Software Engineer, .Net/AI Developer

🕒 July 27

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🤖 AI Engineer

👻 Ghost score 18%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Optivate

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

☁️ SaaS

⚕️ Healthcare Insurance

Healthcare • SaaS • Healthcare Insurance

Optivate is a company that builds a unified ophthalmology software platform. Their suite includes an electronic health record (EHR) tailored for ophthalmology, AI tools for ophthalmology (documentation assistance), image management for diagnostic imaging, practice management (scheduling, billing, operations), patient engagement (automated communication and digital intake), revenue cycle management (billing and collections support), and optical inventory and POS integration. They target ophthalmology practices and providers, emphasizing faster clinical workflows, reduced administrative burden, operational control, and improved patient outcomes. They have industry recognition (ranked #1 in 2024 KLAS Ophthalmology Report) and provide case studies from various eye practices. Address in Bonita Springs, FL. The company focuses on integrating clinical, imaging, billing, and operational features specifically for eye care.

📋 Description

• Design, build, and maintain full-stack features across our ophthalmology platform — backend services and APIs in .NET/C# (.NET Core, .NET 10) and responsive frontend interfaces in HTML/CSS • Use AI-native and agentic development workflows (e.g., Cursor multi-agent pipelines for decomposition, architecture, implementation, QA, and review) to move quickly while keeping code clean and reliable • Design and integrate AI-powered features — including third-party LLM integrations — that fit safely into clinical software • Troubleshoot and improve distributed systems • Establish and participate in code review processes • Work within an agile framework, contributing to: Sprint planning, Daily standups, Retrospectives • Write clean, maintainable, testable code, and establish and participate in code review • Collaborate across product, clinical, and engineering teams • Contribute to architectural decisions, including where and how AI fits into our systems

🎯 Requirements

• 3–7 years of professional software development experience with strong full-stack delivery • Strong, current experience with .NET/C# (.NET Core and/or .NET 10) • Proficiency building responsive UIs with HTML/CSS • Demonstrated fluency with AI-assisted and agentic development tooling (e.g., Cursor, Claude Code, Copilot), ideally including multi-agent development workflows • Experience integrating LLM APIs into real, shipped systems (does not need to be the bulk of your career — but you've done it and understand the tradeoffs) • Solid foundation in data structures, algorithms, API design, and distributed system design • Experience with at least one major cloud platform (AWS, Azure, or GCP) • Familiarity with model limitations, evaluation tradeoffs, and the realities of running AI in production

🏖️ Benefits

• Professional development opportunities • Ownership over meaningful initiatives and a voice in architectural decisions • A core role building real software that eye care practices depend on every day • The chance to work AI-native — both shipping AI-powered features and using cutting-edge agentic development tooling as part of how we build • Collaborative team at an exciting inflection point