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Onto Innovation Inc-US
United States
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Alteva RCM

Senior Software Engineer

Queens, NY, United States

$160,000 - $200,000 USD

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Job details

Pay: $160,000 - $200,000 USD
Posting language: English
Posted: Nov 3, 2026

Original job description

About Us

At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed to excellence.

About Alteva RCM

Alteva RCM is a healthcare revenue cycle management company that partners with medical practices and surgical centers nationwide. We help providers operate more efficiently, strengthen revenue cycle operations, and navigate the complexity of today's healthcare environment.

We serve a wide range of specialties and operate at scale, with technology playing an important role in how we support clients and internal operations.

About the Role

We are growing our technology team and building new software that sits at the center of the medical billing process: eligibility checks, claim status, payer connectivity, document handling, and the internal tools our operations teams use every day. This is an early, hands-on role on a team that is still taking shape, so the people we hire now will help set how we build.

As a Senior Software Engineer, you will design, build, and support production microservices and integrations on our cloud-native platform, which is primarily C#/.NET on Azure today, with room for other languages and cloud platforms where they are the right fit. You will work closely with the Technical Lead, operations stakeholders, and a distributed team of internal and outsourced developers, and you will own your work from requirements through release and production support.

We develop with AI-assisted tools every day, primarily Claude Code. We are looking for engineers who use these tools to move faster while staying fully accountable for correctness, security, and maintainability.

What You'll Own

Build & Integrate

Design, build, and maintain backend microservices and APIs, primarily in C# and ASP.NET Core
Build integrations with payer APIs and portals, clearinghouses, eligibility services, and internal platforms such as Salesforce
Design relational data models and write well-tuned SQL for high-volume operational workflows
Turn ambiguous business workflows into clear technical designs, and push back when a requirement doesn't make sense
Use AI-assisted development tools to accelerate implementation, testing, and refactoring, while reviewing every change for correctness and fit

Quality & Reliability

Participate in code reviews, giving and receiving direct feedback across internal and outsourced developers
Support releases, rollbacks, and post-release validation in live environments
Improve logging, monitoring, observability, and documentation so the next person can understand and support what you built
Investigate and resolve production issues, using logs and monitoring to find root causes rather than symptoms

Team & Delivery

Work closely with the Technical Lead on design decisions, estimates, and priorities
Collaborate with operations, product, QA, and business stakeholders to understand how the work is actually done
Mentor and support other developers as the team grows
Surface blockers and risks early, and communicate clearly about tradeoffs

What We're Looking For

Required

5+ years of professional software engineering experience, with recent hands-on work building backend services in C#/.NET (ASP.NET Core) or an equivalent modern language and framework (for example, Java with Spring Boot, Go, or Node.js with TypeScript)
Experience building and supporting production backend services and REST APIs
Experience designing, building, and operating microservices, including service boundaries, inter-service communication (REST and messaging), and independent deployment
Strong SQL and relational database skills (SQL Server or similar)
Hands-on experience with Microsoft Azure or AWS (or an equivalent cloud platform)
Experience integrating with third-party APIs, enterprise platforms, or data feeds
Solid testing habits, Git-based workflows, and experience with code review
Comfort using AI-assisted development tools, with the judgment to know when not to trust them
Clear communicator who can work with non-technical stakeholders and explain technical tradeoffs accurately
Comfortable in a live environment where systems are still being built and not everything is defined

Preferred

Background in healthcare, revenue cycle management, medical billing, or claims processing
Familiarity with healthcare data and transactions such as X12 EDI (270/271, 276/277, 835, 837) or FHIR
Experience with payer connectivity, clearinghouses, or eligibility and claim status automation
Salesforce or other enterprise CRM integration experience
Experience with document processing, OCR, or intelligent data extraction
Event-driven or message-based architecture (for example, AMQP or RabbitMQ)
CI/CD with Azure DevOps or GitHub Actions, and observability with OpenTelemetry and a backend such as Application Insights
Front-end experience (React or Angular) for internal tools
Experience working alongside outsourced or distributed development teams
Experience developing low-level agentic AI orchestration, such as agents that perform work on internal systems

What This Isn't

This is not a ticket-taking role. You will be expected to understand the business problem, question requirements, and own the outcome of what you ship.

It is also not a frontend-only or desktop role. Most of the work is backend microservices, integrations, and data on a modern, cloud-native stack.

Location

Our office is in Richmond Hill, Queens, NY, and we prefer candidates who can work there on a hybrid basis.

Why Join

Help build core technology for a growing healthcare company, with a short feedback loop between your work and real operational outcomes
Join early, as the technology team scales, and help shape engineering standards and practices
Work with modern tools, including AI-assisted development as an everyday part of the job
Grow alongside experienced technical leadership, with room to take on more ownership over time

Alteva RCM | Technology

Benefits

Alteva RCM offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program. Pay Range

$160,000 - $200,000 USD

Benefits

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