.NET Full Stack Development Manager (Healthcare Provider Domain)

Quick Facts

• Role: .NET Full Stack Development Manager (Healthcare Provider Domain)
• Work mode: Onshore (United States)

Description

Lead end-to-end full stack development for US healthcare provider network, credentialing, and directory systems. You will own engineering standards and delivery outcomes across distributed onshore and offshore teams, translating provider-domain requirements into scalable, reliable .NET/C# and modern front-end solutions. You will also champion an AI-first engineering culture with responsible AI practices for PHI and sensitive provider data.

Responsibilities

• Lead full-stack delivery from architecture and design through production support for provider-domain applications
• Define and enforce coding standards, design patterns, and engineering best practices for .NET/C# and React/Angular/Blazor
• Own technical delivery across multiple concurrent workstreams (quality, dependencies, timelines, stakeholder expectations)
• Drive design reviews, code reviews, sprint planning, backlog grooming, and Agile governance
• Mentor Technical Leads and Senior Engineers; manage accountability and career growth
• Lead incident response, root-cause analysis, and reliability improvements
• Coordinate with DevOps/cloud teams to ensure CI/CD, infrastructure, and deployments meet quality and compliance standards
• Act as primary technical point of contact for provider-domain requirements (credentialing, network management, contracting, directory)
• Partner with architects, product owners, and stakeholders on requirements, acceptance criteria, and trade-offs
• Ensure HIPAA-compliant design principles and data privacy for provider data
• Implement and maintain healthcare interoperability standards including HL7, FHIR R4, and X12 EDI transactions
• Support SOW scoping, estimation, and technical proposal development
• Partner on scalable, resilient microservices and APIs on AWS; resolve cross-team technical dependencies
• Drive test automation across unit, integration, and end-to-end layers
• Use AI-assisted engineering workflows and establish team standards for secure, responsible AI adoption (validation rigor and security scanning)
• Identify automation opportunities (code generation, test automation, documentation, runbooks) and track AI adoption metrics (coverage, cycle-time, defect reduction)

Requirements

• Bachelor’s or Master’s degree in Computer Science, Engineering, or related field
• 12–15 years software engineering experience with at least 4 years in technical leadership/management
• Expert .NET/C# (ASP.NET Core, Web API, Entity Framework) and strong front-end framework skills (React, Angular, or Blazor)
• Deep hands-on AWS experience: ECS/EKS, RDS, S3, Lambda, SQS/SNS, API Gateway
• Experience building and operating microservices-based, distributed, cloud-native applications
• Relational database design and query optimization: SQL Server or PostgreSQL
• RESTful API design, OAuth2/OIDC authentication, and enterprise integration patterns
• Experience delivering programs across distributed onshore/offshore teams
• Strong client-facing and executive stakeholder communication
• CI/CD pipelines, DevOps toolchains (Azure DevOps, GitHub Actions, Terraform), and container orchestration (Docker, Kubernetes)
• AI-assisted development workflows across design, coding, testing, review, and documentation with safeguards for PHI and sensitive data

Benefits

• Hands-on technical leadership with direct ownership of engineering standards, team performance, and delivery outcomes
• Opportunity to lead AI-first engineering practices while ensuring compliance for healthcare provider data