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Advisor Full Stack Engineer (.NET, React, AWS)

GainwellMillbrae, CAL6 LeadOctober 26th, 2026
Overview: You will provide senior technical leadership to build secure, scalable applications for Medicaid DDI and Provider Plus. You'll blend hands-on engineering with design review and AI-assisted development to improve productivity while enforcing quality and security standards. You will guide architecture decisions, multi-tenant patterns, and modern cloud-based delivery, collaborating with cross-functional teams to deliver impactful healthcare technology. This role offers remote work, growth through academies, and a culture focused on collaboration and inclusion. Compensation / Benefitsgenerous, flexible vacation policy 401(k) employer matchcomprehensive health benefitseducational assistanceleadership and technical development academiesfully remote with travel as needed
Responsibilities:
  • Lead design and implementation standards across React/TypeScript, .NET 10/C#, APIs, data, integrations and AWS workloads
  • Review complex designs, code, test evidence and technical specs; resolve defects, performance issues and production risks
  • Guide multi-tenant architecture, configuration-driven behavior, feature flags, versioning and compatibility with legacy interfaces
  • Guide PostgreSQL modeling, conversion/reconciliation, REST and event-driven integrations, Glue/Spark batch workloads and Kafka/MSK patterns
  • Establish Terraform, CI/CD, automated quality gates, observability, secure logging, vulnerability remediation and release controls
  • Mentor engineers and communicate technical decisions, risks, tradeoffs and recommendations across product and DDI teams
Key requirements:
  • 9+ years of Application Development including Technical Leadership
  • Expert hands-on C#/.NET and JavaScript/TypeScript (including React), APIs and cloud-native engineering
  • Advanced PostgreSQL/SQL, integration, AWS and automated-delivery experience
  • Medicaid, Medicare, MMIS/MES or regulated healthcare experience preferredmentoring and people leadershipclear technical communication of decisions, risks and tradeoffscollaboration across cross-functional teamsC#/.NETJavaScript/TypeScriptReact