If you’re a full stack .NET engineer who can own production-grade work end to end, tune data-heavy systems, and thrive in an Agile team that actually expects you to lead, this is a strong remote role. You’ll be building and supporting SaaS healthcare applications where performance, reliability, and clean architecture are not “nice to have,” they are the job.
About R1
R1 provides technology-driven revenue cycle solutions for hospitals, health systems, and medical groups, combining revenue cycle expertise with modern platforms, analytics, and automation to improve patient experience and financial performance.
Schedule
- Full-time
- Remote (USA)
- Posted: 20 days ago
- Bonus eligible: Target 10% annual bonus plan
What You’ll Do
- Lead R&D and ship secure, scalable, highly available software from definition through deployment and sustainment
- Partner with Product Management to ensure engineering execution matches design intent and business needs
- Write technical design documentation aligned to business and solution architecture standards
- Identify and implement new technologies/techniques to improve platform performance and customer experience
- Build and support APIs, data modeling, schema development, and application business logic
- Tune SQL queries, refactor business logic for performance, and implement concurrency controls for multi-user environments
- Collaborate across teams and levels, clearly articulating solutions to earn trust and buy-in
- Contribute to end-to-end delivery of high-performing, reliable, scalable, operable solutions in an Agile environment
What You Need
- Bachelor’s in CS/Engineering (or equivalent experience)
- Strong .NET framework knowledge with proficiency in C#, ADO.NET, Entity Framework
- 6+ years building and delivering web-based apps/services
- Strong OOP fundamentals (C#, C++, or Java)
- Web services experience: XML/XSD, SOAP, JSON, REST
- Modern dev practices: version control, unit/integration/system testing, CI/CD
- Agile experience
- Strong written and verbal communication, including concise technical documentation
Benefits
- Competitive benefits package (company-sponsored)
- Pay range listed: $97,211.43–$161,880.71/year (varies by location, skills, experience)
- Annual bonus plan eligible (target 10%)
Quick backbone note: this is not a “mostly front-end” or “API-only” gig. They want someone who can live in the app layer and the database layer, and who can talk performance like an adult (queries, concurrency, refactors) without melting down.
Happy Hunting,
~Two Chicks…