Job Description

Lead Full Stack .Net Developer w/ strong AI/RAG/LLM

Must have:

• Design, develop, and maintain full stack applications using .NET (C#), Angular, and/or React
• Current or recent lead exp
• Strong backend development experience with .NET / C#, including API and service-oriented architecture
• Strong frontend experience with Angular and React, with emphasis on UI performance and usability
• Lead the adoption of AI-first development practices across the engineering organization - including AI-assisted code generation, intelligent code review, automated documentation, and LLM-powered feature development.
• Evaluate and integrate emerging AI tools, frameworks, and APIs (including large language models and generative AI platforms) into
• Experience integrating AI/ML tools into development workflows (e.g., AI-assisted coding, test generation, or LLM-based analysis)
• MUST HAVE excellent COMMUNICATION
• Must have strong excellent communication
• LinkedIn Page

The Senior Engineer II is a highly experienced software engineer and technical leader who drives the design, development, and delivery of complex, scalable software systems at CareMetx. This role requires a seasoned engineer who brings deep full-stack expertise, strong architectural instincts, and a forward-thinking AI-first development mindset to every product and platform initiative.

Operating with a high degree of autonomy, this individual leads technically across multiple projects, shapes engineering direction, mentors fellow engineers, and partners closely with product and business stakeholders to deliver meaningful, high-quality software that accelerates patient access to specialty therapies. Experience in the pharmaceutical or healthcare technology industry is strongly preferred.

PRIMARY DUTIES & RESPONSIBILITIES

AI-First Development & Innovation

Lead the adoption of AI-first development practices across the engineering organization - including AI-assisted code generation, intelligent code review, automated documentation, and LLM-powered feature development.

Evaluate and integrate emerging AI tools, frameworks, and APIs (including large language models and generative AI platforms) into CareMetx's product and platform architecture.

Establish internal standards and best practices for responsible, scalable AI integration; conduct knowledge-sharing sessions to accelerate AI fluency across engineering teams.

Stay current with the rapidly evolving AI/ML landscape, bringing innovations back to the organization and translating them into concrete product improvements.

Software Architecture & Engineering Excellence

Architect and develop robust, scalable, and maintainable software systems across the full stack - from API design and data modeling to front-end implementation and cloud infrastructure.

Lead the technical design of complex features and platform capabilities, producing clear architectural documentation and driving cross-functional alignment before implementation begins.

Own multiple concurrent complex projects end-to-end, from requirements refinement through deployment and post-launch observability.

Establish and enforce engineering standards - including code quality, design patterns, security practices, and performance benchmarks - through code reviews, documentation, and direct mentorship.

Proactively identify and address technical debt, refactoring opportunities, and architectural risks before they become blockers.

Provide deep technical expertise across two or more engineering domains (e.g., backend services, cloud infrastructure, data engineering, API integrations, front-end architecture).

Product & Business Partnership

Collaborate closely with product management, UX, and business stakeholders to translate complex requirements into practical, elegant technical solutions.

Actively participate in product planning, sprint ceremonies, and roadmap discussions - providing engineering perspective on feasibility, effort, risk, and opportunity.

Anticipate downstream technical implications of product decisions and proactively surface tradeoffs with clear, data-informed recommendations.

Develop a strong command of CareMetx products and can effectively demo features and explain system behavior to both technical and non-technical audiences.

Team Leadership & Mentorship

Provide technical mentorship and career development guidance to junior and mid-level engineers, accelerating their growth and raising the overall capability of the team.

Actively participate in recruiting, technical screenings, and hiring decisions - contributing to building a high-caliber engineering organization.

Foster a culture of continuous learning, psychological safety, and engineering craftsmanship within the team.

Initiate and lead cross-team collaboration on shared challenges, platform improvements, and architectural consistency.

Serve as a clear, confident technical voice in team and leadership discussions - representing engineering perspective and escalating risks appropriately.

Delivery, Operations & Continuous Improvement

Design and maintain robust CI/CD pipelines; champion automated delivery practices that reduce lead time and increase deployment reliability.

Monitor system health, analyze production logs and metrics, and lead incident response for critical issues - including on-call coverage for production systems.

Identify opportunities to improve engineering efficiency, developer experience, and system reliability - and follow through on implementing those improvements.

Document system designs, APIs, runbooks, and engineering decisions to ensure institutional knowledge is captured and accessible.

Demonstrate the ability to shift focus between competing priorities fluidly, managing workload without requiring external direction.

Perform other related duties as assigned.

QUALIFICATIONS

Experience & Education

Bachelor's degree in Computer Science, Software Engineering, or a related technical discipline; equivalent professional experience will be considered.

8 12 years of progressive software engineering experience, with a minimum of 2+ years in a Senior Engineer I or equivalent senior-level role.

Demonstrated track record of leading complex software projects from inception through production deployment and ongoing support.

Experience in the pharmaceutical, specialty pharmacy, or healthcare technology industry strongly preferred.

Technical Skills & Competencies

Expert-level proficiency in one or more backend languages (e.g., Python, Java, C#, Node.js) and strong competency in front-end technologies (e.g., React, TypeScript, Angular).

Deep experience designing and building RESTful and GraphQL APIs, microservices architectures, and event-driven systems.

Hands-on experience integrating AI/ML tools and LLM APIs (e.g., OpenAI, Azure OpenAI, Anthropic) into production software - building AI-powered features and intelligent workflows.

Strong command of cloud platforms (AWS, Azure, or GCP) and containerization technologies (Docker, Kubernetes); experience with infrastructure-as-code (Terraform, Pulumi, or similar).

Proficiency with relational and NoSQL databases; experience with data modeling, query optimization, and ensuring data integrity at scale.

Experience with CI/CD tooling (e.g., GitHub Actions, Azure DevOps, Jenkins), observability platforms, and modern software delivery practices.

Excellent analytical and problem-solving skills; capable of breaking down ambiguous, high-complexity problems into actionable engineering plans.

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