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Note: The job is a remote job and is open to candidates in USA. Gainwell Technologies develops technology solutions that help improve healthcare outcomes for vulnerable communities. The Advisor Full Stack Engineer will provide senior technical leadership for secure, scalable Medicaid applications, combining hands-on engineering, design review, and AI-assisted development while guiding architecture, security, testing, integrations, and production readiness. Responsibilities Lead application design and implementation standards across React/TypeScript, .NET 10/C#, APIs, data, integrations and AWS workloadsReview complex designs, code, test evidence and technical specifications; resolve defects, performance issues and production risksGuide multi-tenant architecture, configuration-driven behavior, feature flags, versioning and compatibility with required legacy interfacesGuide PostgreSQL modeling, conversion/reconciliation, REST and event-driven integrations, Glue/Spark batch workloads and Kafka/MSK patternsEstablish Terraform, CI/CD, automated quality gates, observability, secure logging, vulnerability remediation and release controlsMentor engineers and communicate technical decisions, risks, tradeoffs and recommendations across product and DDI teams Skills 9+ years of Application Development, including Technical LeadershipExpert hands-on C#/.NET and JavaScript/TypeScript experience, including React, APIs and cloud-native engineeringAdvanced PostgreSQL/SQL, integration, AWS and automated-delivery experienceMedicaid, Medicare, MMIS/MES or regulated healthcare experience preferred Benefits Fully remote opportunity with the option to work anywhere within the United StatesFlexible vacation policy401(k) employer matchComprehensive health benefitsEducational assistanceComprehensive leadership and technical development academiesOpportunities to grow your careerLearning and career development Company Overview Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital. It was founded in 2009, and is headquartered in Irving, Texas, USA, with a workforce of 10001+ employees. Its website is https://www.gainwelltechnologies.com/. Company H1B Sponsorship Gainwell Technologies has a track record of offering H1B sponsorships, with 49 in 2026, 90 in 2025, 78 in 2024, 56 in 2023, 96 in 2022, 33 in 2021. Please note that this does not guarantee sponsorship for this specific role.