AI Software Engineer- Medicare Billing & Care Management Platforms

Medicare & Billing Workflows: Implement CMS billing rules, reimbursement logic, time-tracking, and automated CPT coding workflows (e.g., CCM 99490, RPM 99453/99454, RTM 98975). You will design and maintain SaaS solutions tailored for Medicare care management programs (CCM, RPM, RTM, PCM, BHI, TCM, AWV).

Benefits:

• 401(k)
• 401(k) matching
• Company parties
• Competitive salary
• Dental insurance
• Health insurance
• Vision insurance

About the Role
You will design and maintain SaaS solutions tailored for Medicare care management programs (CCM, RPM, RTM, PCM, BHI, TCM, AWV). Beyond core development, you’ll champion AI-driven engineering practices to transform our SDLC, mentoring engineers and driving technical excellence.
Key Responsibilities:

• Medicare & Billing Workflows: Implement CMS billing rules, reimbursement logic, time-tracking, and automated CPT coding workflows (e.g., CCM 99490, RPM 99453/99454, RTM 98975).
  
  
• Platform & Interoperability: Build scalable microservices, FHIR/HL7 interfaces, and EHR integrations (Epic, athenahealth, eClinicalWorks, NextGen, etc.).
  
  
• Compliance & Security: Ensure platform alignment with HIPAA, CMS regulations, and SOC 2/HITRUST frameworks.
  
  
• AI Leadership: Leverage and champion AI-driven tools (Cursor, Claude Code, Augment Code, Copilot) to accelerate delivery and modern development workflows.
   

Key Requirements:

• Experience: 8+ years in software engineering (4+ years in Healthcare SaaS).
  
  
• Tech Stack: C#, .NET Core / ASP.NET Core, REST APIs, SQL Server/MySQL, Azure/AWS, Microservices, CI/CD.
  
  
• AI-Driven SDLC: Hands-on proficiency with AI coding assistants (Cursor, Claude Code, Augment Code, GitHub Copilot).
  
  
• Healthcare Interoperability: FHIR APIs, HL7 v2, C-CDA, and EHR integration architecture.
  
  
• Domain Knowledge: Deep understanding of Medicare reimbursement policies, CPT codes, and revenue cycle management.

Flexible work from home options available.