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About the Role

This is a newly created Technical Lead role supporting complex operational systems and internal technology initiatives at Alteva. The work involves business workflows, multiple live systems, and ongoing technical improvements. You will be responsible for the quality, reliability, extensibility, and technical direction of the work, staying close enough to the code to guide design, review implementation, and speak clearly to technical tradeoffs.

Responsibilities

• Own technical design and architecture for assigned systems and initiatives, ensuring solutions are robust, maintainable, and extensible
• Stay hands-on in the codebase to guide implementation, review work effectively, and speak to technical decisions
• Set and uphold standards for code quality, design patterns, integration approaches, documentation, and maintainability
• Collaborate with Alteva technology leadership and other technical leads on architecture decisions, security, standards, and cross-team alignment
• Identify technical debt, production risk, and system reliability gaps, and help prioritize what gets addressed
• Serve as a primary technical point of contact for internal and external development partners on assigned work
• Provide direction and guidance to internal and outsourced developers
• Review code across internal and outsourced developers, and raise the quality bar over time
• Support release planning, rollback readiness, environment management, and post-release validation
• Participate in discovery and scoping for new initiatives alongside business and technology stakeholders
• Surface blockers early and keep delivery on track
• Learn the technical landscape across core platforms, integrations, and automation workflows, and help improve technical documentation
• Work within the broader Alteva technical framework while making sure business needs, risks, and priorities are clearly represented
• Evaluate workflow automation approaches in coordination with other internal initiatives
• Help improve monitoring, alerting, and production support practices
• Contribute to a development environment that values speed, quality, and continuous learning

Requirements

• Strong .NET and C# development background, with recent hands-on coding experience
• Experience owning technical design or architecture for business-critical internal systems
• Experience building, supporting, or improving business-critical internal tools, workflows, or systems
• Hands-on experience with Azure
• Experience with integrations, APIs, data flows, or enterprise platforms
• Ability to review code, guide developers, and raise engineering quality across internal and outsourced work
• Comfortable working in a live environment where things are still being built and not everything is defined
• Clear communicator who can bridge technical and non-technical stakeholders without losing accuracy
• Salesforce or enterprise CRM/platform integration experience
• Familiarity with workflow automation strategies
• Experience with automation, AI-assisted workflows, or intelligent document/data processing
• Comfort using modern development tools, including AI-assisted coding tools
• Background in healthcare, RCM, financial operations, or other high-volume operational environments
• Experience working with outsourced development teams
• Experience improving QA, release, monitoring, or rollback practices

Skills

• .NET
• C#
• Azure
• Integrations
• APIs
• Data Flows
• Enterprise Platforms
• Code Review
• Technical Design
• Architecture
• Salesforce
• CRM
• Workflow Automation
• AI-assisted workflows
• Intelligent document processing
• Intelligent data processing
• Modern development tools
• AI-assisted coding tools
• QA
• Release Management
• Monitoring
• Rollback Practices

Experience Level

• Hands-on technical leadership

Salary/Compensations

• $180,000—$220,000 USD

Benefits

• Comprehensive benefits package
• Health insurance
• Dental insurance
• Vision insurance
• Employee assistance plan
• Paid family leave
• Short-term disability insurance
• Life insurance
• 401(k) plan with employer match
• Flexible spending accounts
• Employee discount program
• Employee referral program

About the Company

• Alteva RCM is a healthcare revenue cycle management company that partners with medical practices and surgical centers nationwide.
• We help providers operate more efficiently, strengthen revenue cycle operations, and navigate the complexity of today’s healthcare environment.
• We serve a wide range of specialties and operate at scale, with technology playing an important role in how we support clients and internal operations.