Manager .NET Full Stack Engineering

Manager .NET Full Stack Engineering (Healthcare Provider Domain)

Direct Hire Opportunity | No Visa Sponsorship Available (U.S. work authorization required).

Job Summary

We are seeking an experienced Full Stack Development Manager with strong expertise in the US healthcare provider domain to lead the design, development, and delivery of scalable, cloud-native applications. This is a hands-on technical leadership role requiring expertise in .NET/C#, React or Angular, AWS, healthcare interoperability, and distributed team management.

The ideal candidate will have experience with provider credentialing, provider network management, and provider directory solutions, along with a proven ability to lead onshore/offshore engineering teams and drive AI-assisted software development practices.

Key Responsibilities

• Lead end-to-end full stack development, including architecture, design, coding standards, testing, deployment, and production support.
• Drive development of scalable applications and microservices using .NET/C#, ASP.NET Core, React/Angular, and AWS.
• Manage and mentor technical leads and senior engineers across onshore and offshore teams.
• Own delivery planning, sprint execution, technical reviews, risk management, and stakeholder communication across multiple workstreams.
• Translate healthcare provider business requirements into secure, reliable technical solutions for credentialing, network management, contracting, and provider directories.
• Drive healthcare interoperability integrations using FHIR, HL7, and X12 EDI standards.
• Collaborate with architects, product owners, DevOps, and client stakeholders on technical design, solution delivery, and production reliability.
• Establish CI/CD, automated testing, security, and quality engineering practices.
• Promote AI-assisted engineering using tools such as Claude Code, GitHub Copilot, or Cursor across coding, testing, code reviews, and documentation.
• Establish responsible AI usage standards, including validation of generated code and protection of PHI and sensitive provider data.
• Identify AI/LLM opportunities involving RAG, embeddings, agentic workflows, and AI-powered provider search.
• Track engineering productivity, AI adoption, quality, and delivery metrics.
• Support project estimation, technical proposals, and SOW development.

Required Qualifications

• Bachelor s or Master s degree in Computer Science, Engineering, or a related field.
• 12 15 years of software engineering experience, including at least 4 years in technical leadership or management.
• Expert-level proficiency in .NET/C#, ASP.NET Core, Web API, and Entity Framework.
• Strong hands-on experience with React, Angular, or Blazor.
• Deep AWS experience, including ECS/EKS, RDS, S3, Lambda, SQS/SNS, and API Gateway.
• Experience building and supporting microservices, distributed systems, and cloud-native applications.
• Strong SQL and database design skills, preferably with SQL Server or PostgreSQL.
• Knowledge of REST APIs, OAuth2/OIDC, enterprise integration patterns, Docker, Kubernetes, and CI/CD.
• Experience with tools such as Azure DevOps, GitHub Actions, and Terraform.
• Proven ability to manage distributed onshore/offshore teams and deliver complex client-facing projects.
• Demonstrated use of AI-assisted development tools across the software development lifecycle.
• Understanding of AI/LLM integration patterns, including RAG, embeddings, and agentic workflows.
• Strong communication, technical decision-making, and stakeholder management skills.
• Strong experience in the US healthcare provider domain, particularly provider credentialing, network management, contracting, roster management, and provider directories.
• Hands-on experience with FHIR R4 APIs, Provider Directory, Da Vinci PDex Plan-Net, HL7 v2, and X12 EDI transactions such as 270/271, 837, and 835.
• Experience integrating with CAQH, PECOS, or similar provider credentialing platforms.
• Familiarity with NCQA and CMS provider directory compliance requirements.
• Consulting or professional services experience with direct client engagement responsibilities.
• AWS Developer or Solutions Architect certification.
• Familiarity with Microsoft Azure and hybrid cloud environments.