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

Saisystems Health is hiring a Lead Full Stack Developer with 9+ years of .NET and Angular experience, a US healthcare background and a track record of AI-forward engineering to lead technical delivery on ECM, our enterprise claims management platform.

About the role

The Lead owns technical direction and delivery quality for an ECM squad: setting architecture and coding standards, reviewing critical changes, mentoring developers, and still shipping hands-on code across Angular, .NET and T-SQL. Roughly half the role is hands-on engineering; the rest is design, review, planning and people leadership.

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 alongside the API. The Lead decides how current features and modernisation — performance, observability, test coverage, security hardening and debt reduction — are sequenced in a system that cannot stop running.

Why AI-forward. The Lead sets how the team uses AI: which tools and workflows are approved, how AI-assisted code is reviewed, and where AI measurably improves throughput and quality — while keeping PHI and secrets out of external tools.

Key responsibilities

Technical leadership and architecture
• Own the technical design of features and modernisation work across Angular, ASP.NET Core and Azure SQL; write design notes and lead design reviews.
• Define and enforce coding standards, layering (controller → interface → service → stored procedure), API contracts

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