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, perks, prior auth, and EDI (837, 835, 834, 270/271, 276/277) within HIPAA. • Partner with the client: Give US stakeholders clear 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 / Technical Lead – .NET, React, SQL, Azure, AI-ASSISTED (Canada)
🏢 Aigrev.
📍 Canada