Senior Full Stack Developer / Technical Lead – .
NET, React, SQL, Azure, AI-Assisted Engineering & Healthcare Insurance Company AIGrev LLC Location Fully Remote – Canada (must be authorized to work in Canada) Type Full-Time Contract Experience 10+ years Client US Healthcare Insurance (Payer) Hours Must work US Pacific Time (PST) business hours Model Onsite–offshore; leads an offshore team

About the Role
We need a hands-on Technical Lead who builds with React, .
NET, SQL and Azure, uses AI coding tools at an expert level, and owns delivery for a US healthcare payer client. You will drive architecture, lead an offshore team, and make AI a standard part of how the team builds software.

What You'll Do
• Build: Develop enterprise apps with React/TypeScript, C#/.
NET Core APIs, microservices, and SQL Server.
• Lead AI adoption: Use Cursor, Claude Code, and similar tools daily; build reusable skills, multi-agent workflows, and automations across the SDLC; mentor the team and track adoption.
• Own delivery: Run multiple projects at once, plan and track sprints, and flag risks and blockers early.
• Drive design: Lead architecture and design meetings, review code, and set engineering standards.
• Lead offshore: Act as onsite lead for the offshore team: assign work, run cross-time-zone handoffs, and review deliverables.
• Automate Azure: Build CI/CD in Azure DevOps, IaC (Bicep/ARM/Terraform), and automation with Functions, Logic Apps, and Azure Automation.




• Apply payer domain: Work on claims, enrollment, eligibility, benefits, prior auth, and EDI (837, 835, 834, 270/271, 276/277) within HIPAA.
• Partner with the client: Give US stakeholders transparent updates and solve problems pragmatically. Must Have
• 10+ years in software development.
• Strong hands-on React, .
NET Core, SQL, and Azure.
• Expert use of AI coding tools (Cursor, Claude Code), including skills, multi-agent orchestration, and workflow automation; proven record of mentoring teams on AI adoption.
• US healthcare payer experience.
• Experience leading offshore teams in an onsite–offshore model.
• Strong ownership, problem solving, risk management, and sprint/project tracking.
• Azure DevOps CI/CD and Azure automation experience.
• Excellent communication with US clients.
• Based in Canada and available for PST hours. Nice to Have
• Python/ Snowflake/ Databricks
• ETL (Azure Data Factory, SSIS)
• SQL data masking and PHI/PII test data management
• Third-party and vendor integrations
• HL7 / FHIR; Medicare, Medicaid, Commercial plans
• Docker / Kubernetes
• LLM API or RAG development

How to Apply
Send your resume highlighting your AI-assisted development work, healthcare payer experience, and offshore leadership. Please confirm you are based in Canada a Pay: From $30.00 per hour Work

Location:
Remote

📌 Senior Full Stack Developer (Canada)
🏢 Aigrev.
📍 Canada