NET Developer - Agadia PAHub Support (Fully Remote, USA)

We are seeking a .NET/C#/SQL Developer to support the design, development, integration, testing, and ongoing support of pharmacy applications and Agadia PAHub/ePA solutions. The role will focus on backend/API development, SQL Server development, system integration, troubleshooting, and delivery across multiple state implementations., * Design, develop, enhance, and support backend applications and services using C# and .NET.

• Develop and maintain REST APIs and web-service integrations between Agadia PAHub and Gainwell pharmacy applications.
• Develop and troubleshoot SQL Server queries, stored procedures, data mappings, and database integrations supporting application and reconciliation workflows.
• Support multi-tenant and state-specific application/API routing, including configuration and integration changes required for different state implementations.
• Troubleshoot application, API, configuration, database, data-mapping, and environment issues across integrated systems.
• Perform unit testing, technical validation, defect remediation, regression support, and SIT/UAT troubleshooting. Current PAHub delivery includes active engineering triage and technical validation during testing.
• Support application deployments, configuration changes, smoke testing, release validation, and post-deployment troubleshooting.
• Perform root-cause analysis for defects and production issues and coordinate resolution across dependent applications and teams.
• Collaborate with Agadia, Product, Architecture, QA, DDI, Infrastructure, and Pharmacy Engineering teams on technical design and delivery.
• Maintain user stories, technical tasks, defects, implementation notes, and delivery status in Azure DevOps (ADO).
• Participate in design reviews, backlog discussions, technical troubleshooting sessions, and release-readiness activities.

• 3+ years of hands-on software/application development experience.
• Strong development experience with C#, .NET/.NET Core, and REST APIs.
• Strong Microsoft SQL Server and T-SQL skills, including complex queries, stored procedures, data analysis, and troubleshooting.
• Experience working with REST services, JSON, XML, HTTP, and API integration patterns.
• Experience debugging and troubleshooting distributed enterprise applications and integrations.
• Understanding of object-oriented programming, application design patterns, and dependency injection.
• Experience with Git/source control, CI/CD, unit testing, integration testing, and Azure DevOps or equivalent tools.
• Experience analyzing functional requirements and API specifications and converting them into technical solutions.
• Strong problem-solving, debugging, documentation, and communication skills., * Experience with Agadia, PAHub, ePA, or Prior Authorization platforms.
• Experience with Medicaid, PBM, healthcare, or pharmacy benefit systems.
• Experience with Microsoft SQL Server, enterprise data integrations, and batch/reconciliation processes.
• Knowledge of multi-tenant architecture and state-specific API routing.
• Experience supporting SIT, UAT, production releases, and production incidents.
• Experience integrating with third-party healthcare vendors and coordinating API specifications, testing, defects, and releases.