About the Job
At Alteva RCM, we're dedicated to helping healthcare providers thrive through expert revenue cycle management, strategic insight, and innovative solutions. We're always looking for passionate, driven professionals who want to make a meaningful impact, grow their careers, and be part of a collaborative team committed...
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.
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.
Key Responsibilities
Alteva has existing engineering capacity and a broader technology team. This person will join that structure, partnering with company technology leadership while owning technical architecture, code design, and day-to-day technical execution for assigned systems and initiatives.
You will be responsible for the quality, reliability, extensibility, and technical direction of the work. This means staying close enough to the code to guide design, review implementation, and speak clearly to technical tradeoffs when needed.
This is a hands-on technical leadership role, not a manager-only position. We are looking for someone who brings practical engineering judgment, improves execution quality, and helps bring more structure and technical clarity as the team grows.
Own technical design and architecture for assigned systems and initiatives, ensuring solutions are robust, maintainable, and extensible
Stay hands-on in the codebase so you can guide implementation, review work effectively, and speak to technical decisions with confidence
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 and when
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, building credibility through strong technical judgment and hands-on contribution
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 over time
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 so issues are caught earlier and escalated clearly
Contribute to a development environment that values speed, quality, and continuous learning
Required Skills & Abilities
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 where they improve productivity or quality
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
This is not a role where you will spend the first six months in planning mode. The systems are live, the work is active, and the team needs someone who can contribute hands-on while helping bring more structure to execution.
It is also not a siloed IC role. You will be expected to influence how technical work is designed, planned, reviewed, released, and supported. If you want to just write code and hand it off, this is not the right fit.
