{"id":4315568,"url":"https://alion.io/job/ovation-healthcare-azure-application-developer","title":"Azure Application Developer","company":{"id":4483253,"name":"Ovation Healthcare","domain":"ovationhc.com","url":"https://alion.io/company/ovation-healthcare","size_band":null,"is_staffing_agency":false,"employer_type":"direct","is_intermediary":false,"listed_via":null,"ats_vendor":"Workday","truth_index":null},"role":"Backend","role_family":"Backend","seniority":"staff","employment_type":"full_time","work_mode":"hybrid","remote_scope":null,"remote_scope_basis":null,"remote_working_hours":null,"hiring_geo_confidence":"structured","locations":["United States"],"countries":["US"],"hiring_countries":[],"hiring_countries_total":0,"salary":{"min":115984,"max":185575,"currency":"USD","period":"year","gross":null,"usd_annual":185575},"salary_estimate":null,"experience_years_min":10,"visa_sponsorship":false,"relocation_package":false,"has_equity":false,"technologies":[{"name":".NET","optional":false},{"name":"Azure","optional":false},{"name":"Azure DevOps","optional":false},{"name":"Azure SQL Database","optional":false},{"name":"C#","optional":false},{"name":"CI/CD","optional":false},{"name":"Claude Code","optional":false},{"name":"Copilot","optional":false},{"name":"ETL/ELT","optional":false},{"name":"HIPAA","optional":false},{"name":"Least Privilege","optional":false},{"name":"MS SQL","optional":false},{"name":"OpenAI Codex","optional":false},{"name":"Python","optional":false},{"name":"SQL","optional":false},{"name":"JavaScript","optional":true},{"name":"MAUI","optional":true},{"name":"Microsoft Fabric","optional":true},{"name":"PowerShell","optional":true},{"name":"React Native","optional":true},{"name":"React.js","optional":true},{"name":"VPN","optional":true},{"name":"Wi-Fi","optional":true},{"name":"Xamarin","optional":true}],"status":"live","first_seen_at":"2026-11-13T00:00:00Z","employer_posted_date":"2026-11-13","last_verified_at":"2026-11-14T15:45:50Z","board_verified":true,"closed_at":null,"days_open":1,"trust":{"level":"ok","repost_count":null,"flags":[],"days_open":1},"description":"About the Job\nWelcome to Ovation Healthcare!\nAt Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.\nThe Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.\nWe’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.\nOvation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.\nSummary\nOvation Healthcare is hiring a senior engineer to own the design, build and support of cloud-native applications and data pipelines that power our Revenue Cycle Management (RCM) operations. You will work across the Microsoft stack on Azure, from C#/.NET services and Azure Functions to SQL Server data processing, and help modernize legacy integrations into scalable, secure, cloud-first solutions.\nThis is a hands-on role for a developer who ships production code, owns it end to end, and uses AI-assisted development tools to deliver faster without sacrificing quality. You will partner with automation, ETL and operations teams supporting our Hospital, Professional Billing and MedCo business lines, and you will handle healthcare data (PHI/PII) under HIPAA requirements.\nKey responsibilities\nDesign, build and maintain C#/.NET applications, APIs and services hosted in Azure\nDevelop cloud-first solutions using Azure Functions, timer/cron-scheduled jobs, Azure Key Vault, Azure SQL and related PaaS services\nBuild and support ETL/ELT pipelines that ingest, transform and load healthcare and financial data, using SQL Server as the backend\nWrite and tune T-SQL stored procedures, functions, views and indexes for performance and reliability at scale\nDevelop Python (or similar) scripts and services for data processing, integration and automation; replace legacy scripting with maintainable, supportable code\nUse AI coding assistants (Claude Code, Codex, GitHub Copilot) to accelerate development, refactoring, testing and documentation\nIntegrate with EHR systems, clearinghouses, third-party vendors and internal platforms via APIs and file-based interfaces\nApply secure-by-design practices: secrets management, least-privilege access and HIPAA-compliant handling of PHI/PII\nFollow team standards for source control, code review and CI/CD in Azure DevOps; track work in JIRA\nTroubleshoot and resolve production issues; write clear technical documentation and runbooks\nDefine the target architecture for modernizing legacy systems to cloud-first Azure patterns, then deliver the development work within it; mentor junior and mid-level developers\nTake ownership of systems and knowledge currently supported by external vendor partners\nRequired qualifications\n10+ years of professional software development in .NET, with deep expertise in C#\nExperience as a Solution Architect: able to design modernized, cloud-first architecture on Azure and then build the solution within that architecture\n3+ years developing in Azure using cloud-first services, such as Azure Functions, scheduled (cron/timer) jobs, Azure Key Vault and Azure SQL\n5+ years developing stored procedures, functions, views and other database objects in Microsoft SQL Server (T-SQL)\n2+ years of development experience in Python or a similar language\nProven experience building ETL pipelines that use SQL Server as the backend\nHands-on experience using AI-assisted development tools: Claude Code, Codex or GitHub Copilot\nStrong debugging, performance-tuning and problem-solving skills\nClear written and verbal communication; able to work directly with technical and business stakeholders\nBachelor's degree in Computer Science or a related field, or equivalent experience\nPreferred qualifications\nExperience building mobile applications (e.g., .NET MAUI, Xamarin, React Native or native iOS/Android)\nExperience with PowerShell development\nExperience in healthcare, Revenue Cycle Management or another regulated industry handling PHI/PII\nFamiliarity with Azure DevOps CI/CD pipelines and infrastructure-as-code\nExposure to Microsoft Fabric or other modern Azure data platforms\nWorking Conditions and Physical Requirements:\nThis is a Remote position.