Jobs in the United States

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Added 6 mins ago
Sr. Software Engineer – Okta/OIE Application Remediation
INSPYR Solutions
AZ
Hands-on integration of applications with Okta or another enterprise IdP using OIDC, OAuth 2.0, and SAML
Added 16 mins ago
ND
Senior .NET Developer
NTT Data Americas, Inc.
Irving, TX
- $50 to $60 USD / hour
NTT DATA's Client is currently seeking a Senior .NET Developer to join our team in Irving, Texas (US-TX), United States (US).
Added 17 mins ago
Sr. .NET Developer
CGI Technologies and Solutions, Inc.
Westlake, TX · Plano, TX
CGI is looking for a hands on Sr. .NET Developer who is passionate about technology and thrives in fast paced, innovation driven environments. You will lead by example designing,…
Added 17 mins ago
.NET Technical Lead
CGI Technologies and Solutions, Inc.
Dallas, TX
CGI is looking for a hands on .NET Technical Lead who is passionate about technology and thrives in fast paced, innovation driven environments. You will lead by example designing,…
Added 17 mins ago
.NET Developer
CGI Technologies and Solutions, Inc.
Dallas, TX
CGI is looking for a hands on .NET Developer who is passionate about technology and thrives in fast paced, innovation driven environments. You will lead by example designing, developing,…
Added 17 mins ago
Lead Databricks Application Architect/Full Stack Developer
CGI Technologies and Solutions, Inc.
Dallas, TX
We are seeking a highly experienced Lead Databricks Application Architect / Full Stack Developer to lead the design, development, and implementation of a new enterprise application built on…
Added 17 mins ago
SQL Server DBA
Cornerstone Defense
San Diego, CA
Review and analyze database design and integration of systems, recommend enhancements and/or improvements.
Added 18 mins ago
Lead Software Engineer
Evolent
Austin, TX
Define the backend-for-frontend (BFF) pattern and the integration approach for .NET (C#) and Python (FastAPI) services, and Entra ID / OpenID Connect authentication.
Added 20 mins ago
A
.Net Application Developer
AVER
Washington, DC
- $110,000 to $124,000 USD / year
AVER is seeking a .Net Application Developer with experience designing, developing, enhancing, and maintaining enterprise applications using Microsoft C#, .NET Core, ASP.NET, and SQL-based…
Added 25 mins ago
Software Engineer, Manufacturing
SpaceX
Bastrop, TX
Programming experience in Python, C#.NET, Go, Scala, Java, or similar object-oriented language
Added 45 mins ago
Senior .NET/Azure Systems Engineer
Chartis Consulting Corporation
Remote, United States
Chartis Federal is a premier systems engineering and integration firm specializing in mission-critical IT and communications solutions for law enforcement, homeland security, and defense.…
Added 56 mins ago
RH
Software Engineer
Robert Half
Nashville, TN
- $65 to $75 USD / hour
Robert Half is seeking a Contract C# Developer to join our client's development team. As a Contract C# Developer, you will play a pivotal role in designing, developing, and maintaining…
Added 56 mins ago
RH
.NET Software Engineer
Robert Half
Nashville, TN
- $70 to $80 USD / hour
Robert Half is seeking a Contract .NET Developer to join our client's development team. As a Contract .NET Developer, you will be responsible for designing, developing, and maintaining…
Added 1 hour ago
Software Engineer II
Aerospace
Clearwater, FL
…contribute to ongoing improvements in performance, usability, and…
Added 1 hour ago
Software Engineer I
Aerospace
Clearwater, FL
…contribute to ongoing improvements in performance, usability, and…
Added 1 hour ago
Senior Systems Administrator (57842)
BMA TECHNICAL SERVICES INC
Remote, United States
…Hybrid Administrator, Azure Solutions Architect Expert, MS .NET Developer Associate, Azure Enterprise Administrator…
Added 1 hour ago
Senior Software Engineer
Alteva RCM
Queens, NY
…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…
Added 1 hour ago
Lead Engineer, Health Data Integrations
Total Performance Consulting
GA
Set the standards for testing, observability, and CI/CD so the team can catch integration failures before they affect members or physicians.
Added 1 hour ago
Full Stack Modeling and Simulation Software Engineer
Booz Allen Hamilton_United States
Colorado Springs, CO
As a full stack developer, you can resolve complex challenges by delivering complete, end-to-end software solutions in a fast-paced, agile environment. If you're looking for an opportunity…
Added 1 hour ago
Senior Software Developer (Hybrid)
Intact Specialty Solutions
Canton, MA · NC · Farmington, CT · Boston, MA
We currently have an opportunity for a Senior Software Developer to join our Corporate IT team based in our Canton, MA; Boston, MA; Farmington, CT or Raleigh, NC offices on a hybrid…
Added 1 hour ago
Software Developer II
Safepoint MGA, LLC
Temple Terrace, FL
We are seeking a motivated Software Developer II to design, develop, and support modern enterprise applications and services. This position is ideal for a developer with approximately 2–3…
Added 1 hour ago
K
Software Development Engineer
Kforce
Irving, TX
- $65 to $69 USD / hour
Use Git-based source control, code reviews, continuous integration, and other modern development practices
Added 2 hours ago
Information Technology Specialist (Applications Software)
Peace Corps
Washington, DC
…and maintenance of the custom financial applications and the integration with Odyssey, the Agency's financial management system. The supported Financial Systems are comprised of custom .NET…
Added 2 hours ago
Information Technology Specialist (Applications Software)
Peace Corps
Washington, DC
…and maintenance of the custom financial applications and the integration with Odyssey, the Agency's financial management system. Responsibilities The Information Technology Specialist…
Added 2 hours ago
Associate Flight Test Data Processing Software Engineer
The Boeing Company
Berkeley, MO
…operations in real-time environments, and hardware and software integration. C/C++, C#, WinForms/WPF/WinUI or Blazor, SQL Server, Visual Studio, .NET framework, git, and Azure DevOps are…

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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