{"id":3700667,"url":"https://alion.io/job/alteva-rcm-senior-software-engineer","title":"Senior Software Engineer - In Person","company":{"id":3907747,"name":"Alteva RCM","domain":"altevarcm.com","url":"https://alion.io/company/alteva-rcm","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Greenhouse","truth_index":{"grade":"A","score":95,"open_postings":11,"ghost_share":0,"stale_share":0,"repost_share":0,"time_to_fill_p50_days":133,"computed_at":"2026-11-07T05:47:08Z"}},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":null,"work_mode":"on_site","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["New York, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":160000,"max":200000,"currency":"USD","period":"year","gross":null,"usd_annual":200000},"salary_estimate":null,"experience_years_min":5,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"AI Agents","optional":false},{"name":"Angular","optional":false},{"name":"ASP.NET Core","optional":false},{"name":"AWS","optional":false},{"name":"Azure","optional":false},{"name":"Azure DevOps","optional":false},{"name":"C#","optional":false},{"name":"CI/CD","optional":false},{"name":"Claude Code","optional":false},{"name":"FHIR","optional":false},{"name":"Git","optional":false},{"name":"GitHub Actions","optional":false},{"name":"Go","optional":false},{"name":"Java","optional":false},{"name":"Node JS","optional":false},{"name":"OCR","optional":false},{"name":"OpenTelemetry","optional":false},{"name":"RabbitMQ","optional":false},{"name":"React.js","optional":false},{"name":"Rest API","optional":false},{"name":"Spring Boot","optional":false},{"name":"SQL","optional":false},{"name":"TypeScript","optional":false},{"name":"JavaScript","optional":true}],"status":"live","first_seen_at":"2026-11-03T17:37:45Z","employer_posted_date":"2026-11-06","last_verified_at":"2026-11-08T00:54:02Z","board_verified":true,"closed_at":null,"days_open":4,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":4},"description":"About Us\nAt 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.\nAbout AltevaRCM \nAlteva 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. \nWe serve a wide range of specialties and operate at scale, with technology playing an important role in how we support clients and internal operations. \nAbout the Role \nWe 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. \nAs 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. \nWe 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. \nWhat You'll Own \nBuild & Integrate \nDesign, build, and maintain backend microservices and APIs, primarily in C# and ASP.NET Core \nBuild integrations with payer APIs and portals, clearinghouses, eligibility services, and internal platforms such as Salesforce \nDesign relational data models and write well-tuned SQL for high-volume operational workflows \nTurn ambiguous business workflows into clear technical designs, and push back when a requirement doesn't make sense \nUse AI-assisted development tools to accelerate implementation, testing, and refactoring, while reviewing every change for correctness and fit \nQuality & Reliability \nParticipate in code reviews, giving and receiving direct feedback across internal and outsourced developers \nSupport releases, rollbacks, and post-release validation in live environments \nImprove logging, monitoring, observability, and documentation so the next person can understand and support what you built \nInvestigate and resolve production issues, using logs and monitoring to find root causes rather than symptoms \nTeam & Delivery \nWork closely with the Technical Lead on design decisions, estimates, and priorities \nCollaborate with operations, product, QA, and business stakeholders to understand how the work is actually done \nMentor and support other developers as the team grows \nSurface blockers and risks early, and communicate clearly about tradeoffs \nWhat We're Looking For \nRequired \n5+ 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) \nExperience building and supporting production backend services and REST APIs \nExperience designing, building, and operating microservices, including service boundaries, inter-service communication (REST and messaging), and independent deployment \nStrong SQL and relational database skills (SQL Server or similar) \nHands-on experience with Microsoft Azure or AWS (or an equivalent cloud platform) \nExperience integrating with third-party APIs, enterprise platforms, or data feeds \nSolid testing habits, Git-based workflows, and experience with code review \nComfort using AI-assisted development tools, with the judgment to know when not to trust them \nClear communicator who can work with non-technical stakeholders and explain technical tradeoffs accurately \nComfortable in a live environment where systems are still being built and