{"id":2948949,"url":"https://alion.io/job/mckesson-sr-ai-first-full-stack-engineer","title":"Sr. AI-First Full Stack Engineer","company":{"id":4393,"name":"McKesson","domain":"mckesson.com","url":"https://alion.io/company/mckesson","size_band":"5000+","is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":{"grade":"B","score":80,"open_postings":35,"ghost_share":0,"stale_share":1,"repost_share":0,"time_to_fill_p50_days":12,"computed_at":"2026-10-26T05:57:25Z"}},"role":"Backend","role_family":"Backend","seniority":"senior","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["Irving, United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":null,"salary_estimate":{"min_usd":115000,"max_usd":220000,"period":"year","method":"role_seniority_country_remote_cell","sample_n":1268},"experience_years_min":7,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":"Agile","optional":false},{"name":"AI Agents","optional":false},{"name":"Anthropic","optional":false},{"name":"Azure","optional":false},{"name":"C#","optional":false},{"name":"CI/CD","optional":false},{"name":"Claude","optional":false},{"name":"Databricks","optional":false},{"name":"Human-in-the-Loop","optional":false},{"name":"Kubernetes","optional":false},{"name":"LLM Guardrails","optional":false},{"name":"Node JS","optional":false},{"name":"OpenAI","optional":false},{"name":"Power BI","optional":false},{"name":"Python","optional":false},{"name":"RAG","optional":false},{"name":"React.js","optional":false},{"name":"Rest API","optional":false},{"name":"ServiceNow","optional":false},{"name":"Snowflake","optional":false},{"name":"TypeScript","optional":false},{"name":"Docker","optional":true},{"name":"Gmail","optional":true},{"name":"ITSM","optional":true},{"name":"JavaScript","optional":true},{"name":"LLM","optional":true},{"name":"Platform Engineering","optional":true},{"name":"Semantic Search","optional":true}],"status":"live","first_seen_at":"2026-09-02T00:00:00Z","employer_posted_date":"2026-09-02","last_verified_at":"2026-10-23T07:59:57Z","board_verified":false,"closed_at":null,"days_open":54,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":54},"description":"McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve - we care.\nWhat you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.\nAbout the Role\nMcKesson is seeking a Senior AI-First Full Stack Engineer to build the next generation of intelligent healthcare technology solutions supporting one of the nation's leading and fastest-growing specialty pharmacy organizations. This role combines strong full stack engineering with Generative AI innovation to deliver production-grade applications powered by modern web technologies, REST APIs, cloud-native platforms, enterprise data and integrations, Large Language Models (LLMs), and AI agents in a fast-paced healthcare environment where technology directly impacts patient, provider, and business outcomes.\nThe engineer will work across the entire software lifecycle, from business discovery, system design, and full stack application development through testing, cloud deployment, production support, and measurable adoption. The role requires a hands-on builder with strong front-end, back-end, API, data, integration, and cloud engineering fundamentals who can apply AI as an additional capability and engineering accelerator. The engineer must translate ambiguous business problems into practical solutions, collaborate directly with stakeholders, and establish standards for secure, reliable, and scalable delivery across specialty pharmacy, patient engagement, provider solutions, and operational platforms.\nOur team supports fast-paced specialty pharmacy operations, patient engagement, provider services, and business-critical healthcare workflows where speed, reliability, scalability, and innovation directly contribute to patient outcomes and business growth. Success in this role comes from partnering closely with the business to rapidly validate solutions, transform prototypes into scalable production capabilities, and maintain accountability for adoption, reliability, and outcomes.\nWhat You'll Do\nDesign, develop, and deploy AI-powered applications using Claude (Anthropic), Azure OpenAI, OpenAI, and Azure AI Services.\nPartner directly with business stakeholders to define problems, validate workflows, rapidly prototype solutions, and convert successful concepts into production capabilities.\nBuild RAG solutions, prompt frameworks, AI workflows, and autonomous or agentic systems with human-in-the-loop controls.\nDevelop full stack applications using React, TypeScript, Python, C#, Java, Node.js, and .NET.\nDesign REST APIs, microservices, event-driven architectures, and enterprise integration patterns.\nIntegrate AI capabilities with ServiceNow, Salesforce, Snowflake, Databricks, Power BI, and other enterprise platforms.\nDevelop cloud-native solutions on Microsoft Azure using secure engineering and DevOps practices.\nBuild CI/CD pipelines, Infrastructure as Code, containerized workloads, and Kubernetes deployments.\nServe as technical owner for assigned applications or platforms, establishing architecture standards, engineering guardrails, SLOs, and production-readiness criteria.\nLead modernization, technical debt reduction, resiliency improvements, design reviews, incident resolution, and root-cause prevention.\nMentor engineers and influence architecture, security, data, product, and delivery decisions across teams.\nBasic Requirements\n7+ years of professional software engineering experience developing enterprise-scale applications.