\nReliable high-speed internet connection is required for all remote/hybrid positions.\nAccess to stable Wi-Fi with sufficient bandwidth to support video conferencing, cloud-based tools, and other online work-related activities.\nA HIPAA-compliant work environment is required, including a secure workspace free from unauthorized access or interruptions, no use of public Wi-Fi unless connected through a secure company-provided VPN, and compliance with all applicable HIPAA privacy and security regulations.\nBenefits\nThe base compensation range for this position is:\n$115,984.42 - $185,575.07\nCompensation ranges could be hourly or salary depending upon the exempt status of the posted position.\nBeginning compensation is determined based on objective factors such as location, qualifications, skills, certifications, and experience. Typically, a candidate is hired in the lower to midpoint of the range; the top end of the range is reserved for candidates with extensive specialized experience and mastery within the role. Compensation may increase over time based on performance, experience, and tenure.\nCompensation is only part of Ovation's total compensation package. Some additional benefits offered to full-time associates are:\nComprehensive health and wellness benefits such as medical, dental, vision, life insurance, short and long-term disability coverage \nHSA with employer contributions, flexible spending accounts for health care, and dependent care accounts\nWellness platform with premium incentives\nEmployee assistance support and additional voluntary supplemental plans including accident, critical illness, hospital indemnity, and child disability insurance\nRobust and flexible paid time off offerings and company paid holidays \n401(k) plan with discretionary employer match opportunities\nProfessional development opportunities\nCompany issued equipment","description_format":"text","description_chars":6946,"description_truncated":false,"requirements":{"experience_years_min":10,"management_years_min":null,"team_size_min":null,"manages_managers":false,"education":{"level":"bachelor","optional":false},"security_clearance":false,"languages":[]},"benefits":["Life insurance","Professional development"],"hiring_locations":[{"name":"United States","iso":"US","kind":"country"}],"hiring_excludes":[],"relocation_offered":false,"industries":["Revenue Cycle & Medical Billing","Healthcare & Life Sciences Consulting"],"lifecycle":[{"event":"open","at":"2026-11-14T15:45:50Z"}],"visa":[{"country":"US","licensed_sponsor":true,"adverts_offering_sponsorship_24m":0,"sanctioned_now":false,"evidence":"H-1B filings in 12 months: 1","filings_12m":1,"filings_prev_12m":0,"green_card_filings_12m":0,"median_offered_wage_usd":97500,"route":null,"cap_exempt":false,"checked_at":"2026-11-14T07:33:33+00:00","sources":["US Department of Labor: LCA disclosure data (H-1B, H-1B1, E-3)"],"filings_for_role_12m":0}],"liveness":{"score":86,"band":"hot","label":"Hiring now","p_open":1,"p_active":0.86,"p_room":1,"age_days":1,"expected_fill_days":33,"reasons":["conf:1","win:early"],"computed_at":"2026-11-14T17:14:04Z"},"pay":{"stated_usd_annual":185575,"is_top_pay":false},"html_url":"https://alion.io/job/ovation-healthcare-azure-application-developer","json_url":"https://alion.io/job/ovation-healthcare-azure-application-developer.json","meta":{"generated_at":"2026-11-14T17:14:04Z","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":19827,"day_limit":null,"remaining_today":null,"minute_limit":300,"resets_at":"2026-11-15T00:00:00Z"}},"offers":[{"id":"company.slices","title":"One company in depth, by slice","status":"live","price":{"credits":0.1,"usd":0.01,"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":4483253},"rest":"https://alion.io/mcp/rest/get_company?id=4483253"},"human":"https://alion.io/catalog?offer=company.slices&for=job%2Fovation-healthcare-azure-application-developer"},{"id":"market.stats","title":"A market slice: pay, demand and time to fill","status":"free","price":{"credits":0,"usd":0},"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%2Fovation-healthcare-azure-application-developer"},{"id":"job.search","title":"Open jobs by role, technology, place, pay and visa","status":"live","price":{"credits":0.1,"usd":0.01},"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%2Fovation-healthcare-azure-application-developer"},{"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/ovation-healthcare-azure-application-developer\", \"note\": \"what you need it for\"}"},"human":"https://alion.io/catalog?offer=company.verify&for=job%2Fovation-healthcare-azure-application-developer"}],"agent":{"mcp":"https://alion.io/mcp/jobs","mcp_open":"https://alion.io/mcp/open","next":[{"tool":"get_job","arguments":{"id":4315568}},{"tool":"search_jobs","arguments":{"company":"ovationhc.com","detail":"compact"}},{"tool":"match_people","arguments":{"job_id":4315568},"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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