**REMOTE OPPORTUNITY for Oregon, Washington, and Idaho Residents ONLY**
Adaugeo Healthcare Solutions is seeking a Software Development Manager to lead the Application Development team — a team of six .NET developers building and maintaining the custom applications, integrations, and internal tooling that support AHS and its affiliated entities, Praxis Health and Interpath Laboratory.
This is not a caretaker role. AHS is actively investing in AI-assisted development, and this manager will be expected to lead that transition — hands-on. The right candidate brings strong .NET technical depth, genuine experience using AI coding tools (including Claude) in their own development work, and the drive to accelerate what a six-person team can deliver by working smarter with AI. If you have been quietly building faster and better because of AI tools and you want to bring that mindset to a team, this role was written for you.
AI Adoption Leadership
This section is listed first intentionally. Driving AI adoption within the development team is a primary accountability of this role, not a secondary initiative.
Model hands-on use of AI coding tools — including Claude and GitHub Copilot — in your own day-to-day work: code generation, review, refactoring, documentation, and problem-solving.Develop and maintain team standards for AI-assisted development: when to use it, how to validate output, and how to incorporate AI tools into code review and QA processes.Establish measurable velocity and quality benchmarks before and after AI tool adoption so the team can demonstrate concrete impact to leadership.Stay current on the AI tooling landscape and bring forward recommendations on new tools, models, or workflows that could benefit the team.Coach individual contributors on effective AI prompting, tool integration into their development environments, and building AI-native workflows into their daily practice.Serve as the internal subject matter expert on AI-assisted .NET development, partnering with the Director of IT on broader AI adoption initiatives across AHS.People Leadership & Team Development
Provide direct management for six .NET developers, including performance reviews, goal-setting, career development, and day-to-day coaching.Conduct regular 1:1s and team stand-ups; maintain clear visibility into individual workloads, blockers, and development goals.Foster a culture of continuous improvement, technical craftsmanship, and psychological safety — a team where people feel empowered to experiment, including with new AI workflows.Identify training needs and create development paths that combine traditional .NET skills with emerging AI-augmented practices.Delivery & Project Execution
Own the application development backlog and release calendar, partnering with the Director of IT and business stakeholders to prioritize work across Praxis Health, Interpath Laboratory, and AHS corporate.Ensure projects are scoped, estimated, tracked, and delivered with clear communication and appropriate documentation.Manage competing priorities across entities and escalate resourcing conflicts early and clearly.Use AI tools to accelerate delivery planning, technical documentation, and sprint retrospectives — and encourage the team to do the same.Technical Direction
Serve as a technical authority for the .NET application stack, guiding architectural decisions and code quality standards in partnership with senior developers.Evaluate and recommend AI-native development approaches: code generation pipelines, AI-assisted testing, automated documentation, and LLM-integrated application features where appropriate.Ensure all development practices meet healthcare IT security requirements, including HIPAA technical safeguards, PHI handling, audit trail design, and access control standards.Drive consistency in development standards, code review practices, and QA processes across the team.Cross-Functional Partnership
Act as the primary IT liaison for clinical, laboratory, revenue cycle, and operational stakeholders requesting application development or changes.Collaborate with the Infrastructure Manager and IT Support Manager on deployments, environment management, and production escalations.Partner with the Director of IT on roadmap planning, capacity analysis, and resource strategy.Schedule: The standard work hours are 8:00 AM to 5:00 PM PST, with flexibility as long as core hours (8:00 AM to 3:00 PM) are covered.
Benefits
Medical, Dental, Vision with In-Network & Custom Network discounts401(K) with discretionary employer matchPaid Time OffFree clinical diagnostic laboratory testing performed in houseQualifications
Required
5+ years of software development experience in .NET (C#, ASP.NET, SQL Server).2+ years in a team lead, tech lead, or people management role with direct reports.Demonstrated, hands-on experience using AI coding tools — Claude, GitHub Copilot, or equivalent — in production development work. Not just familiarity: you have integrated AI tools into your daily workflow and can speak concretely about how they changed your output.A clear point of view on where AI-assisted development is going and how to bring a team along — you should come to the interview with examples and opinions.Experience managing software delivery in a healthcare or regulated industry environment.Strong communication skills; ability to translate technical work to non-technical clinical and operational stakeholders.Preferred
Experience with HL7 or clinical data exchange (useful for cross-team coordination with the Interface team).Familiarity with HIPAA technical safeguards and PHI handling requirements in software systems.Experience building or integrating LLM-powered features into internal business applications.Exposure to BI or reporting tooling (SSRS, Power BI) in coordination with a data team.Background supporting multi-entity or multi-site healthcare organizations.Physical Requirements: Manual dexterity for office machine operation including computer operations, stooping, bending, mobility to complete errands, or sitting for extended periods of time. Stress can be triggered by multiple staff demands and deadlines.
About Us: Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and management services.
Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. With over 50 years of proven success, our organization thrives thanks to the passion, dedication, and ingenuity of our people.
