Product Engineering

Engineer II, Software.

Remote
Work Type: Full Time

Job Title:  Engineer II, Software

Experience: 4-6 Years

Job Location: Remote, India


Company Overview:

fifthnote- An Ensemble Health Partners Company, we're at the forefront of innovation, leveraging cutting-edge technology to drive meaningful impact in the Revenue Cycle Management landscape. Our future-forward technology combines tightly integrated data ingestion, workflow automation and business intelligence solutions on a modern cloud architecture. We have the second-largest share in the RCM space in the US Market with 10000+ professionals working in the organization. With 10 Technology Patents in our name, we believe the best results come from a combination of skilled and experienced team, proven and repeatable processes, and modern and flexible technologies. As a leading player in the industry, we offer an environment that fosters growth, creativity, and collaboration, where your expertise will be valued, and your contributions will make a difference.


Position Summary:

We are a dynamic and innovative company focused on enhancing our digital presence and improving customer engagement. We are looking for a talented Software Engineer II to join our Product Engineering team and support the development of our custom real-time rules evaluation system.


Responsibilities:

  • Support the event engine team in backend development associated with the Rules Engine.
  • Develop and maintain a custom real-time rules evaluation system using C# microservices and T-SQL in an Agile/DevOps environment.
  • Collaborate with a senior software engineer on scalable, high transaction, event-driven data processing systems.
  • Work with direction and oversight to achieve sprint commitments and help the team meet objectives.

Required Skills:

  • 4-6 years of experience in software engineering.
  • Proficiency in Azure/MS-SQL and Azure DevOps.
  • Strong English language skills to understand U.S. medical billing terminology and apply it to development.

Nice to Have:

  • Experience with medical billing (HL7 or X12).
  • Knowledge of C# / .NET.
  • Familiarity with event-driven architecture.
  • Experience with Agentic AI (Azure AI Foundry).

Core Competencies:

  • Database engineering and relational database design skills.
  • Test-driven development.


Why Join US? 

 

  • We adapt emerging technologies to practical uses to deliver concrete solutions that bring maximum impact to providers’ bottom line. We currently have 10 Technology Patents in our name.
  • We offer you a great organization to work for, where you will get to do best work of your career and grow with the team that is shaping the future of Revenue Cycle Management.
  • We have our strong focus on Learning and development. We have the best Industry standard professional development policies to support the learning goals of our associates.
  • We have flexible/ remote working/ working from home options

Benefits

 

  • Health Benefits and Insurance Coverage for family and parents. Accidental Insurance for the associate.
  • Compliant with all Labor Laws- Maternity benefits, Paternity Leaves.
  • Company Swags- Welcome Packages, Work Anniversary Kits
  • Exclusive Referral Policy
  • Professional Development Program and Reimbursements.
  • Remote work – flexibility to work from home.
Numbers of Positions:
1
 

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