Senior .NET Backend Engineer Consultant (AI-Forward) - Pharmacy Platform

Proactive Logic Consulting Inc
United States
25 days ago
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Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Experience level
Expert
Experience required
2 years minimum
Compensation
$160,555.0 - $228,800.0
Working hours
Regular working hours
Job source

Tech stack

ASP.NET .NET Framework Application Programming Interfaces (APIs) Artificial Intelligence Application Performance Management Microsoft Azure C Sharp (Programming Language) Code Review Continuous Integration Cursor Github Microsoft SQL Server
+19 more
E2e Testing Microsoft Copilot Standard Sql Service Design Software Construction Test Data GitHub Copilot Claude Code AI Coding Agents Backend Agentic-AI Gitlab Build Management Health Level Seven International Apache Kafka OpenAI Codex Human in the Loop Key Vault Web Api

Job description

  • Safety and compliance: PHI redaction, secrets in Key Vault, nothing sensitive in prompts, logs or test data.
  • Consulting & High EQ
  • Confident with engineers, product owners, pharmacists and technicians alike; you turn workflow detail into resilient systems.
  • Owner mindset, clear communication and crisp trade-off framing.
  • Entrepreneurial Mindset
  • Think like an owner; deliver measurable value. We welcome consultants building their own ventures.
  • Business Structure
  • Must have an active LLC or S-Corp; 1099 only (Corp-to-Corp). 2+ years running your own consulting company strongly preferred.

What You’ll Do

  • Build APIs: Design and build ASP.NET Core Web APIs on current .NET with EF Core, Dapper and SQL Server.
  • Own Pharmacy Domain Logic: Prescriptions, claims and patient medication records, including controlled-substance rules.
  • Integrate: Connect pharmacy management systems and other healthcare and business partners; work with event streaming and healthcare messaging where needed.
  • Secure & Operate: Entra ID authentication, Azure containers, CI/CD, and the tests that keep releases safe.
  • Use AI Well: Apply AI tools to accelerate design, coding, testing and review while keeping PHI inside controlled boundaries.

Preferred Tech & Tooling

  • .NET 8+, C#, ASP.NET Core, EF Core, Dapper, SQL Server
  • Azure (Key Vault, Storage, Application Insights, container hosting), Entra ID, CI/CD (GitLab, GitHub or Azure DevOps)
  • Kafka or HL7 v2 messaging
  • Agentic IDEs: Claude Code, OpenAI Codex CLI, Copilot/Cursor

Nice to Have

  • Hands-on with a pharmacy management system’s data model or integrations.
  • HL7 v2 or Kafka in production.

Why Join Proactive Logic Consulting?

  • Flexible Engagements: Shape your schedule around your life.
  • Top-Tier Peers: Collaborate with senior experts across cloud, data and AI.
  • Impactful Projects: Healthcare and pharmacy work with measurable outcomes.
  • AI-Forward Culture: Agentic software delivery and practical wins over hype.
  • Entrepreneurial Community: Many of our consultants build their own products too.

Requirements

We need a Senior .NET Backend Engineer Consultant (AI-Forward) to build the APIs at the center of a pharmacy platform. Prescription and claims data pass through the services you’ll own. You understand pharmacy workflows well enough to know why a controlled-substance refill, a transfer and a prior-auth denial each need different handling. This is a corp-to-corp, 1099 engagement for an independent consultant who works autonomously and uses AI tools daily to multiply their impact.

Key Requirements

  • 10+ Years of C# / .NET
  • ASP.NET Core Web APIs on current .NET, EF Core and Dapper.
  • Clean, testable service design: idempotency, resilience, observability; unit, integration and end-to-end tests.
  • SQL Server
  • Strong SQL, including working confidently inside large existing schemas.
  • Azure
  • Key Vault, Storage, Application Insights, managed identity, containers.
  • Securing services with Entra ID; CI/CD (GitLab, GitHub or Azure DevOps).
  • Pharmacy Software (Required, 3+ years)
  • Building software for a pharmacy or PBM: prescription lifecycle, NCPDP claims, NDCs and drug data, NPI and DEA, refill and transfer rules, controlled-substance handling.
  • Experience with HIPAA-regulated systems and PHI.
  • AI-Forward Engineering
  • Daily practitioner with AI coding tools and agents: Claude Code, OpenAI Codex CLI, GitHub Copilot or Cursor.
  • Prompt and instruction design: translate business rules into structured prompts, tools and context.
  • Code review and output evaluation with a human in the loop; you own what ships., Experience: C# / .NET, 10+ years (required); pharmacy or PBM software, 3+ years (required)

Benefits & conditions

  • Your resume or consultant profile highlighting .NET, SQL Server and pharmacy or PBM software work.
  • A short note on your LLC or S-Corp (name, state).
  • Links to relevant work (APIs, write-ups, demos or repos).
  • 3-5 lines on how you use AI tools (Claude Code, Codex CLI, etc.) to accelerate delivery while keeping PHI safe.

Optional (helps us fast-track you): answer in 1-2 sentences each.

  • What has to be true before a pharmacy can fill a faxed Schedule II prescription?
  • A claim rejects, then a corrected claim is submitted. How do you design the reversal and retry path so nothing is double-billed?

Equal Opportunity: We welcome all qualified applicants.

Agencies: We are not engaging agencies for this role.

Job Type: Contract

Compensation: $77.19 - $110.00 per hour (1099 contract)

About the company

Proactive Logic Consulting INC is a boutique technology consulting firm. We build the systems and capacity behind our clients’ value creation plans, working with private-equity-backed companies and operators in healthcare, insurance and financial services

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