Read Less**REMOTE OPPORTUNITY for Oregon, Washington, and Idaho Residents ONLY**
Adaugeo Healthcare Solutions is seeking a Software Development Manager to lead the Application Development team — a team of six .NET developers building and maintaining the custom applications, integrations, and internal tooling that support AHS and its affiliated entities, Praxis Health and Interpath Laboratory.
This is not a caretaker role. AHS is actively investing in AI-assisted development, and this manager will be expected to lead that transition — hands-on. The right candidate brings strong .NET technical depth, genuine experience using AI coding tools (including Claude) in their own development work, and the drive to accelerate what a six-person team can deliver by working smarter with AI. If you have been quietly building faster and better because of AI tools and you want to bring that mindset to a team, this role was written for you.
AI Adoption Leadership
This section is listed first intentionally. Driving AI adoption within the development team is a primary accountability of this role, not a secondary initiative.
Model hands-on use of AI coding tools — including Claude and GitHub Copilot — in your own day-to-day work: code generation, review, refactoring, documentation, and problem-solving.Develop and maintain team standards for AI-assisted development: when to use it, how to validate output, and how to incorporate AI tools into code review and QA processes.Establish measurable velocity and quality benchmarks before and after AI tool adoption so the team can demonstrate concrete impact to leadership.Stay current on the AI tooling landscape and bring forward recommendations on new tools, models, or workflows that could benefit the team.Coach individual contributors on effective AI prompting, tool integration into their development environments, and building AI-native workflows into their daily practice.Serve as the internal subject matter expert on AI-assisted .NET development, partnering with the Director of IT on broader AI adoption initiatives across AHS.People Leadership & Team Development
Provide direct management for six .NET developers, including performance reviews, goal-setting, career development, and day-to-day coaching.Conduct regular 1:1s and team stand-ups; maintain clear visibility into individual workloads, blockers, and development goals.Foster a culture of continuous improvement, technical craftsmanship, and psychological safety — a team where people feel empowered to experiment, including with new AI workflows.Identify training needs and create development paths that combine traditional .NET skills with emerging AI-augmented practices.Delivery & Project Execution
Own the application development backlog and release calendar, partnering with the Director of IT and business stakeholders to prioritize work across Praxis Health, Interpath Laboratory, and AHS corporate.Ensure projects are scoped, estimated, tracked, and delivered with clear communication and appropriate documentation.Manage competing priorities across entities and escalate resourcing conflicts early and clearly.Use AI tools to accelerate delivery planning, technical documentation, and sprint retrospectives — and encourage the team to do the same.Technical Direction
Serve as a technical authority for the .NET application stack, guiding architectural decisions and code quality standards in partnership with senior developers.Evaluate and recommend AI-native development approaches: code generation pipelines, AI-assisted testing, automated documentation, and LLM-integrated application features where appropriate.Ensure all development practices meet healthcare IT security requirements, including HIPAA technical safeguards, PHI handling, audit trail design, and access control standards.Drive consistency in development standards, code review practices, and QA processes across the team.Cross-Functional Partnership
Act as the primary IT liaison for clinical, laboratory, revenue cycle, and operational stakeholders requesting application development or changes.Collaborate with the Infrastructure Manager and IT Support Manager on deployments, environment management, and production escalations.Partner with the Director of IT on roadmap planning, capacity analysis, and resource strategy.Schedule: The standard work hours are 8:00 AM to 5:00 PM PST, with flexibility as long as core hours (8:00 AM to 3:00 PM) are covered.
Benefits
Medical, Dental, Vision with In-Network & Custom Network discounts401(K) with discretionary employer matchPaid Time OffFree clinical diagnostic laboratory testing performed in houseQualifications
Required
5+ years of software development experience in .NET (C#, ASP.NET, SQL Server).2+ years in a team lead, tech lead, or people management role with direct reports.Demonstrated, hands-on experience using AI coding tools — Claude, GitHub Copilot, or equivalent — in production development work. Not just familiarity: you have integrated AI tools into your daily workflow and can speak concretely about how they changed your output.A clear point of view on where AI-assisted development is going and how to bring a team along — you should come to the interview with examples and opinions.Experience managing software delivery in a healthcare or regulated industry environment.Strong communication skills; ability to translate technical work to non-technical clinical and operational stakeholders.Preferred
Experience with HL7 or clinical data exchange (useful for cross-team coordination with the Interface team).Familiarity with HIPAA technical safeguards and PHI handling requirements in software systems.Experience building or integrating LLM-powered features into internal business applications.Exposure to BI or reporting tooling (SSRS, Power BI) in coordination with a data team.Background supporting multi-entity or multi-site healthcare organizations.Physical Requirements: Manual dexterity for office machine operation including computer operations, stooping, bending, mobility to complete errands, or sitting for extended periods of time. Stress can be triggered by multiple staff demands and deadlines.
About Us: Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and management services.
Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. With over 50 years of proven success, our organization thrives thanks to the passion, dedication, and ingenuity of our people.
