Senior AI Full Stack Engineer

At TREND Health Partners, a tech-enabled payment integrity company, our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows.

Joining TREND Health Partners means becoming a part of a dynamic growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more.

The primary responsibility of the Senior AI Full Stack Engineer will overseeing the planning, execution, and delivery of features across frontend and backend, ensuring they are completed on time, within scope, and within quality standards. This role will drive alignment between organizational OKR’s, product roadmaps, and feature deliverables to ensure measurable business impact.

•  Design, develop, test, and ship production‑grade software across backend services and front‑end 
     applications.
•  Build and operate cloud‑native solutions in AWS with a focus on reliability, scalability, and 
     performance.
•  Develop and maintain backend services primarily in .NET/C#.
•  Contribute to Angular front‑end development, including component design and API integration.
•  Implement and support CQRS patterns, separating command and query responsibilities where 
     appropriate.
•  Design and work with event‑sourced systems, including events, projections/read models, and system 
     evolution over time.
•  Use MongoDB and OpenSearch to support application persistence, projections, and search capabilities.
•  Leverage AI-assisted coding tools (including Copilot CLI, Claude Code, Codex) to: 
              o Accelerate feature delivery 
              o Refactor and improve existing code 
              o Generate and improve tests 
              o Support documentation 
•  Actively develop and manage agent-driven coding workflows, where multiple AI agents are used to 
     build, test, and iterate on features in parallel
•  Continuously refine code through AI feedback loops, using iterative prompting, validation, and 
      improvement cycles.
•  Validate and audit AI-generated code for accuracy, security, and maintainability, applying strong 
     engineering judgment and testing discipline.
•  Establish and maintain guardrails, validation patterns, and review processes to ensure safe and reliable 
     use of AI-generated output.
•  Context switch effectively across multiple parallel workstreams and AI agents, maintaining clarity on 
     feature ownership, dependencies, and outcomes
•  Collaborate closely with Product, QA, and fellow engineers to deliver high‑quality outcomes.
•  Participate in code reviews and contribute to engineering standards and best practices.
•  Ensure security, compliance, and quality considerations are embedded in every layer of the stack
•  Mentor and support other engineers as needed through pairing, feedback, and knowledge sharing. 

•  Strong experience building and maintaining production software systems.
•  Full-stack development with strong backend (.NET/C#) and frontend (Angular) capabilities
•  Demonstrated, hands-on experience implementing CQRS and event sourcing patterns in production 
     systems.
•  Proficiency with AWS services (EC2/ECS/EKS, S3, IAM, Lambda, RDS/DynamoDB, etc.).
•  Working experience with MongoDB and search technologies such as OpenSearch.
•  Demonstrated, day‑to‑day use of AI‑assisted coding tools to deliver real software—not just 
     experimentation.
•  Ability to clearly explain how you validate, test, and take ownership of code.
•  Strong communication skills and the ability to collaborate effectively in a team environment. 

• Production experience with CQRS and event sourcing.
• Familiarity with domain‑driven design concepts such as aggregates, commands, events, and projections.
• Experience modernizing systems toward event‑driven or CQRS‑based architectures.
• Experience working in healthcare, fintech, or compliance-driven environments is a plus.

• This job description documents the general nature and level of work but is not intended to be a comprehensive list of activities, duties, or responsibilities required for this position. Consequently, employees may be asked to perform other duties as required.
• Employees may also be asked to complete certain compliance requirements set forth by our Business Partners in the performance of their jobs including but not limited to requests for background and drug screenings and disclosures of personal health information or personally identifiable information. Exemptions as provided under the ADA and TITLE VII of the Civil Rights Act will be observed and followed.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the functions outlined above.