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Location
In office (Noida)
Seniority
Middle · 2+ years exp
Employment
Full-Time

Confirmed on the employer's own hiring board on Oct 3, 2026. First seen by Alion on Aug 10, 2026.

Overview
Company
Impact
Profile match
R1 RCM is a US provider of revenue cycle management services and technology for hospitals, health systems and physician groups, headquartered in Murray, Utah. Formerly known as Accretive Health, it combines patient access, coding, billing and collections operations with analytics and automation, and employs more than 30,000 people, including over 17,000 in Indian centres in Delhi NCR, Hyderabad, Bangalore and Chennai. It hires patient registration and patient access representatives, coding and HIM specialists, cash posting staff, analytics analysts and software engineers across the US and India.

R1 RCM India is proud to be recognized amongst India's Top 50 Best Companies to Work For™ 2023 by Great Place To Work® Institute. We are committed to transform the healthcare industry with our innovative revenue cycle management services. Our goal is to ‘make healthcare simpler’ and enable efficiency for healthcare systems, hospitals, and physician practices. With over 30,000 employees globally, we are about 14,000 strong in India with offices in Delhi NCR, Hyderabad, Bangalore, and Chennai. Our inclusive culture ensures that every employee feels valued, respected, and appreciated with a robust set of employee benefits and engagement activities.

Position Summary

We are seeking a talented Full Stack Developer with 2-4 years of hands-on experience in C# and .NET technologies, along with strong expertise in Agentic AI development and modern AI/ML capabilities.

The ideal candidate will have a solid background in both front-end and back-end development and the ability to design, develop, and maintain scalable applications. A key focus of this role is to build intelligent, AI-driven and agent-based systems (Autonomous/LLM-based workflows, copilots, or multi-agent frameworks) integrated with enterprise applications.

Role : Full Stack Developer (.NET)

Experience: 2-4 Years

Location: Noida

Employment Type: Full Time

Key Responsibilities

  • Design, develop, and maintain robust, scalable web applications using C#, .NET, and related technologies.

  • Build and integrate AI-powered and agentic workflows using LLMs, orchestration frameworks, and APIs.

  • Develop autonomous or semi-autonomous agents for workflow automation, decision-making, and conversational use cases.

  • Collaborate with cross-functional teams to define, design, and ship new features.

  • Develop and optimize SQL and NoSQL database schemas, queries, and procedures.

  • Write clean, maintainable, and efficient code following best practices.

  • Implement and maintain unit tests to ensure code quality and reliability.

  • Participate in code reviews, troubleshooting, and debugging applications.

  • Design and implement RESTful APIs and microservices.

  • Work with front-end technologies (JavaScript, HTML5, CSS3, Angular/React).

  • Integrate AI services (OpenAI, Azure OpenAI, etc.) into enterprise applications.

  • Document technical specifications, AI workflows, and system architecture.

Stay updated with emerging AI technologies and propose innovative solutions.

Required Skills & Qualifications (Must Have)

  • Bachelor’s degree in Computer Science, Engineering, or related field.

  • 2-4 years of experience in full stack development with C# and .NET (ASP.NET, .NET Core).

  • Hands-on experience in Agentic AI development, including:

    • Building AI agents / copilots / autonomous workflows

    • Working with LLMs (OpenAI, Azure OpenAI, Anthropic, etc.)

    • Prompt engineering and context management

    • Orchestration frameworks (e.g., LangChain, Semantic Kernel, AutoGen or similar)

  • Strong understanding of Generative AI concepts and real-world implementation.

  • Proficient in writing and maintaining unit tests (NUnit, MSTest, xUnit).

  • Strong knowledge of SQL (MS SQL Server, MySQL, etc.) and NoSQL databases (MongoDB, Cosmos DB, etc.).

  • Experience with front-end technologies: JavaScript, HTML5, CSS3; frameworks like Angular/React.

  • Solid understanding of RESTful API design and microservices architecture.

  • Familiarity with Git, Azure DevOps, or similar tools.

  • Strong problem-solving and analytical skills.

  • Excellent communication and teamwork abilities.

Preferred / Good-to-Have Skills

  • Experience with BDD frameworks (SpecFlow, Cucumber, etc.).

  • Experience with cloud platforms (Azure preferred) for AI/ML deployments.

  • Exposure to vector databases, embeddings, and RAG architectures.

  • Familiarity with CI/CD pipelines.

  • Experience in healthcare or enterprise workflow automation solutions.

Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.

Our associates are given valuable opportunities to contribute, to innovate and create meaningful work that makes an impact in the communities we serve around the world. We also offer a culture of excellence that drives customer success and improves patient care. We believe in giving back to the community and offer a competitive benefits package. To learn more, visit: r1rcm.com

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