Read Less**REMOTE OPPORTUNITY for Oregon, Washington, and Idaho Residents ONLY**
Adaugeo Healthcare Solutions is seeking a Software Development Manager to lead the Application Development team — a team of six .NET developers building and maintaining the custom applications, integrations, and internal tooling that support AHS and its affiliated entities, Praxis Health and Interpath Laboratory.
This is not a caretaker role. AHS is actively investing in AI-assisted development, and this manager will be expected to lead that transition — hands-on. The right candidate brings strong .NET technical depth, genuine experience using AI coding tools (including Claude) in their own development work, and the drive to accelerate what a six-person team can deliver by working smarter with AI. If you have been quietly building faster and better because of AI tools and you want to bring that mindset to a team, this role was written for you.
AI Adoption Leadership
This section is listed first intentionally. Driving AI adoption within the development team is a primary accountability of this role, not a secondary initiative.
Model hands-on use of AI coding tools — including Claude and GitHub Copilot — in your own day-to-day work: code generation, review, refactoring, documentation, and problem-solving.Develop and maintain team standards for AI-assisted development: when to use it, how to validate output, and how to incorporate AI tools into code review and QA processes.Establish measurable velocity and quality benchmarks before and after AI tool adoption so the team can demonstrate concrete impact to leadership.Stay current on the AI tooling landscape and bring forward recommendations on new tools, models, or workflows that could benefit the team.Coach individual contributors on effective AI prompting, tool integration into their development environments, and building AI-native workflows into their daily practice.Serve as the internal subject matter expert on AI-assisted .NET development, partnering with the Director of IT on broader AI adoption initiatives across AHS.People Leadership & Team Development
Provide direct management for six .NET developers, including performance reviews, goal-setting, career development, and day-to-day coaching.Conduct regular 1:1s and team stand-ups; maintain clear visibility into individual workloads, blockers, and development goals.Foster a culture of continuous improvement, technical craftsmanship, and psychological safety — a team where people feel empowered to experiment, including with new AI workflows.Identify training needs and create development paths that combine traditional .NET skills with emerging AI-augmented practices.Delivery & Project Execution
Own the application development backlog and release calendar, partnering with the Director of IT and business stakeholders to prioritize work across Praxis Health, Interpath Laboratory, and AHS corporate.Ensure projects are scoped, estimated, tracked, and delivered with clear communication and appropriate documentation.Manage competing priorities across entities and escalate resourcing conflicts early and clearly.Use AI tools to accelerate delivery planning, technical documentation, and sprint retrospectives — and encourage the team to do the same.Technical Direction
Serve as a technical authority for the .NET application stack, guiding architectural decisions and code quality standards in partnership with senior developers.Evaluate and recommend AI-native development approaches: code generation pipelines, AI-assisted testing, automated documentation, and LLM-integrated application features where appropriate.Ensure all development practices meet healthcare IT security requirements, including HIPAA technical safeguards, PHI handling, audit trail design, and access control standards.Drive consistency in development standards, code review practices, and QA processes across the team.Cross-Functional Partnership
Act as the primary IT liaison for clinical, laboratory, revenue cycle, and operational stakeholders requesting application development or changes.Collaborate with the Infrastructure Manager and IT Support Manager on deployments, environment management, and production escalations.Partner with the Director of IT on roadmap planning, capacity analysis, and resource strategy.Schedule: The standard work hours are 8:00 AM to 5:00 PM PST, with flexibility as long as core hours (8:00 AM to 3:00 PM) are covered.
Benefits
Medical, Dental, Vision with In-Network & Custom Network discounts401(K) with discretionary employer matchPaid Time OffFree clinical diagnostic laboratory testing performed in houseQualifications
Required
5+ years of software development experience in .NET (C#, ASP.NET, SQL Server).2+ years in a team lead, tech lead, or people management role with direct reports.Demonstrated, hands-on experience using AI coding tools — Claude, GitHub Copilot, or equivalent — in production development work. Not just familiarity: you have integrated AI tools into your daily workflow and can speak concretely about how they changed your output.A clear point of view on where AI-assisted development is going and how to bring a team along — you should come to the interview with examples and opinions.Experience managing software delivery in a healthcare or regulated industry environment.Strong communication skills; ability to translate technical work to non-technical clinical and operational stakeholders.Preferred
Experience with HL7 or clinical data exchange (useful for cross-team coordination with the Interface team).Familiarity with HIPAA technical safeguards and PHI handling requirements in software systems.Experience building or integrating LLM-powered features into internal business applications.Exposure to BI or reporting tooling (SSRS, Power BI) in coordination with a data team.Background supporting multi-entity or multi-site healthcare organizations.Physical Requirements: Manual dexterity for office machine operation including computer operations, stooping, bending, mobility to complete errands, or sitting for extended periods of time. Stress can be triggered by multiple staff demands and deadlines.
About Us: Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and management services.
Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. With over 50 years of proven success, our organization thrives thanks to the passion, dedication, and ingenuity of our people.
