Senior Software Engineer

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 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.