AI Software Engineer

We are seeking an experienced Senior AI Software Engineer to design, develop, and maintain healthcare SaaS application CCIQ Platform focused on Medicare care management programs, including Chronic Care Management (CCM), Remote Patient Monitoring (RPM), Remote Therapeutic Monitoring (RTM), Principal Care Management (PCM), and related reimbursement workflows. The ideal candidate will have hands-on experience building healthcare applications that support Medicare billing, CPT coding, time capture, patient eligibility, claims generation, EHR integrations, compliance, and provider workflow automation. This role will work closely with Product, Clinical Operations, Billing, and Engineering teams to deliver scalable, secure, and compliant solutions. Are you an AI-powered software engineer who builds at the speed of thought? If you excel in spec-driven, AI-assisted software development using tools such as Augment Code, Cursor, Claude Code, GitHub Copilot, or similar technologies, we’‘d love to hear from you. Beyond strong technical skills, we’‘re seeking a leader mindset who can champion AI-driven software development practices, mentor fellow engineers, and help transform the organization’’s SDLC through the effective adoption of AI-enabled engineering tools and workflows. The ability to influence teams, drive change, and foster a culture of continuous innovation is essential.

Primary Responsibilities

1. Medicare Billing & Care Management Solutions
2. Design and develop software solutions supporting:
3. CCM (99490, 99439, 99491)
4. RPM (99453, 99454, 99457, 99458)
5. RTM (98975, 98976, 98977, 98980, 98981)
6. PCM (99424-99427)
7. Behavioral Health Integration (BHI)
8. Transitional Care Management (TCM)
9. Annual Wellness Visits (AWV)
10. Implement CMS billing rules, reimbursement logic, eligibility validation, and audit controls.
11. Develop time-tracking and documentation workflows to support compliant billing.
12. Build claim generation and billing reconciliation capabilities.
13. Collaborate with operations teams to improve billing accuracy and reduce revenue leakage.

Healthcare Platform Development

1. Design scalable microservices and APIs supporting patient management, billing, and reporting workflows.
2. Build patient risk stratification and population health management capabilities.
3. Develop dashboards for care managers, providers, billing teams, and administrators.
4. Implement workflow automation for enrollment, consent management, care plan generation, and patient outreach.

EHR & Healthcare Integrations

1. Develop integrations with E
2. HR systems such as:
3. Epic Systems
4. Athenahealth
5. AdvancedMD
6. eClinicalWorks
7. NextGen Healthcare
8. Build interfaces utilizing:
9. HL7
10. FHIR APIs
11. CCD/C-CDA
12. Ensure data synchronization, patient matching, and interoperability compliance.

Security & Compliance

1. Develop solutions compliant with:
2. HIPAA
3. CMS requirements
4. SOC 2 controls
5. HITRUST frameworks
6. Implement secure coding practices, audit logging, encryption, and access controls.
7. Technical Leadership
8. Mentor engineers and participate in architecture reviews.
9. Drive engineering best practices, code quality, testing automation, and DevOps maturity.
10. Participate in technical roadmap planning and platform modernization initiatives.
11. Collaborate with Product and Operations teams to translate regulatory requirements into software capabilities.
12. Strong & proven experience in Spec Based AI Driven SDLC (Software Development Life Cycle) using tools like Claude Code, Augment Code, Cursor etc.

1. Healthcare Domain Experience
2. 8+ years of software engineering experience.
3. 4+ years building healthcare SaaS applications.
4. Strong understanding of Medicare care management programs:
5. CCM
6. RPM
7. RTM
8. PCM
9. TCM
10. BHI
11. Experience implementing CPT code-based billing workflows.
12. Knowledge of CMS reimbursement policies and healthcare revenue cycle management.

Technical Skills - Strong experience with:

1. C#
2. .NET Core / Core
3. REST APIs
4. SQL Server or MySQL

5. One of AI Coding Tools: Augment Code. Cursor, Claude Code, GitHub Copilot Experience with:

6. Azure or AWS cloud platforms
7. Microservices architecture
8. Event-driven systems
9. CI/CD pipelines
10. Docker and Kubernetes

Experience with:

1. Entity Framework
2. Message queues
3. Distributed systems
4. Integration Experience
5. FHIR APIs
6. HL7 v2
7. Healthcare interoperability standards
8. EHR integration architecture

Quality & Delivery

• Unit testing and integration testing
• Automated testing frameworks
• Agile/Scrum development
• Git-based development workflows, * Experience with healthcare billing platforms or RCM systems.
• Experience developing CCM/RPM/RTM platforms specifically.
• Knowledge of Medicare Advantage and value-based care models.
• Experience working with provider organizations, MSOs, ACOs, or care management vendors.
• Experience building AI-enabled clinical workflow solutions.
• Experience with Azure AI, OpenAI, or healthcare analytics platforms.

Desired Competencies

• Strong problem-solving and analytical skills.
• Ability to interpret CMS regulations and translate them into software requirements.
• Excellent communication and collaboration skills.
• Strong ownership mindset and customer focus.
• Ability to balance technical excellence with business outcomes.

Nice-to-Have Experience

• Candidates with direct experience building products similar to:
• Chronic Care Management platforms
• Remote Patient Monitoring solutions
• Population Health Management systems
• Medicare billing and claims platforms
• Care coordination software
• Patient engagement platforms
• will be strongly preferred.
• Senior AI Software Engineer - Medicare Billing & Care
• Management Platforms (CCM/RPM/RTM)

• 401k matching up to 3.5%
• Medical, dental and vision coverage
• Generous paid time off / holidays
• Casual work environment
• Work at home options (1-2 days a week)
• Company social events