Read Less**REMOTE OPPORTUNITY for Oregon, Washington, and Idaho Residents ONLY**
Adaugeo Healthcare Solutions is seeking a Software Development Manager to lead the Application Development team — a team of six .NET developers building and maintaining the custom applications, integrations, and internal tooling that support AHS and its affiliated entities, Praxis Health and Interpath Laboratory.
This is not a caretaker role. AHS is actively investing in AI-assisted development, and this manager will be expected to lead that transition — hands-on. The right candidate brings strong .NET technical depth, genuine experience using AI coding tools (including Claude) in their own development work, and the drive to accelerate what a six-person team can deliver by working smarter with AI. If you have been quietly building faster and better because of AI tools and you want to bring that mindset to a team, this role was written for you.
AI Adoption Leadership
This section is listed first intentionally. Driving AI adoption within the development team is a primary accountability of this role, not a secondary initiative.
Model hands-on use of AI coding tools — including Claude and GitHub Copilot — in your own day-to-day work: code generation, review, refactoring, documentation, and problem-solving.Develop and maintain team standards for AI-assisted development: when to use it, how to validate output, and how to incorporate AI tools into code review and QA processes.Establish measurable velocity and quality benchmarks before and after AI tool adoption so the team can demonstrate concrete impact to leadership.Stay current on the AI tooling landscape and bring forward recommendations on new tools, models, or workflows that could benefit the team.Coach individual contributors on effective AI prompting, tool integration into their development environments, and building AI-native workflows into their daily practice.Serve as the internal subject matter expert on AI-assisted .NET development, partnering with the Director of IT on broader AI adoption initiatives across AHS.People Leadership & Team Development
Provide direct management for six .NET developers, including performance reviews, goal-setting, career development, and day-to-day coaching.Conduct regular 1:1s and team stand-ups; maintain clear visibility into individual workloads, blockers, and development goals.Foster a culture of continuous improvement, technical craftsmanship, and psychological safety — a team where people feel empowered to experiment, including with new AI workflows.Identify training needs and create development paths that combine traditional .NET skills with emerging AI-augmented practices.Delivery & Project Execution
Own the application development backlog and release calendar, partnering with the Director of IT and business stakeholders to prioritize work across Praxis Health, Interpath Laboratory, and AHS corporate.Ensure projects are scoped, estimated, tracked, and delivered with clear communication and appropriate documentation.Manage competing priorities across entities and escalate resourcing conflicts early and clearly.Use AI tools to accelerate delivery planning, technical documentation, and sprint retrospectives — and encourage the team to do the same.Technical Direction
Serve as a technical authority for the .NET application stack, guiding architectural decisions and code quality standards in partnership with senior developers.Evaluate and recommend AI-native development approaches: code generation pipelines, AI-assisted testing, automated documentation, and LLM-integrated application features where appropriate.Ensure all development practices meet healthcare IT security requirements, including HIPAA technical safeguards, PHI handling, audit trail design, and access control standards.Drive consistency in development standards, code review practices, and QA processes across the team.Cross-Functional Partnership
Act as the primary IT liaison for clinical, laboratory, revenue cycle, and operational stakeholders requesting application development or changes.Collaborate with the Infrastructure Manager and IT Support Manager on deployments, environment management, and production escalations.Partner with the Director of IT on roadmap planning, capacity analysis, and resource strategy.Schedule: The standard work hours are 8:00 AM to 5:00 PM PST, with flexibility as long as core hours (8:00 AM to 3:00 PM) are covered.
Benefits
Medical, Dental, Vision with In-Network & Custom Network discounts401(K) with discretionary employer matchPaid Time OffFree clinical diagnostic laboratory testing performed in houseQualifications
Required
5+ years of software development experience in .NET (C#, ASP.NET, SQL Server).2+ years in a team lead, tech lead, or people management role with direct reports.Demonstrated, hands-on experience using AI coding tools — Claude, GitHub Copilot, or equivalent — in production development work. Not just familiarity: you have integrated AI tools into your daily workflow and can speak concretely about how they changed your output.A clear point of view on where AI-assisted development is going and how to bring a team along — you should come to the interview with examples and opinions.Experience managing software delivery in a healthcare or regulated industry environment.Strong communication skills; ability to translate technical work to non-technical clinical and operational stakeholders.Preferred
Experience with HL7 or clinical data exchange (useful for cross-team coordination with the Interface team).Familiarity with HIPAA technical safeguards and PHI handling requirements in software systems.Experience building or integrating LLM-powered features into internal business applications.Exposure to BI or reporting tooling (SSRS, Power BI) in coordination with a data team.Background supporting multi-entity or multi-site healthcare organizations.Physical Requirements: Manual dexterity for office machine operation including computer operations, stooping, bending, mobility to complete errands, or sitting for extended periods of time. Stress can be triggered by multiple staff demands and deadlines.
About Us: Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and management services.
Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. With over 50 years of proven success, our organization thrives thanks to the passion, dedication, and ingenuity of our people.
