Posted Sep 29, 2026

[Hiring] Technical .Net Full Stack Lead @American IT Systems

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Role Description Your role in our mission: • Head up technical teams and workstreams as you design, develop, test and install complex database applications software — with server, client and web components. • Keep the team on the same page by overseeing relationships between application architects and developers to ensure design requirements result in flexible, reusable system components. • Create more satisfied clients by writing highly complex design, coding and testing documentation that yields purpose-built technical products that meet real needs. • Shine as an SME in the areas of development, domain, application design and database methodologies and best practices. • Provide clients with technical consulting on highly complex projects by refining existing apps and designing new application modules and components. • Mentor and guide less experienced application designers. • Lead and mentor a team of technical professionals to deliver high-quality solutions. • Oversee end-to-end software development lifecycle (SDLC), ensuring adherence to best practices and timelines. • Manage change control processes and ensure smooth implementation of system updates. • Collaborate with cross-functional teams to gather requirements, define solutions, and ensure alignment with business objectives. • Conduct critical analysis and problem-solving to address complex technical and functional challenges. • Drive continuous improvement in release cadence and operational efficiency. • Contribute to strategic planning and roadmap development for technical initiatives. • Design, develop, install, test and document applications software — including server, client and web components. • Design, document and deliver technical architecture solution elements. • Support coordination between application architects and developers to ensure design requirements are accurate and deliver the desired ROI for clients. • Define and develop project requirements, functional specifications and detailed application solution designs for clients. • Develop technical documentation and test plans to support integration and deployment. • Advance key goals and objectives for Gainwell and clients by working closely with software developers. Qualifications • 9+ years of experience in application and user interface development, programming, and AI using Microsoft .NET technologies: C#, ASP.NET, and .NET Core Blazor. • SQL/PL SQL with Oracle and SQL Server. • MVC and Web API. • HTML, JavaScript and jQuery. • Healthcare IT systems with specific Membership domain experience. Requirements • Fully remote opportunity with the option to work anywhere within the 48-contiguous United States. • Would require working during the central time zone. • Opportunities to travel through your work (0-10%). • Willingness to work a flexible schedule to accommodate business needs and travel as required. • Video cameras must be used during all interviews, as well as during the initial week of orientation. • The deadline to submit applications for this posting is June 17, 2026. Benefits • The pay range for this role is $125K Max per annum including any bonuses or variable pay. • Tech Mahindra offers benefits like medical, vision, dental, life, disability insurance and paid time off (including holidays, parental leave, and sick leave, as required by law). • Ask our recruiters for more details on our Benefits package. • The exact offer terms will depend on the skill level, educational qualifications, experience and location of the candidate. AI Developer Verbiage Your role in our mission: • AI Model Development – Design, build, and train machine learning and deep learning models, including GenAI, NLP, and predictive analytics solutions for healthcare applications. • End-to-End AI Solution Deployment – Develop, test, and deploy AI solutions in cloud and on-premise environments, ensuring reliability, scalability, and real-world impact. • Data Engineering & Processing – Work with large healthcare datasets, performing data preprocessing, feature engineering, and model training while ensuring compliance with HIPAA and other regulatory standards. • System Integration – Implement and optimize AI models within Gainwell's existing technology stack, collaborating with software engineers to ensure seamless integration. • Performance Optimization – Continuously monitor, refine, and optimize AI models for accuracy, efficiency, and speed, leveraging MLOps best practices. • AI Research & Innovation – Stay updated with the latest AI/ML advancements, exploring new technologies and methodologies to enhance solution effectiveness. • Compliance & Security – Ensure AI implementations adhere to healthcare industry regulations, ethical AI principles, and data privacy standards. • Automation & Workflow Enhancement – Identify opportunities to automate workflows and optimize business processes using AI-driven solutions. • Experience developing, deploying and finetuning LLMs (GPT, Gemini, Claude or similar) for real world applications including prompt engineering, model optimization and inference efficiency. • Strong programming skills in Python, TensorFlow, PyTorch, and other AI frameworks. • Strong problem-solving skills with the ability to translate business challenges into AI-driven solutions. What We're Looking For • 9+ years of experience in Application Development, programming and AI. • Extensive AI/ML Experience: 5+ years in AI/ML engineering, including hands-on work with GenAI, NLP, deep learning, and computer vision. • Technical Proficiency: Strong coding skills in Python and frameworks like TensorFlow and PyTorch; experienced with LLMs (GPT, Gemini, Claude) including prompt engineering and optimization. • Scalable Deployment Skills: Familiar with cloud platforms (AWS, Azure, GCP), MLOps practices, and big data tools (Spark, Hadoop, SQL/NoSQL). • Domain Knowledge: Strong problem-solving abilities with a plus for experience in healthcare AI and understanding of regulatory standards like HIPAA and CMS.