Healthcare - .Net Developer

As a .NET Developer, you will make an impact by designing, building, and supporting scalable digital solutions that enable critical healthcare workflows and secure data management. You will be a valued member of the technology delivery team and work collaboratively with product owners, architects, data teams, and healthcare stakeholders to deliver high-quality, compliant solutions.

In this role, you will:

Design, develop, and maintain .NET applications, including APIs, web services, and Azure Function Apps, supporting healthcare platforms

Build and optimize SQL queries, stored procedures, and data models to ensure performance, accuracy, and scalability

Support and enhance healthcare applications, including Facets modules (Member, Claims, Providers, Accumulation, and Open Access services)

Collaborate with cross-functional teams to gather requirements and translate them into technical solutions

Ensure solutions comply with healthcare regulations, security standards, and data privacy requirements

Troubleshoot and resolve application and database-related issues across environments

Contribute to CI/CD pipelines and deployments using Azure DevOps

Develop and maintain technical documentation for applications, APIs, and system processes

Build and maintain agentic AI workflows, including multi-step reasoning, tool usage, and autonomous task execution

Integrate and manage Model Context Protocol (MCP) servers to enable AI agents to interact with external tools, APIs, and data sources

Develop, test, and optimize prompts, pipelines, and agent orchestration logic

Work model

We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in El Salvador. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.

The working arrangements for this role are accurate as of the date of posting. This may change based on the project you’re engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.

Strong experience developing applications using .NET technologies

Advanced proficiency in SQL, including query optimization, stored procedures, and data modeling

Hands-on experience supporting healthcare applications and workflows

Experience working with Facets (Member, Claims, Providers, Accumulation, and Open Access services)

Understanding of healthcare standards and regulations such as HIPAA, HL7, or FHIR

Experience with CI/CD pipelines and deployments using Azure DevOps

Ability to work effectively in Agile delivery environments

Strong problem-solving skills and the ability to support production systems

These will help you stand out

Experience designing or deploying Generative AI or Agentic AI-powered solutions

Exposure to Azure cloud services and a strong interest in Azure upskilling

Experience building intelligent workflows that integrate AI agents with enterprise systems

Strong communication skills and experience collaborating with global or cross-functional teams

The annual salary for this position will be in the range of $110K - $125K depending on experience and other qualifications of the successful candidate.

This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.

Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:

Medical/Dental/Vision/Life Insurance

Paid holidays plus Paid Time Off

401(k) plan and contributions

Long-term/Short-term Disability

Paid Parental Leave

Employee Stock Purchase Plan