FHIR Software Engineer IV
Confirmed on the employer's own hiring board on Nov 3, 2026. First seen by Alion on Nov 2, 2026. Availity scores B on the Alion truth index.
Availity delivers revenue cycle and related business solutions for health care professionals who want to build healthy, thriving organizations. Availity has the powerful tools, actionable insights and expansive network reach that medical businesses need to get an edge in an industry constantly redefined by change.
At Availity, we're not just another Healthcare Technology company; we're pioneers reshaping the future of healthcare! With our headquarters in vibrant Jacksonville, FL, and an exciting office in Bangalore, India, along with an exceptional remote workforce across the United States, we're a global team united by a powerful mission.We're on a mission to bring the focus back to what truly matters - patient care. As the leading healthcare engagement platform, we're the heartbeat of an industry that impacts millions. With over 2 million providers connected to health plans, and processing over 13 billion transactions annually, our influence is continually expanding.
Join our energetic, dynamic, and forward-thinking team where your ideas are celebrated, innovation is encouraged, and every contribution counts. We're transforming the healthcare landscape, solving communication challenges, and creating connections that empower the nation's premier healthcare ecosystem.
Reporting to the Manager, Software Engineering the Software Engineer IV will build network messaging software for Availity’s Auth FHIR teams. This team’s work is mostly back-end, using .NET and Azure, and occasional front-end projects using Vue.js.
Sponsorship, in any form, is not available for this position.
Location: Remote, US
What makes this team special:
- Modern Engineering Experience The product ecosystem where our engineers contribute is designed with Azure in mind. There is a lot of freedom to be creative, explore new ideas, experiment, and contribute to cutting-edge solutions using the latest tools and software.
- Experience and Expertise This high-performing team has an array of diverse experiences. You will learn a lot from us, and we also want to learn from you.
- Engineering Focus Our culture and roots are centered around engineers. Most of your leadership chain are former Software Engineers who love to engage in technical conversations while also giving you and your team a significant amount of autonomy.
- Positive Work Culture The team promotes a positive and inclusive work culture, prioritizing work-life balance, employee well-being, and fostering a sense of community and belonging.
- Growth Opportunities Working on this team provides numerous opportunities for professional and personal growth through challenging projects, mentorship, and continuous learning.
Role qualifications (must-have):
- Bachelor’s degree in computer science or related field or equivalent experience
- 5+ years of experience developing C# .NET software
- Experience in a leadership capacity on a self-organizing team with other Software Engineers
- Experience managing expectations with stakeholders to deliver timely solutions that satisfy customers
- Experience building and consuming RESTful APIs
- Strong understanding of SOLID OO design principles
- Understanding of database design principles and SQL
- Experience implementing unit and integration tests, and knowledge about what makes software testable
- High comfort level with distributed source control tools like GIT
- Willingness to take on complex projects with many unknowns
- Adherence to engineering best practices
- Awareness of what causes technical debt and how to keep it in check
- Maintenance of composure and professionalism during high-pressure situations
- Initiative and ownership of the work that needs to be done
- Ability to manage multiple and changing priorities/tasks
Bonus qualifications (nice-to-have):
- Experience in Healthcare information technology, particularly with FHIR and/or X12 messaging
- Experience configuring and deploying software to Azure
- Experience using Azure DevOps to create pipelines for builds and deployments
- Experience in the capacity of a tech lead, team lead, manager, and/or mentor.
What you will be doing:
- Designing and building DaVinci Prior Auth networking solutions in the healthcare space.
- Developing mostly C# .NET software, with other languages where appropriate.
- Building web services for both internal and external use.
- Mapping message structures, mostly utilizing DaVinci FHIR.
- Reading and understanding specifications for healthcare messaging standards.
- Writing unit tests to maintain high coverage percentages.
- Collaborating within your team and across teams.
- Reviewing pull requests from others on your team and providing feedback in a constructive manner.
- Configuring and deploying software to Azure.
- Troubleshooting issues in production.
- Keeping our code to a very high standard.
- Learning and developing yourself.
- Mentoring junior Software Engineers.
- Innovating and sharing ideas to improve products and processes, big and small.
- Improving and shortening the prior authorization process for patients across the US.
Availity culture and benefits:
- Availity is a certified “Great Place to Work”, a “Best Workplaces for Technology Companies”, a “Best Workplaces for Women” and a “Best Workplaces for Millennials”!
- Culture is important to us and there are many ways for you to make your mark here!
- We have several Diversity & Inclusion teams and various ways to engage with fellow Availity associates. “AvaiLadies”, “Beyond Black”, “HOLA”, “Availity Pride”, “VetAvaility” a Young Professionals Group and “She Can Code IT” a group for women in tech are some of the groups you can get involved in.
- Availity is a culture of continuous learning. We have many resources and experts in our tech stack and in our industry that can help get you there too!
- We offer a competitive salary, bonus structure, generous HSA company contribution, healthcare, vision, dental benefits and a 401k match program that you can take advantage of on day one!
- We offer unlimited PTO for salaried associates + 9 paid holidays. Hourly associates start at 19 days of PTO and go up from there with all the same holiday benefits.
- Interested in wellness? We allow our associates to reimburse up to $250/year for gym memberships, participation in racing events, weight management programs, etc.
- Interested in furthering your education? We offer education reimbursement!
- Availity offers Paid Parental Leave for both moms and dads, both birth parents and adoptive parents.
- Want to work for an organization that gives back to the community? You’re at the right place! Availity partners with various organizations, both locally and nationally, to raise awareness, funds and morale as our staff members volunteer their time and funds to engage the organizations campaign.
Next steps:
After you apply, you will receive text/email messages thanking you for applying and then you will continue to receive more text/email messages alerting you as to where you are in the recruitment process.
Interview process:
- Recruiter resume review
- Manager resume review
- Recruiter video interview
- Technical assessment
- Manager video interview
- Panel video interview
- Leadership video interview
Video Camera Usage:
Availity fosters a collaborative and open culture where communication and engagement are central to our success. As a remote first company, we are also camera-first and provide all associates with camera/video capability to simulate the office environment. If you are not able to use your camera for all virtual meetings, you should not apply for this role.
Having cameras on helps create a more connected, interactive, and productive environment, allowing teams to communicate more effectively and build stronger working relationships. The usage of cameras also enhances security and protects sensitive company information. Video participation is required to ensure that only authorized personnel are present in meetings and to prevent unauthorized access, data breaches, preventing social engineering, or the sharing of confidential information with non-participants.
Disclaimers:
Availity is an equal opportunity employer and makes decisions in employment matters without regard to race, religious creed, color, age, sex, sexual orientation, gender identity, gender expression, genetic information, national origin, religion, marital status, medical condition, disability, military service, pregnancy, childbirth and related medical conditions, or any other classification protected by federal, state, and local laws and ordinances.
Availity is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States. When required by state law or federal regulation, Availity uses I-9, Employment Eligibility Verification in conjunction with E-Verify to determine employment eligibility. Learn more about E-Verify at http://www.dhs.gov/e-verify.
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