not everything is defined \nPreferred \nBackground in healthcare, revenue cycle management, medical billing, or claims processing \nFamiliarity with healthcare data and transactions such as X12 EDI (270/271, 276/277, 835, 837) or FHIR \nExperience with payer connectivity, clearinghouses, or eligibility and claim status automation \nSalesforce or other enterprise CRM integration experience \nExperience with document processing, OCR, or intelligent data extraction \nEvent-driven or message-based architecture (for example, AMQP or RabbitMQ) \nCI/CD with Azure DevOps or GitHub Actions, and observability with OpenTelemetry and a backend such as Application Insights \nFront-end experience (React or Angular) for internal tools \nExperience working alongside outsourced or distributed development teams \nExperience developing low-level agentic AI orchestration, such as agents that perform work on internal systems \nWhat This Isn't \nThis 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. \nIt 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. \nWhy Join \nHelp build core technology for a growing healthcare company, with a short feedback loop between your work and real operational outcomes \nJoin early, as the technology team scales, and help shape engineering standards and practices \nWork with modern tools, including AI-assisted development as an everyday part of the job \nGrow alongside experienced technical leadership, with room to take on more ownership over time \nPay Range\n$160,000—$200,000 USD\nBenefits\nAlteva 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.","description_format":"text","description_chars":6417,"description_truncated":false,"requirements":{"experience_years_min":5,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":null,"security_clearance":false,"languages":[]},"benefits":["Life insurance","Parental leave"],"hiring_locations":[],"hiring_excludes":[],"relocation_offered":false,"industries":["Revenue Cycle & Medical Billing"],"lifecycle":[{"event":"open","at":"2026-11-03T19:23:41Z"}],"visa":[],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":3,"expected_fill_days":133,"reasons":["conf:1","win:early"],"computed_at":"2026-11-07T05:47:08Z"},"pay":{"stated_usd_annual":200000,"is_top_pay":true},"html_url":"https://alion.io/job/alteva-rcm-senior-software-engineer","json_url":"https://alion.io/job/alteva-rcm-senior-software-engineer.json","meta":{"generated_at":"2026-11-08T03:54:20Z","cache_seconds":300,"methodology":"https://alion.io/methodology","terms":"https://alion.io/terms","contact":"https://alion.io/contact","api":"https://alion.io/developers","about":"Alion is a live layer of people, companies and AI agents: who they are, whether they are real and active right now, what they do and how to work with them, readable by people and by agents and paid per call.","catalog":"https://alion.io/catalog.json","usage":{"tier":"crawler_verified","counted_by":"address","units_charged":1,"used_today":8470,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-09T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.02,"usd":0.002,"plus_per_slice":{"credits":0.05,"usd":0.005}},"unit":"per company, plus each slice with data","note":"the employer in depth","call":{"mcp_tool":"get_company","arguments":{"id":3907747},"rest":"https://alion.io/mcp/rest/get_company?id=3907747"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Falteva-rcm-senior-software-engineer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"live","price":{"credits":1,"usd":0.1},"unit":"per slice","note":"pay, demand and time to fill for this role and place","call":{"mcp_tool":"market_stats"},"human":"https://alion.io/catalog?offer=market.stats&for=job%2Falteva-rcm-senior-software-engineer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.02,"usd":0.002},"unit":"per posting in a list","note":"similar open postings","call":{"mcp_tool":"search_jobs"},"human":"https://alion.io/catalog?offer=job.search&for=job%2Falteva-rcm-senior-software-engineer"},{"id":"company.verify","title":"Is this company real and active right now","status":"pilot","price":null,"unit":"per company","request":{"url":"https://alion.io/catalog/request","method":"POST","body":"{\"offer\": \"company.verify\", \"for\": \"job/alteva-rcm-senior-software-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Falteva-rcm-senior-software-engineer"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":3700667}},{"tool":"search_jobs","arguments":{"company":"altevarcm.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":3700667},"note":"people open to offers who fit this vacancy"}],"note":"The same data through MCP tools: https://alion.io/mcp/open needs no sign-in (compact searches, postings, people); https://alion.io/mcp with an Alion account has everything. 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