Provide hands-on technical leadership for complex healthcare revenue cycle management solutions. You will lead initiatives across multiple product and engineering teams while staying close to architecture, code, data, user experience, infrastructure, and production operations.

This is an individual contributor role with broad influence. You will turn ambiguous customer and business problems into clear technical direction, align teams around practical solutions, and improve engineering effectiveness across the organization.

We value engineers who are curious, adaptable, and eager to learn and share what they discover. You will help multiple teams improve how they build software, including the responsible and effective use of AI-assisted development practices.

This is a hybrid position, expectation is 2 days a week onsite in Raleigh office

What you will do

• Lead complex, multi-team initiatives from discovery through delivery and production operation.
• Define architectures and roadmaps across databases, .NET services and APIs, Angular applications, integrations, AWS infrastructure, and deployment platforms.
• Stay hands-on by prototyping, designing, coding, debugging, reviewing, and implementing critical or high-risk work.
• Create alignment across teams by making technical decisions, tradeoffs, risks, dependencies, and evolution paths clear.
• Establish shared patterns and standards that help teams deliver consistently without becoming a bottleneck.
• Identify and address systemic risks in security, scalability, resilience, performance, data, cost, and developer experience.
• Lead modernization of large or long-lived systems while protecting customer value and operational stability.
• Set quality standards through design reviews, testing strategy, observability, incident learning, and operational readiness.
• Mentor engineers and technical leaders and influence engineering practices without relying on direct authority.
• Evaluate emerging technologies and AI-assisted development practices, establish useful patterns, and share guidance across teams.
• Help teams learn from delivery and production feedback through documentation, technical discussions, demos, and communities of practice.

What you bring

Required

• 10+ years of professional experience delivering and operating production software.
• A proven track record of architecting and delivering modern cloud native end to end solutions on AWS. Ability to design secure, high available solutions with a strong focus on native functionality (including Lambda, Fargate, Event Bridge, API Gateway, Cognito and CloudFront) that align with industry best practices.
• A record of leading complex technical initiatives across multiple engineering or product teams.
• Demonstrated ability to deliver full stack solutions across relational data, backend services and APIs, Angular frontend applications, cloud infrastructure, and production operations.
• Strong hands-on experience with distributed systems, RESTful APIs, and asynchronous messaging.
• Strong experience with relational data design, automated testing, CI/CD, observability, security, and operational resilience.
• Extensive knowledge and understanding of AWS platform infrastructure components including VPC (Subnets/SG, Peering, Routing, etc) RDS/Aurora, S3, IAM,  FSX, WAF, ALB/NLB, SNS, SQS, CloudWatch, CloudTrails, Secret Manager, ECR and more.
• Excellent communication, technical judgment, and ability to create alignment without direct reporting authority.

Preferred

• Healthcare, revenue cycle management, EHR, or practice management experience.
• HL7, FHIR, EDI, HIPAA, secure handling of regulated data, or other healthcare interoperability experience.
• SQL Server, PostgreSQL, Redis, Snowflake, Docker, Kubernetes, Terraform, or CloudFormation.
• Experience defining platform standards, reference architectures, or shared engineering capabilities.
• Leadership of modernization, migration, integration, or re-platforming efforts.
• CloudWatch, Datadog, Splunk, or similar observability tools.
• Experience evaluating and using AI-assisted development tools such as GitHub Copilot, Claude Code, or Cursor with strong review, testing, and data-protection practices.

Technology environment

AWS, Azure, MSSQL, PostgreSQL, C#, .NET, TypeScript, Angular, OpenSearch, Snowflake, Docker, Terraform, GitHub Actions, Azure DevOps, Splunk, and GitHub. Experience with every technology is not required; strong fundamentals and the ability to learn are important.

Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?

Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Veradigm’s policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans

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