Read Less**REMOTE OPPORTUNITY for Oregon, Washington, and Idaho Residents ONLY**
Adaugeo Healthcare Solutions is seeking a Software Development Manager to lead the Application Development team — a team of six .NET developers building and maintaining the custom applications, integrations, and internal tooling that support AHS and its affiliated entities, Praxis Health and Interpath Laboratory.
This is not a caretaker role. AHS is actively investing in AI-assisted development, and this manager will be expected to lead that transition — hands-on. The right candidate brings strong .NET technical depth, genuine experience using AI coding tools (including Claude) in their own development work, and the drive to accelerate what a six-person team can deliver by working smarter with AI. If you have been quietly building faster and better because of AI tools and you want to bring that mindset to a team, this role was written for you.
AI Adoption Leadership
This section is listed first intentionally. Driving AI adoption within the development team is a primary accountability of this role, not a secondary initiative.
Model hands-on use of AI coding tools — including Claude and GitHub Copilot — in your own day-to-day work: code generation, review, refactoring, documentation, and problem-solving.Develop and maintain team standards for AI-assisted development: when to use it, how to validate output, and how to incorporate AI tools into code review and QA processes.Establish measurable velocity and quality benchmarks before and after AI tool adoption so the team can demonstrate concrete impact to leadership.Stay current on the AI tooling landscape and bring forward recommendations on new tools, models, or workflows that could benefit the team.Coach individual contributors on effective AI prompting, tool integration into their development environments, and building AI-native workflows into their daily practice.Serve as the internal subject matter expert on AI-assisted .NET development, partnering with the Director of IT on broader AI adoption initiatives across AHS.People Leadership & Team Development
Provide direct management for six .NET developers, including performance reviews, goal-setting, career development, and day-to-day coaching.Conduct regular 1:1s and team stand-ups; maintain clear visibility into individual workloads, blockers, and development goals.Foster a culture of continuous improvement, technical craftsmanship, and psychological safety — a team where people feel empowered to experiment, including with new AI workflows.Identify training needs and create development paths that combine traditional .NET skills with emerging AI-augmented practices.Delivery & Project Execution
Own the application development backlog and release calendar, partnering with the Director of IT and business stakeholders to prioritize work across Praxis Health, Interpath Laboratory, and AHS corporate.Ensure projects are scoped, estimated, tracked, and delivered with clear communication and appropriate documentation.Manage competing priorities across entities and escalate resourcing conflicts early and clearly.Use AI tools to accelerate delivery planning, technical documentation, and sprint retrospectives — and encourage the team to do the same.Technical Direction
Serve as a technical authority for the .NET application stack, guiding architectural decisions and code quality standards in partnership with senior developers.Evaluate and recommend AI-native development approaches: code generation pipelines, AI-assisted testing, automated documentation, and LLM-integrated application features where appropriate.Ensure all development practices meet healthcare IT security requirements, including HIPAA technical safeguards, PHI handling, audit trail design, and access control standards.Drive consistency in development standards, code review practices, and QA processes across the team.Cross-Functional Partnership
Act as the primary IT liaison for clinical, laboratory, revenue cycle, and operational stakeholders requesting application development or changes.Collaborate with the Infrastructure Manager and IT Support Manager on deployments, environment management, and production escalations.Partner with the Director of IT on roadmap planning, capacity analysis, and resource strategy.Schedule: The standard work hours are 8:00 AM to 5:00 PM PST, with flexibility as long as core hours (8:00 AM to 3:00 PM) are covered.
Benefits
Medical, Dental, Vision with In-Network & Custom Network discounts401(K) with discretionary employer matchPaid Time OffFree clinical diagnostic laboratory testing performed in houseQualifications
Required
5+ years of software development experience in .NET (C#, ASP.NET, SQL Server).2+ years in a team lead, tech lead, or people management role with direct reports.Demonstrated, hands-on experience using AI coding tools — Claude, GitHub Copilot, or equivalent — in production development work. Not just familiarity: you have integrated AI tools into your daily workflow and can speak concretely about how they changed your output.A clear point of view on where AI-assisted development is going and how to bring a team along — you should come to the interview with examples and opinions.Experience managing software delivery in a healthcare or regulated industry environment.Strong communication skills; ability to translate technical work to non-technical clinical and operational stakeholders.Preferred
Experience with HL7 or clinical data exchange (useful for cross-team coordination with the Interface team).Familiarity with HIPAA technical safeguards and PHI handling requirements in software systems.Experience building or integrating LLM-powered features into internal business applications.Exposure to BI or reporting tooling (SSRS, Power BI) in coordination with a data team.Background supporting multi-entity or multi-site healthcare organizations.Physical Requirements: Manual dexterity for office machine operation including computer operations, stooping, bending, mobility to complete errands, or sitting for extended periods of time. Stress can be triggered by multiple staff demands and deadlines.
About Us: Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and management services.
Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. With over 50 years of proven success, our organization thrives thanks to the passion, dedication, and ingenuity of our people.
Read Less**REMOTE OPPORTUNITY for Oregon, Washington, and Idaho Residents ONLY**
Adaugeo Healthcare Solutions is seeking a Software Development Manager to lead the Application Development team — a team of six .NET developers building and maintaining the custom applications, integrations, and internal tooling that support AHS and its affiliated entities, Praxis Health and Interpath Laboratory.
