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Location
In office (Noida)
Seniority
Middle · 5+ years exp
Employment
Full-Time

Confirmed on the employer's own hiring board on Oct 11, 2026. First seen by Alion on May 7, 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.

Software Engineer II / Full Stack Developer (React + .NET + Azure)

Experience: 5-8 years

Location: Noida

Employment Type: Full-time

Job Summary

We are looking for a Senior Full Stack Developer with 5+ years of experience building scalable web applications using React, C# / .NET, MS SQL Server, Claude Code, Copilot and Microsoft Azure. The ideal candidate is strong in front-end engineering, backend APIs, and cloud-native development, with a solid understanding of performance, security, and clean architecture.

Mandatory Skills (Must-Have)

  • React.js (modern React with Hooks, component architecture, state management)
  • C# and .NET (preferably .NET Core / .NET 6+)
  • RESTful API development (Web API / minimal APIs)
  • MS SQL Server (schema design, complex queries, indexing, stored procedures)
  • Microsoft Azure (deployment, monitoring, and cloud services).
  • Claude Code/Copilot for coding and development automation.

Key Responsibilities

Frontend (React)

  • Design and develop responsive, reusable UI components using React and modern JavaScript/TypeScript patterns.
  • Implement best practices for state management, routing, performance optimization, and accessibility.
  • Collaborate with product/design teams to deliver intuitive and high-performance user experiences.

Backend (.NET / C#)

  • Build and maintain secure, scalable REST APIs using C# and .NET.
  • Implement business logic, validations, and integration with downstream services.
  • Ensure high code quality with clean architecture patterns, SOLID principles, and unit testing.

Database (MS SQL)

  • Design optimized database schemas and write efficient SQL queries.
  • Work with stored procedures, indexing strategies, query tuning, and performance troubleshooting.
  • Ensure data integrity, security, and proper transaction handling.

Cloud & DevOps (Azure)

  • Deploy and support applications on Azure using best practices for reliability and observability.
  • Work with Azure services such as App Service, Azure Functions, Storage, Key Vault, Azure SQL, Application Insights, etc.
  • Participate in CI/CD setup and improvements (Azure DevOps / GitHub Actions).

Collaboration & Delivery

  • Participate in sprint planning, estimations, code reviews, and technical discussions.
  • Mentor junior engineers, contribute to engineering standards, and improve development practices.
  • Own features end-to-end: design → development → testing → deployment → monitoring.

Required Qualifications

  • 5+ years of hands-on experience in software development.
  • Strong experience in React + C#/.NET full stack development.
  • Proven experience working with MS SQL Server for enterprise applications.
  • Experience building and deploying applications on Microsoft Azure.
  • Solid understanding of software design patterns, OOP, and API best practices.
  • Good communication and collaboration skills in a cross-functional environment.

Preferred / Nice-to-Have Skills

  • TypeScript, Redux/Zustand, React Query, Material UI/AntD
  • Microservices architecture, event-driven design
  • Containers & orchestration: Docker, Kubernetes/AKS
  • Messaging: Service Bus, RabbitMQ, Kafka
  • Security practices: OAuth2, OpenID Connect, JWT, OWASP
  • Experience with testing frameworks (xUnit/NUnit, Jest, React Testing Library)
  • Experience with Domain-Driven Design (DDD) / Clean Architecture

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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