Senior Full Stack Developer — AI-Forward Development (.NET & Angular)

Saisystems Health is hiring an AI-forward Full Stack Developer with 5+ years of .NET and Angular experience and a US healthcare background to build and modernise ECM, our enterprise claims management platform

About the role

This is a hands-on full stack role where AI-assisted engineering is part of the job, not an optional extra. You will own tickets end to end — from design conversation through testing to production support — using AI coding assistants and agents to deliver faster while holding the quality and compliance bar of a regulated healthcare product.

The product. ECM manages the full claim lifecycle for US healthcare provider organisations: patient and encounter capture, coding and charge entry, eligibility, a configurable business-rules engine, clearinghouse claim transmission, ERA/835 payment posting, denial and AR work queues, patient statements, credentialing and executive reporting.

The engineering problem. ECM is a mature, high-volume,



multi-tenant SaaS platform with tens of millions of claim and transaction rows, external BI consumers on the same database, and scheduled automation running alongside the API. The work mixes current feature delivery with deliberate modernisation — performance, observability, test coverage, security hardening and technical-debt reduction — in a system that cannot stop running.

Why AI-forward. We use AI across the engineering lifecycle and want engineers who already work this way: using agents and assistants to understand a large codebase, scaffold and refactor code, generate tests, review SQL and document changes — and who can explain every line they commit.

Key responsibilities
Front end (Angular)
• Build and enhance Angular screens — data grids, forms, multi-step claim and payment workflows, filters, dashboards and exports — that stay usable on large result sets.
• Work within a large existing codebase using NgRx state management, RxJS and compon

📌 Full Stack Developer (India)
🏢 Saisystems Health
📍 India