This is not a caretaker role. AHS is actively investing in AI-assisted development, and this manager will be expected to lead that transition — hands-on. The right candidate brings strong .NET technical depth, genuine experience using AI coding tools (including Claude) in their own development work, and the drive to accelerate what a six-person team can deliver by working smarter with AI. If you have been quietly building faster and better because of AI tools and you want to bring that mindset to a team, this role was written for you.
AI Adoption Leadership
This section is listed first intentionally. Driving AI adoption within the development team is a primary accountability of this role, not a secondary initiative.
Model hands-on use of AI coding tools — including Claude and GitHub Copilot — in your own day-to-day work: code generation, review, refactoring, documentation, and problem-solving.Develop and maintain team standards for AI-assisted development: when to use it, how to validate output, and how to incorporate AI tools into code review and QA processes.Establish measurable velocity and quality benchmarks before and after AI tool adoption so the team can demonstrate concrete impact to leadership.Stay current on the AI tooling landscape and bring forward recommendations on new tools, models, or workflows that could benefit the team.Coach individual contributors on effective AI prompting, tool integration into their development environments, and building AI-native workflows into their daily practice.Serve as the internal subject matter expert on AI-assisted .NET development, partnering with the Director of IT on broader AI adoption initiatives across AHS.People Leadership & Team Development
Provide direct management for six .NET developers, including performance reviews, goal-setting, career development, and day-to-day coaching.Conduct regular 1:1s and team stand-ups; maintain clear visibility into individual workloads, blockers, and development goals.Foster a culture of continuous improvement, technical craftsmanship, and psychological safety — a team where people feel empowered to experiment, including with new AI workflows.Identify training needs and create development paths that combine traditional .NET skills with emerging AI-augmented practices.Delivery & Project Execution
Own the application development backlog and release calendar, partnering with the Director of IT and business stakeholders to prioritize work across Praxis Health, Interpath Laboratory, and AHS corporate.Ensure projects are scoped, estimated, tracked, and delivered with clear communication and appropriate documentation.Manage competing priorities across entities and escalate resourcing conflicts early and clearly.Use AI tools to accelerate delivery planning, technical documentation, and sprint retrospectives — and encourage the team to do the same.Technical Direction
Serve as a technical authority for the .NET application stack, guiding architectural decisions and code quality standards in partnership with senior developers.Evaluate and recommend AI-native development approaches: code generation pipelines, AI-assisted testing, automated documentation, and LLM-integrated application features where appropriate.Ensure all development practices meet healthcare IT security requirements, including HIPAA technical safeguards, PHI handling, audit trail design, and access control standards.Drive consistency in development standards, code review practices, and QA processes across the team.Cross-Functional Partnership
Act as the primary IT liaison for clinical, laboratory, revenue cycle, and operational stakeholders requesting application development or changes.Collaborate with the Infrastructure Manager and IT Support Manager on deployments, environment management, and production escalations.Partner with the Director of IT on roadmap planning, capacity analysis, and resource strategy.Schedule: The standard work hours are 8:00 AM to 5:00 PM PST, with flexibility as long as core hours (8:00 AM to 3:00 PM) are covered.
Benefits
Medical, Dental, Vision with In-Network & Custom Network discounts401(K) with discretionary employer matchPaid Time OffFree clinical diagnostic laboratory testing performed in houseQualifications
Required
5+ years of software development experience in .NET (C#, ASP.NET, SQL Server).2+ years in a team lead, tech lead, or people management role with direct reports.Demonstrated, hands-on experience using AI coding tools — Claude, GitHub Copilot, or equivalent — in production development work. Not just familiarity: you have integrated AI tools into your daily workflow and can speak concretely about how they changed your output.A clear point of view on where AI-assisted development is going and how to bring a team along — you should come to the interview with examples and opinions.Experience managing software delivery in a healthcare or regulated industry environment.Strong communication skills; ability to translate technical work to non-technical clinical and operational stakeholders.Preferred
Experience with HL7 or clinical data exchange (useful for cross-team coordination with the Interface team).Familiarity with HIPAA technical safeguards and PHI handling requirements in software systems.Experience building or integrating LLM-powered features into internal business applications.Exposure to BI or reporting tooling (SSRS, Power BI) in coordination with a data team.Background supporting multi-entity or multi-site healthcare organizations.Physical Requirements: Manual dexterity for office machine operation including computer operations, stooping, bending, mobility to complete errands, or sitting for extended periods of time. Stress can be triggered by multiple staff demands and deadlines.
About Us: Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and management services.
Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. With over 50 years of proven success, our organization thrives thanks to the passion, dedication, and ingenuity of our people.
Read LessREVENUE CYCLE MANAGEMENT
Director of Clinical Revenue Cycle Services
Lead end-to-end RCM strategy across a multi-clinic, multi-state organization — from patient access through AR resolution.
