Senior Full Stack Developer / Technical Lead – .NET, React, SQL, Azure, AI-Assisted Engineering & Healthcare Insurance Company AIGrev LLC Location Fully Remote – Canada (must be authorized to work in Canada) Type Full-Time Contract Experience 10+ years Client US Healthcare Insurance (Payer) Hours Must work US Pacific Time (PST) business hours Model Onsite–offshore; leads an offshore team About the Role We need a hands-on Technical Lead who builds with React, .NET, SQL and Azure, uses AI coding tools at an expert level, and owns delivery for a US healthcare payer client. You will drive architecture, lead an offshore team, and make AI a standard part of how the team builds software. What You'll Do
- Build: Develop enterprise apps with React/TypeScript, C#/.NET Core APIs, microservices, and SQL Server.
- Lead AI adoption: Use Cursor, Claude Code, and similar tools daily; build reusable skills, multi-agent workflows, and automations across the SDLC; mentor the team and track adoption.
- Own delivery: Run multiple projects at once, plan and track sprints, and flag risks and blockers early.
- Drive design: Lead architecture and design meetings, review code, and set engineering standards.
- Lead offshore: Act as onsite lead for the offshore team: assign work, run cross-time-zone handoffs, and review deliverables.
- Automate Azure: Build CI/CD in Azure DevOps, IaC (Bicep/ARM/Terraform), and automation with Functions, Logic Apps, and Azure Automation.
- Apply payer domain: Work on claims, enrollment, eligibility, benefits, prior auth, and EDI (837, 835, 834, 270/271, 276/277) within HIPAA.
- Partner with the client: Give US stakeholders clear updates and solve problems pragmatically. Must Have
- 10+ years in software development.
- Strong hands-on React, .NET Core, SQL, and Azure.
- Expert use of AI coding tools (Cursor, Claude Code), including skills, multi-agent orchestration, and workflow automation; proven record of mentoring teams on AI adoption.
- US healthcare payer experience.
- Experience leading offshore teams in an onsite–offshore model.
- Strong ownership, problem solving, risk management, and sprint/project tracking.
- Azure DevOps CI/CD and Azure automation experience.
- Excellent communication with US clients.
- Based in Canada and available for PST hours. Nice to Have
- Python/ Snowflake/ Databricks
- ETL (Azure Data Factory, SSIS)
- SQL data masking and PHI/PII test data management
- Third-party and vendor integrations
- HL7 / FHIR; Medicare, Medicaid, Commercial plans
- Docker / Kubernetes
- LLM API or RAG development How to Apply Send your resume highlighting your AI-assisted development work, healthcare payer experience, and offshore leadership. Please confirm you are based in Canada a
Pay: From $30.00 per hour
Work Location: Remote
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