Note: The job is a remote job and is open to candidates in USA. The hiring company is seeking a Manager of Full Stack Development to lead the design, development, and delivery of high-availability applications for the US healthcare provider domain. The role owns engineering standards, team performance, and delivery outcomes across distributed teams, while partnering with stakeholders on provider systems and AI-first engineering practices.
Responsibilities
- Lead end-to-end full stack development across provider domain applications, from architecture and design through delivery and production support
- Define and enforce engineering best practices, coding standards, and design patterns for .NET/C# backend and React/Angular frontend development
- Own technical delivery across multiple concurrent workstreams, managing timelines, dependencies, quality, and stakeholder expectations
- Lead technical design reviews, architecture discussions, and code review processes to maintain solution quality and consistency
- Drive sprint planning, backlog grooming, and Agile delivery governance across distributed onshore and offshore engineering teams
- Manage and mentor a team of Technical Leads and Senior Engineers, establishing clear accountability and supporting career growth
- Lead incident response, root-cause analysis, and long-term reliability improvements for provider-facing systems
- Collaborate with DevOps and cloud engineering teams to ensure CI/CD pipelines, infrastructure, and deployment practices meet quality and compliance standards
- 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
- Partner with client stakeholders and product owners to define and refine requirements, acceptance criteria, and solution trade-offs
- Ensure all solutions adhere to HIPAA-compliant design principles and data privacy requirements relevant to provider data
- Drive implementation and maintenance of healthcare interoperability standards including HL7, FHIR R4, and X12 EDI transactions relevant to provider data exchange
- Contribute to SOW scoping, estimation, and technical proposal development for provider domain engagements
- Partner with solution architects to design scalable, resilient .NET/C# microservices and APIs supporting provider network, credentialing, and directory systems on AWS
- Evaluate and introduce technologies, frameworks, and tools that improve engineering velocity, system performance, and maintainability
- Own cross-team technical dependency resolution across full stack, integration, and cloud/DevOps disciplines
- Drive test automation strategy across unit, integration, and end-to-end test layers for provider domain applications
Skills
- Bachelor's or Master's degree in Computer Science, Engineering, or a related field
- 12–15 years of software engineering experience with at least 4 years in a technical leadership or management role
- 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)
- Deep hands-on experience with AWS services including ECS/EKS, RDS, S3, Lambda, SQS/SNS, and API Gateway
- Proven experience building and operating microservices-based, distributed, cloud-native applications
- Strong expertise in relational database design and query optimization (SQL Server, PostgreSQL)
- Solid understanding of RESTful API design, OAuth2/OIDC authentication, and enterprise integration patterns
- Proven experience managing and delivering programs across distributed onshore/offshore teams
- Strong written and verbal communication skills for client-facing and executive stakeholder engagement
- Experience with CI/CD pipelines, DevOps toolchains (Azure DevOps, GitHub Actions, Terraform), and container orchestration (Docker, Kubernetes)
- 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
- 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
- Identifies and drives AI automation opportunities across engineering workflows — code generation, test automation, documentation, and operational runbooks — and builds adoption into delivery plans
- 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
- Tracks AI adoption metrics across the team (AI-assisted development coverage, cycle-time improvement, defect reduction) and reports them as part of delivery governance
- Ensures AI usage across all teams complies with data privacy and security requirements, particularly around PHI and sensitive provider and health plan data
- Extensive experience in the US healthcare provider domain: provider credentialing, network management, provider directory, provider contracting, and roster management
- 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)
- Experience with CAQH, PECOS, or similar provider credentialing platforms and data integrations
- Familiarity with NCQA and CMS provider directory compliance requirements
- Experience in a consulting or professional services environment with direct client relationship accountability
- AWS Certified Developer or AWS Certified Solutions Architect certification
- Familiarity with Microsoft Azure and hybrid cloud environments
Benefits
- Remote work
Company Overview
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