THE OPPORTUNITY
We're looking for a seasoned revenue cycle leader to take full ownership of RCM performance across our clinic line of business. Reporting to the VP of Revenue Cycle, you'll set strategy, drive measurable financial outcomes, and lead a high-performing team spanning billing, coding, patient access, and accounts receivable.
This is a seat at the table — partnering with clinical operations, finance, compliance, and health information management to protect and grow net revenue while delivering a superior patient financial experience.
WHAT YOU'LL OWN
End-to-end clinic RCM operations: patient registration, insurance verification, charge capture, coding, billing, collections, denial management, and payment postingKPI ownership — days in AR, clean claim rates, denial rates, collection rates, and net collection percentageRCM budgeting, forecasting, and variance analysisNet revenue optimization through denial trend analysis, underpayment identification, and payer-specific performance gap resolutionPayer relations — primary liaison with commercial, Medicare, and Medicaid payers for escalated claims, appeals, and operational issuesRCM technology ecosystem, including practice management systems, clearinghouses, and denial management platformsTeam leadership across billing supervisors, coding staff, AR specialists, and patient access personnelCompliance oversight in line with CMS guidelines, HIPAA, OIG guidance, and payer-specific requirementsCollaboration with clinical leadership on documentation quality, coding accuracy, and charge capture completenessWHAT YOU BRING
7–10 years of progressive RCM leadership in a clinic, physician group, or multi-specialty ambulatory setting5+ years in a management or director-level RCM role with direct supervisory responsibilityDemonstrated success driving measurable financial improvement at scaleStrong working knowledge of government payer programs (Medicare, Medicaid) and commercial payer contractingExpert fluency in CPT, ICD-10, and HCPCS coding standards, billing regulations, and payer policy updatesProficiency with practice management platforms such as Epic, Athenahealth, eClinicalWorks, Oracle Health, or Greenway; Oracle Health experience preferredSharp analytical skills — able to translate data into strategy, not just reportsExceptional leadership, communication, and change management skillsA track record of building accountable, high-performing teams across billing, coding, and patient access functionsHigh proficiency in Microsoft Excel and PowerPoint for reporting and presentationsWHAT YOU'LL BRING
7–10 years of progressive RCM experience with a significant focus on clinical laboratory or pathology billing.5+ years in a management or director-level RCM role with direct people management.Deep expertise in laboratory billing regulations—CLIA, PAMA, LCD/NCD compliance—and molecular/genomic billing.Hands-on knowledge of laboratory CPT/HCPCS coding across molecular pathology, microbiology, and genomics.Proficiency with laboratory information systems (LIS) and laboratory billing platforms.Strong analytical skills—using data to spot trends, resolve billing issues, and drive performance.Exceptional leadership, communication, and cross-functional collaboration skills, plus high proficiency in Excel and PowerPoint.Bachelor's degree in healthcare administration, business, finance, or a related field preferred (an equivalent combination of education and experience will be considered).Experience managing lab billing across both hospital outreach and independent laboratory settings is a strong plus.WHERE & HOW YOU'LL WORK
This is a full-time, exempt role that will be a combination of remote as well as regular, onsite presence at our company/clinic locations. Expect ongoing travel (approximately 20%) to sites across the multi-site, mutli-state organization, plus occasional travel for conferences, payer meetings, and industry events. Standard business hours apply, with the flexibility to meet operational demands. This is a hybrid role, meaning you can live & work from any of the states in our company footprint (Oregon, Washington, Idaho, Nebraska) with the understanding that a portion of your time will be working from our worksites.
EDUCATION
Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field preferred. An equivalent combination of education and directly relevant work experience will be considered.
About Us
Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and management services.
Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. With over 50 years of proven success, our organization thrives thanks to the passion, dedication, and ingenuity of our people.
SKILLS & TOOLS
Revenue Cycle Mgmt
Denial Management
Medical Coding (CPT/ICD-10)
Oracle Health / Epic
Medicare & Medicaid
Payer Contracting
HIPAA Compliance
AR Management
Team Leadership
Change Management
This position is open to both internal and external candidates. Standard business hours apply with flexibility to meet operational demands. Travel to clinic sites across the organization is required on an ongoing basis.
Read LessREVENUE CYCLE MANAGEMENT
Director of Clinical Revenue Cycle Services
Lead end-to-end RCM strategy across a multi-clinic, multi-state organization — from patient access through AR resolution.
THE OPPORTUNITY
We're looking for a seasoned revenue cycle leader to take full ownership of RCM performance across our clinic line of business. Reporting to the VP of Revenue Cycle, you'll set strategy, drive measurable financial outcomes, and lead a high-performing team spanning billing, coding, patient access, and accounts receivable.
This is a seat at the table — partnering with clinical operations, finance, compliance, and health information management to protect and grow net revenue while delivering a superior patient financial experience.
