Azure Application Developer

About the Job

Welcome to Ovation Healthcare!

At Ovation Healthcare, we’ve been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare. We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable. With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.

The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations. Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.

We’re looking for talented, motivated professionals with a desire to help independent hospitals thrive. Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.

Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visit https://ovationhc.com.

Summary

Ovation Healthcare is hiring a senior engineer to own the design, build and support of cloud-native applications and data pipelines that power our Revenue Cycle Management (RCM) operations. You will work across the Microsoft stack on Azure, from C#/.NET services and Azure Functions to SQL Server data processing, and help modernize legacy integrations into scalable, secure, cloud-first solutions.

This is a hands-on role for a developer who ships production code, owns it end to end, and uses AI-assisted development tools to deliver faster without sacrificing quality. You will partner with automation, ETL and operations teams supporting our Hospital, Professional Billing and MedCo business lines, and you will handle healthcare data (PHI/PII) under HIPAA requirements.

Key responsibilities

• Design, build and maintain C#/.NET applications, APIs and services hosted in Azure

• Develop cloud-first solutions using Azure Functions, timer/cron-scheduled jobs, Azure Key Vault, Azure SQL and related PaaS services

• Build and support ETL/ELT pipelines that ingest, transform and load healthcare and financial data, using SQL Server as the backend

• Write and tune T-SQL stored procedures, functions, views and indexes for performance and reliability at scale

• Develop Python (or similar) scripts and services for data processing, integration and automation; replace legacy scripting with maintainable, supportable code

• Use AI coding assistants (Claude Code, Codex, GitHub Copilot) to accelerate development, refactoring, testing and documentation

• Integrate with EHR systems, clearinghouses, third-party vendors and internal platforms via APIs and file-based interfaces

• Apply secure-by-design practices: secrets management, least-privilege access and HIPAA-compliant handling of PHI/PII

• Follow team standards for source control, code review and CI/CD in Azure DevOps; track work in JIRA

• Troubleshoot and resolve production issues; write clear technical documentation and runbooks

• Define the target architecture for modernizing legacy systems to cloud-first Azure patterns, then deliver the development work within it; mentor junior and mid-level developers

• Take ownership of systems and knowledge currently supported by external vendor partners

Required qualifications

• 10+ years of professional software development in .NET, with deep expertise in C#

• Experience as a Solution Architect: able to design modernized, cloud-first architecture on Azure and then build the solution within that architecture

• 3+ years developing in Azure using cloud-first services, such as Azure Functions, scheduled (cron/timer) jobs, Azure Key Vault and Azure SQL

• 5+ years developing stored procedures, functions, views and other database objects in Microsoft SQL Server (T-SQL)

• 2+ years of development experience in Python or a similar language

• Proven experience building ETL pipelines that use SQL Server as the backend

• Hands-on experience using AI-assisted development tools: Claude Code, Codex or GitHub Copilot

• Strong debugging, performance-tuning and problem-solving skills

• Clear written and verbal communication; able to work directly with technical and business stakeholders

• Bachelor's degree in Computer Science or a related field, or equivalent experience

Preferred qualifications

• Experience building mobile applications (e.g., .NET MAUI, Xamarin, React Native or native iOS/Android)

• Experience with PowerShell development

• Experience in healthcare, Revenue Cycle Management or another regulated industry handling PHI/PII

• Familiarity with Azure DevOps CI/CD…