\nBachelor's degree in Computer Science, Engineering, Information Technology, or a related field, or equivalent practical experience.\nHands-on experience building and deploying applications using Java, Node.js, C#, Python, or comparable backend technologies.\nExperience developing modern front-end applications using React and TypeScript.\nExperience designing and consuming REST APIs, microservices, and enterprise integrations.\nExperience developing cloud-native applications on Microsoft Azure.\nExperience with CI/CD, source control, automated testing, SDLC, and Agile practices.\nExperience acting as a technical lead or primary owner for an enterprise application, service, or platform.\nExperience designing scalable architectures, documenting trade-offs, and supporting production systems.\nDemonstrated ability to turn ambiguous business needs into delivered technical solutions.\nPreferred Skills / Experience\nExperience with Azure AI Services, Azure OpenAI, Azure AI Foundry, Cognitive Services, and enterprise AI platforms.\nExperience building Generative AI solutions using Azure OpenAI, OpenAI, Claude, or comparable LLM platforms.\nStrong programming experience with Python, C#, TypeScript, JavaScript, Java, and .NET technologies.\nExperience developing full stack applications using React, TypeScript, Node.js, Python, and C#/.NET.\nExperience designing, developing, securing, and supporting REST APIs and enterprise integration services.\nExperience with Databricks, Snowflake, and governed enterprise data and analytics platforms.\nExperience with RAG, semantic search, vector databases, AI orchestration, agentic AI, guardrails, evaluation, and human-in-the-loop workflows.\nExperience with Salesforce platform development, integrations, REST APIs, workflows, and data services.\nExperience integrating with or supporting ServiceNow workflows, ITSM, CMDB, service catalog, and automation processes.\nExperience developing data visualization, analytics, and operational reporting solutions using Power BI.\nExperience with Docker, Kubernetes, Infrastructure as Code, Azure Monitor, Application Insights, or comparable platforms.\nKnowledge of distributed systems, event-driven architecture, asynchronous processing, and resiliency patterns.\nExperience leading application modernization, cloud transformation, or platform engineering initiatives.\nExperience in healthcare, specialty pharmacy, regulated industries, or high-compliance environments.\nTravel, Work Arrangement & Physical Requirements\nHybrid or remote work arrangement based on business needs.\nLimited travel may be required for collaboration, planning, stakeholder discovery, or solution workshops.\nAbility to work on a computer for extended periods and participate in virtual collaboration activities.\nWe are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations.In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.\nOur Base Pay Range for this position\n$126,000 - $210,000McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson’s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:\nMcKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.\nMcKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.\nMcKesson job postings are posted on our career site: careers.mckesson.com.\nMcKesson is an Equal Opportunity Employer\nMcKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.\nMcKesson is committed to being an Equal Employment Opportunity Employer and offers opportunities to all job seekers including job seekers with disabilities. If you need a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to (United States)  or (Canada) . Resumes or CVs submitted to this email box will not be accepted.\nJoin us at McKesson!","description_format":"text","description_chars":9026,"description_truncated":false,"requirements":{"experience_years_min":7,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["Equity"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Health Care","Pharmaceutical Distribution","Medical Equipment Distribution"],"lifecycle":[{"event":"open","at":"2026-10-20T19:25:15Z"}],"visa":[{"country":"US","licensed_sponsor":true,"evidence":"H-1B filings in 12 months: 107 · green card filings: 37","filings_12m":107,"filings_prev_12m":142,"green_card_filings_12m":37,"median_offered_wage_usd":152361,"route":null,"cap_exempt":false,"checked_at":"2026-10-15T11:24:14+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)","US Department of Labor: PERM disclosure data (green cards)"],"filings_for_role_12m":48}],"liveness":{"score":8,"band":"cold","label":"Long shot","p_open":0.9,"p_active":0.31,"p_room":0.28,"age_days":54,"expected_fill_days":12,"reasons":["conf:69","stale_co","velocity","win:tail","crowd:brand"],"computed_at":"2026-10-26T05:57:25Z"},"pay":null,"html_url":"https://alion.io/job/mckesson-sr-ai-first-full-stack-engineer","json_url":"https://alion.io/job/mckesson-sr-ai-first-full-stack-engineer.json","meta":{"generated_at":"2026-10-26T06:03:18Z","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":8126,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-10-27T00:00:00Z"}},"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":4393},"rest":"https://alion.io/mcp/rest/get_company?id=4393"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fmckesson-sr-ai-first-full-stack-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%2Fmckesson-sr-ai-first-full-stack-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%2Fmckesson-sr-ai-first-full-stack-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/mckesson-sr-ai-first-full-stack-engineer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fmckesson-sr-ai-first-full-stack-engineer"}]}