Lead Full Stack Engineer (.NET, React, AWS)

Date: Sep 29, 2026

Location:

Any city, TX, US, 99999

Req ID: 38901

Work Mode: Default

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As an Lead Full Stack Engineer (.NET, React, AWS) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Provide senior technical leadership for secure, scalable applications supporting Medicaid DDI and modernized Provider Plus delivery. Combine hands-on engineering, design review and AI-assisted development to improve productivity while enforcing architecture, security, testing and production-readiness standards.

Your role in our mission

Gainwell’s innovative, purpose-built technologies and solutions could begin with you in this challenging position.

• Lead application design and implementation standards across React/TypeScript, .NET 10/C#, APIs, data, integrations and AWS workloads.
• Review complex designs, code, test evidence and technical specifications; resolve defects, performance issues and production risks.
• Guide multi-tenant architecture, configuration-driven behavior, feature flags, versioning and compatibility with required legacy interfaces.
• Guide PostgreSQL modeling, conversion/reconciliation, REST and event-driven integrations, Glue/Spark batch workloads and Kafka/MSK patterns.
• Establish Terraform, CI/CD, automated quality gates, observability, secure logging, vulnerability remediation and release controls.
• Mentor engineers and communicate technical decisions, risks, tradeoffs and recommendations across product and DDI teams.

What we're looking for

• 9+ years of Application Development, including Technical Leadership.
• Expert hands-on C#/.NET and JavaScript/TypeScript experience, including React, APIs and cloud-native engineering.
• Advanced PostgreSQL/SQL, integration, AWS and automated-delivery experience.
• Medicaid, Medicare, MMIS/MES or regulated healthcare experience preferred.

What you should expect in this role

• Fully remote opportunity with the option to work anywhere within the United States
• Opportunities to travel through your work (0-10%)
• Willingness to work a flexible schedule to accommodate business needs and travel as required
• Video cameras must be used during all interviews, as well as during the initial week of orientation

The deadline to submit applications for this posting is December 30, 2026

The pay range for this position is $86,800.00 - $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.