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Required Qualifications
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\\n - Bachelor\'s or Master\'s degree in Computer Science, Engineering, or a related field.
\\n - 12-15 years of software engineering experience with at least 4 years in a technical leadership or management role.
\\n - Expert-level proficiency in .NET/C# (ASP.NET Core, Web API, Entity Framework) and strong proficiency in at least one modern front-end framework (React, Angular, or Blazor).
\\n - Deep hands-on experience with AWS services including ECS/EKS, RDS, S3, Lambda, SQS/SNS, and API Gateway.
\\n - Proven experience building and operating microservices-based, distributed, cloud-native applications.
\\n - Strong expertise in relational database design and query optimization (SQL Server, PostgreSQL).
\\n - Solid understanding of RESTful API design, OAuth2/OIDC authentication, and enterprise integration patterns.
\\n - Proven experience managing and delivering programs across distributed onshore/offshore teams.
\\n - Strong written and verbal communication skills for client-facing and executive stakeholder engagement.
\\n - Experience with CI/CD pipelines, DevOps toolchains (Azure DevOps, GitHub Actions, Terraform), and container orchestration (Docker, Kubernetes).
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AI-First Engineering Leadership (Required)
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\\n - Strong, demonstrated use of AI-assisted development workflows (Claude Code, GitHub Copilot, Cursor, or equivalent) across the full development lifecycle - design, coding, testing, review, and documentation.
\\n - Sets team-level standards for responsible AI-assisted coding, including validation rigor, security scanning of AI-generated code, and safeguarding PHI and sensitive provider data from exposure to external AI tools.
\\n - Identifies and drives AI automation opportunities across engineering workflows - code generation, test automation, documentation, and operational runbooks - and builds adoption into delivery plans.
\\n - Practical understanding of AI/LLM integration patterns relevant to provider domain applications: RAG, embeddings, agentic workflows (MCP), and AI-driven search for provider directory and credentialing use cases.
\\n - Tracks AI adoption metrics across the team (AI-assisted development coverage, cycle-time improvement, defect reduction) and reports them as part of delivery governance.
\\n - Ensures AI usage across all teams complies with data privacy and security requirements, particularly around PHI and sensitive provider and health plan data.
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Preferred Qualifications
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\\n - Extensive experience in the US healthcare provider domain: provider credentialing, network management, provider directory, provider contracting, and roster management.
\\n - Hands-on experience with FHIR R4 APIs (specifically Provider Directory / Da Vinci PDex Plan-Net), HL7 v2 messaging, and X12 EDI transactions (270/271, 837, 835).
\\n - Experience with CAQH, PECOS, or similar provider credentialing platforms and data integrations.
\\n - Familiarity with NCQA and CMS provider directory compliance requirements.
\\n - Experience in a consulting or professional services environment with direct client relationship accountability.
\\n - AWS Certified Developer or AWS Certified Solutions Architect certification.
\\n - Familiarity with Microsoft Azure and hybrid cloud environments.
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