Senior Full Stack Engineer - India (Remote)
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Job Description
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XO Health believes healthcare is fixable. Become part of the community changing the face of the industry.
XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone – from those who receive care, to those who deliver it, to those who pay for it.
We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation.
About the Role:
XO Health is seeking a Senior Software Engineer for building applications that enable a Provider’s experience. This position will be responsible for the full stack design, development, testing, documentation, and analysis of features utilizing .Net, Angular, GraphQL, implementing a serverless architecture in AWS. The ideal candidate will be instrumental in designing and implementing solutions that are scalable, performance-optimized, and maintainable.
Responsibilities:
- Design, develop, and maintain scalable full-stack applications for a healthcare insurance platform
- Engage with cross-functional teams to define and implement new features that meet the complex demands of the healthcare sector
- Ensure application security and compliance with HIPAA and other regulations, focusing on performance and scalability
- Implement serverless architectures on cloud platforms (Azure, AWS) to optimize backend functionality
- Utilize modern front-end frameworks (React, Angular, Vue) to create responsive user interfaces
- Integrate and customize rules engines for automated decision-making and efficiency
- Employ microservices architecture to enhance application scalability, resilience, and deployment efficiency
- Utilize GraphQL for efficient and flexible data retrieval, improving the application’s data interaction layer
- Mentor junior developers, fostering a culture of technical excellence, innovation, and ongoing learning
- Stay updated on technology trends, regulatory changes, and best practices in healthcare to ensure our solutions are at the forefront
We’re Looking for Candidates Who Have:
- A Bachelor’s degree in computer science, engineering, or a related field
- Minimum of 8 years in full-stack software development, with a strong portfolio in both frontend (JavaScript, React, Angular, Vue) and backend (C#, .NET, Java) technologies
- Proficiency in implementing solutions in cloud (AWS, Azure), including serverless environments
- Strong understanding of software architecture principles, design patterns, and best practices
- Demonstrated ability to translate complex business requirements into a well-executed technical roadmap
- Demonstrated experience with microservices architecture, designing, deploying, and managing independently scalable service components
- Experience with GraphQL for building APIs and efficient data retrieval
- Strong background in SQL or NoSQL, database design, and complex data architectures
- Proficient in AWS OpenSearch for building scalable search and analytics solutions, including indexing, querying, and optimizing search performance in distributed systems
- Skilled in AI-first development practices utilizing Claude Cursor or Codex for intelligent code generation, accelerated development workflows, and enhanced productivity
- Familiarity with Agile methodologies and a comprehensive understanding of DevOps practices
- Exceptional problem-solving capabilities, adaptability, and leadership skills
- Experience in the healthcare sector, especially with claims processing is a plus
- Solid understanding of HIPAA and healthcare regulatory standards is a plus
- Bonus: Experienced in iOS and Android app development, building cross-platform mobile applications with native performance and seamless user experiences
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XO Health
View Company ProfileXO Health (operating under xohealth.com) is a venture-backed health technology and benefits infrastructure company designed to fundamentally rebuild how self-insured employers deliver healthcare benefits. Founded by veteran healthcare executive Swati Mathai, the platform introduces a next-generation operating system for value-based care that directly addresses the administrative friction, soaring enterprise costs, and misaligned incentives inherent in legacy health insurance models. By combining integrated medical and pharmacy benefit administration with a unified risk-contracting engine, XO Health enables employers, payers, and healthcare providers to model, operate, and settle risk-based agreements in real time without convoluted spreadsheet reconciliation. The company's proprietary digital layer unlocks hard-coded healthcare data from claims and electronic health record (EHR) systems to deliver transparent clinical and financial reporting while reducing the immense prior authorization burdens placed on medical professionals. Backed by significant multi-stage venture capital financing, including a Series C funding expansion, XO Health eliminates structural waste for Fortune 500 self-funded entities, guaranteeing explicit structural savings while offering members a highly tailored, seamless care navigation and digital health advocate experience.
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