Alteva RCM | Technology | Full-Time
About Alteva RCM
Alteva RCM is a healthcare revenue cycle management company that partners with medical practices and surgical centers nationwide. We go beyond traditional billing, bringing together legal, clinical, and coding expertise under one roof to help providers operate more efficiently, protect their revenue, and navigate the complexity of today's payer landscape.
We serve a wide range of specialties and operate at significant scale, with a growing technology function that is central to how we deliver results for clients. The company is actively investing in dedicated technology infrastructure, automation, and stronger technical execution to support continued growth.
About the Role
This is a newly created Technical Lead role supporting one of Alteva's largest and most revenue-critical business areas. The work involves complex operational workflows, multiple live systems, and a growing pipeline of technology initiatives.
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 this business area.
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.
What You'll Own
Architecture & Code Design
Own technical design and architecture for the business area, ensuring systems are built in a robust, maintainable, and extensible way
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
Team & Delivery
Serve as the primary technical point of contact for outsourced development partners supporting this 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 product and operations leadership
Surface blockers early and keep delivery on track
Systems & Reliability
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 automation approaches including RPA and rules engines 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
What We're Looking For
Required
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
Preferred
Salesforce development or integration experience
Familiarity with RPA tools, rules engines, or 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, legal operations, financial operations, or other high-volume operational environments
Experience working with outsourced development teams
Experience improving QA, release, monitoring, or rollback practices
What This Isn't
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.
Why Join
You will be the dedicated technical lead for one of Alteva's largest and most revenue-critical business areas
Direct access to product and operations leadership, with a short feedback loop between your work and real business outcomes
A team being built with dedicated QA, project management support, and a roadmap with real investment behind it
Opportunity to shape the technical function as the team grows, including standards, delivery practices, architecture, and developer mentorship
