Software Engineer II - Full Stack Developer (.NET) with Agentic AI Expertise

About R1 RCM India

R1 RCM India is recognized among India's Top 50 Best Companies to Work For 2023 by Great Place To Work® Institute. The company aims to revolutionize healthcare through innovative revenue cycle management services, simplifying healthcare processes and boosting efficiency across providers including hospitals and physician practices. Operating globally with over 30,000 employees and nearly 14,000 in India at locations such as Delhi NCR, Hyderabad, Bangalore, and Chennai, the firm fosters an inclusive culture valuing employees with comprehensive benefits and engagement initiatives. Their mission is to be the trusted partner to manage healthcare revenue, enhancing patient and provider focus.

Position Summary

We are searching for a skilled Full Stack Developer with 3 to 5 years of hands-on experience in C# and .NET frameworks combined with strong competencies in Agentic AI development and contemporary AI technologies. This position involves designing, building, and maintaining scalable AI-driven applications that integrate autonomous or multi-agent workflows within enterprise environments.

Key Responsibilities

• Create, enhance, and maintain stable, high-performance web applications using C# and .NET ecosystem.
• Design and implement AI-enabled agentic systems leveraging large language models, orchestration tools, and API integrations.
• Develop autonomous/semi-autonomous agents for workflow automation, decision support, and conversational interfaces.
• Partner with multidisciplinary teams to specify, develop, and deploy new capabilities.
• Create and optimize database schemas and queries for both SQL and NoSQL data stores.
• Produce high-quality, maintainable code adhering to best practices and testing standards.
• Develop unit tests and participate in code quality assurance activities including reviews and debugging.
• Design RESTful APIs and microservice architectures supporting scalable solutions.
• Work effectively with client-side technologies including JavaScript, HTML5, CSS3, and Angular or React.
• Integrate AI service providers such as OpenAI and Azure OpenAI within applications.
• Maintain documentation covering technical specs, AI workflows, and system design.
• Continuously update knowledge on emerging AI technologies and recommend innovative applications.

Candidate Requirements

• Bachelor’s degree in Computer Science, Engineering, or similar disciplines.
• 3 to 5 years of full stack development experience in C# and .NET frameworks like ASP.NET and .NET Core.
• Proven experience in Agentic AI including creation of AI agents, copilots, and autonomous workflows.
• Proficiency with large language models such as OpenAI, Microsoft Azure OpenAI, or Anthropic.
• Experience in prompt engineering, context management, and using orchestration frameworks including LangChain, Semantic Kernel, AutoGen or equivalents.
• Solid understanding of Generative AI principles and real-world deployment.
• Strong unit testing skills utilizing frameworks like NUnit, MSTest, or xUnit.
• Extensive knowledge of SQL (MS SQL Server, MySQL) and NoSQL databases such as MongoDB and Cosmos DB.
• Experienced with front-end scripting and frameworks: JavaScript, HTML5, CSS3, Angular or React.
• Deep understanding of RESTful API design and microservices architecture.
• Comfortable with source control and CI tools like Git and Azure DevOps.
• Excellent analytical problem-solving and communication skills, with ability to collaborate effectively.

Additional Preferred Skills

• Experience working with behavior-driven development tools like SpecFlow or Cucumber.
• Familiarity with cloud environments, especially Microsoft Azure, for AI and ML deployments.
• Knowledge of vector databases, embedding techniques, and retrieval-augmented generation (RAG) architectures.
• Exposure to continuous integration and continuous deployment (CI/CD) methodologies.
• Background in healthcare IT or enterprise workflow automation is advantageous.