About The Position

Lyric is an AI-first, platform-based healthcare technology company, committed to simplifying the business of care by preventing inaccurate payments and reducing overall waste in the healthcare ecosystem, enabling more efficient use of resources to reduce the cost of care for payers, providers, and patients. Lyric, formerly ClaimsXten, is a market leader with 35 years of pre-pay editing expertise, dedicated teams, and top technology. Lyric is proud to be recognized as 2025 Best in KLAS for Pre-Payment Accuracy and Integrity and is HI-TRUST and SOC2 certified, and a recipient of the 2025 CandE Award for Candidate Experience. Interested in shaping the future of healthcare with AI? Explore opportunities at lyric.ai/careers and drive innovation with #YouToThePowerOfAI. Applicants must already be legally authorized to work in the U.S. Visa sponsorship/sponsorship assumption and other immigration support are not available for this position. We're a company at the intersection of FinTech and Healthcare, committed to simplifying healthcare payment integrity and creating value for health insurers, healthcare providers, and consumers. We're not a startup, but we move like one when it matters. Right now, we're starting on a large modernization of our payment integrity platform: ripping out legacy .NET, rebuilding around clean APIs, fixing data bottlenecks, and getting the product ready for scale on FullStack Engineer to build intuitive, performant web experiences backed by scalable, event driven services. You’ll own end to end delivery—from modular Angular frontends (including micro-frontend strategies) to resilient .NET microservices—working closely with product, UX, DevOps, and QA to ship customer delighting features at scale. If you thrive in fast-paced environments, care deeply about clean architecture and DX, and enjoy solving complex UI/UX and distributed systems challenges, this role is for you. Here's what makes this role different: you're not just a .NET engineer who "also knows AI." We want someone who has already figured out that tools like Cursor, Claude Code, and Codex aren't toys - they're force multipliers. You'll use AI agents every day to tear through migrations, refactors, and test coverage that would take a traditional team weeks. But you also know when the AI is wrong, when to step in, and how to keep quality high. Think of it as having a junior engineer with infinite energy and zero judgment - your job is to supply the judgment.

Requirements

  • 5+ years building and shipping production systems. Not side projects - real software with real users solving skills; able to work independently and collaboratively in fastmoving teams
  • Some C# and modern .NET experience (Core and beyond). Especially in large codebases and you've done meaningful refactoring and migration work, not just greenfield.
  • Strong SQL Server chops - schema design, query tuning, performance troubleshooting. You've worked on data-heavy applications where the database wasn't an afterthought.
  • Cloud experience with Azure and/or AWS. Azure is particularly relevant here.
  • API design experience - you've built and maintained service-oriented architectures with real versioning, auth, reliability, and testing practices.
  • You actually use AI coding tools as a daily driver. Cursor, Claude Code, Codex, or similar - and not just for autocomplete. You've used agents for multi-file refactors, migrations, test generation, and review workflows. You have opinions about what works and what doesn't.
  • You communicate clearly. Good PR descriptions, straightforward design docs, pragmatic collaboration, low ego. We don't need a rockstar - we need someone the team trusts.

Nice To Haves

  • You've actually done a legacy ASP.NET / .NET Framework modernization before. You know where the bodies are buried and you have the scars to prove it. Bonus points for Azure modernization patterns.
  • Experience with distributed systems tooling - Kafka, event-driven architectures, or working with Postgres alongside SQL Server.
  • Front-end experience with Angular and/or React/Next.js.
  • You've helped establish agent-friendly engineering practices: writing repo instructions that AI tools can follow, breaking work into agent-sized tasks, setting up CI guardrails for AI-generated code, feature flags, canary deployments - any part of the progressive delivery toolkit.
  • Background in regulated domains (healthcare, fintech, payments) where "move fast and break things" will get you fired.

Responsibilities

  • Ship modernization work at a pace that surprises people
  • Build reusable playbooks the team can actually follow: prompt templates, repo-level agent instructions, migration checklists, review heuristics, and clear "definition of done" standards for AI-assisted changes.
  • Modernize a real .NET + SQL Server stack into something you'd be proud of
  • Upgrade legacy services to current .NET (LTS where it makes sense), untangling architecture boundaries and fixing the performance issues that have been "known" for years.
  • Push toward a proper API-layer architecture - RESTful, versioned - built for correctness and maintainability, not just "it works."
  • Get your hands dirty with SQL Server: query performance, indexing, transactional correctness. If there are data pipeline needs (Kafka, etc.), you'll help build those too.
  • Own it like it's yours - especially because this is healthcare
  • Build with security and privacy as defaults, not afterthoughts. Least privilege, safe data handling, the works. This is healthcare - getting it wrong isn't an option.
  • Put real quality guardrails in place: automated tests that actually catch things, CI that blocks bad changes, structured logging, observability that tells you what's happening before users do.
  • Review code thoughtfully, have honest architectural conversations, and raise the bar without being a jerk about it.
  • Work with real humans to ship things that matter
  • Partner with analysts, stakeholders, and other engineers to turn business problems into working software - not just technically correct software, but software that actually solves the problem.
  • Help build delivery plans that are honest about trade-offs. "Right" vs. "right now" is a real tension - you'll help the team navigate it with pragmatic milestones.
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