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Cognizant in the United States seeks a highly skilled .NET Full Stack Lead to guide the support, enhancement, and development of enterprise applications in a healthcare setting. You will lead technical direction while remaining hands-on with design, development, and troubleshooting across Microsoft stack and cloud-native architectures.
You will drive AI-powered solutions using Azure OpenAI, RAG, Azure AI Search, and modern API frameworks, collaborating with architects, developers, and operations
We are seeking a highly skilled .NET Full Stack Lead to lead the support, enhancement, and development of business-critical enterprise applications within a complex healthcare environment. This role requires deep expertise across the Microsoft technology stack, cloud-native architectures, APIs, and modern AI-driven solutions. The ideal candidate will provide technical leadership while remaining hands‑on in designing, developing, troubleshooting, and optimizing scalable applications that support key business operations.
The successful candidate will bring strong experience in .NET Core, C#, RESTful services, Azure technologies, SQL Server, microservices, and AI-powered solutions, along with the ability to collaborate across cross‑functional teams to ensure application stability, performance, and continuous innovation.
Please note, this role is not able to offer visa transfer or sponsorship now or in the future
As a .NET Full Stack Lead, you will serve as a technical leader responsible for the end-to‑end support and delivery of enterprise applications, APIs, integration services, and AI-enabled solutions. You will work closely with business stakeholders, architects, developers, infrastructure teams, and support organizations to drive application reliability, performance, and modernization initiatives.
In this role, you will lead troubleshooting efforts for complex production issues, perform root cause analysis, guide development and enhancement activities, and help implement best practices across software engineering and operational support functions. You will also play a key role in designing and supporting cloud‑native solutions leveraging Azure OpenAI, Retrieval‑Augmented Generation (RAG), Azure AI Search, Azure Document Intelligence, microservices, Kubernetes/OpenShift, and modern API frameworks.
The ideal candidate combines strong full‑stack development expertise with technical leadership capabilities, a passion for solving complex problems, and the ability to mentor teams while driving high‑quality delivery in both Agile and operational support environments.
We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.
Please note, this role is not able to offer visa transfer or sponsorship now or in the future
Applications will be accepted until November 8 th , 2026.
The annual salary for this position is between $50,000 - $92,500 depending on the experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant's discretionary annual incentive program and stock awards, based on performance and subject to the terms of Cognizant's applicable plans.
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.