WHAT YOU'LL OWN
End-to-end clinic RCM operations: patient registration, insurance verification, charge capture, coding, billing, collections, denial management, and payment postingKPI ownership — days in AR, clean claim rates, denial rates, collection rates, and net collection percentageRCM budgeting, forecasting, and variance analysisNet revenue optimization through denial trend analysis, underpayment identification, and payer-specific performance gap resolutionPayer relations — primary liaison with commercial, Medicare, and Medicaid payers for escalated claims, appeals, and operational issuesRCM technology ecosystem, including practice management systems, clearinghouses, and denial management platformsTeam leadership across billing supervisors, coding staff, AR specialists, and patient access personnelCompliance oversight in line with CMS guidelines, HIPAA, OIG guidance, and payer-specific requirementsCollaboration with clinical leadership on documentation quality, coding accuracy, and charge capture completenessWHAT YOU BRING
7–10 years of progressive RCM leadership in a clinic, physician group, or multi-specialty ambulatory setting5+ years in a management or director-level RCM role with direct supervisory responsibilityDemonstrated success driving measurable financial improvement at scaleStrong working knowledge of government payer programs (Medicare, Medicaid) and commercial payer contractingExpert fluency in CPT, ICD-10, and HCPCS coding standards, billing regulations, and payer policy updatesProficiency with practice management platforms such as Epic, Athenahealth, eClinicalWorks, Oracle Health, or Greenway; Oracle Health experience preferredSharp analytical skills — able to translate data into strategy, not just reportsExceptional leadership, communication, and change management skillsA track record of building accountable, high-performing teams across billing, coding, and patient access functionsHigh proficiency in Microsoft Excel and PowerPoint for reporting and presentationsWHAT YOU'LL BRING
7–10 years of progressive RCM experience with a significant focus on clinical laboratory or pathology billing.5+ years in a management or director-level RCM role with direct people management.Deep expertise in laboratory billing regulations—CLIA, PAMA, LCD/NCD compliance—and molecular/genomic billing.Hands-on knowledge of laboratory CPT/HCPCS coding across molecular pathology, microbiology, and genomics.Proficiency with laboratory information systems (LIS) and laboratory billing platforms.Strong analytical skills—using data to spot trends, resolve billing issues, and drive performance.Exceptional leadership, communication, and cross-functional collaboration skills, plus high proficiency in Excel and PowerPoint.Bachelor's degree in healthcare administration, business, finance, or a related field preferred (an equivalent combination of education and experience will be considered).Experience managing lab billing across both hospital outreach and independent laboratory settings is a strong plus.WHERE & HOW YOU'LL WORK
This is a full-time, exempt role that will be a combination of remote as well as regular, onsite presence at our company/clinic locations. Expect ongoing travel (approximately 20%) to sites across the multi-site, mutli-state organization, plus occasional travel for conferences, payer meetings, and industry events. Standard business hours apply, with the flexibility to meet operational demands. This is a hybrid role, meaning you can live & work from any of the states in our company footprint (Oregon, Washington, Idaho, Nebraska) with the understanding that a portion of your time will be working from our worksites.
EDUCATION
Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field preferred. An equivalent combination of education and directly relevant work experience will be considered.
About Us
Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and management services.
Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. With over 50 years of proven success, our organization thrives thanks to the passion, dedication, and ingenuity of our people.
SKILLS & TOOLS
Revenue Cycle Mgmt
Denial Management
Medical Coding (CPT/ICD-10)
Oracle Health / Epic
Medicare & Medicaid
Payer Contracting
HIPAA Compliance
AR Management
Team Leadership
Change Management
This position is open to both internal and external candidates. Standard business hours apply with flexibility to meet operational demands. Travel to clinic sites across the organization is required on an ongoing basis.
Read LessReady to lead the revenue engine behind a growing clinical laboratory operation? We're looking for a Director of Laboratory Revenue Cycle Services to own the strategy, performance, and people that keep lab billing accurate, compliant, and financially strong—from the moment a test is ordered to the day the claim is paid. You'll join a family of companies—Adaugeo Healthcare Solutions, Interpath Laboratory, and Praxis Health—working together to deliver trusted laboratory and healthcare services across the communities we serve.
About the Role
As Director, you'll own end-to-end revenue cycle management for our entire laboratory line of business. You'll set the strategy, build the team, and partner across laboratory operations, pathology, compliance, and finance to maximize revenue capture and navigate the complex world of clinical lab billing. This is a senior leadership seat with real ownership and visible impact on the organization's financial outcomes.
What You'll Do
Own end-to-end revenue cycle strategy and performance for the full laboratory line of business—from test ordering through final AR resolution.Set the metrics that matter (days in AR, denial rates, clean claim rates, net collections) and lead the process improvements that move them.Navigate complex lab billing rules—CLIA, PAMA, LCDs/NCDs, and molecular/genomic coding—and keep the organization audit-ready.Manage budgeting, forecasting, and underpayment recovery, and partner with managed care on payer contracts and fee schedules.Build, develop, and retain a specialized lab RCM team of billing supervisors, coders, AR specialists, and denial analysts.Serve as the escalation point for payer disputes, appeals, and prior-authorization issues across Medicare, Medicaid, and commercial payers.Partner with pathology, IT, LIS vendors, and finance to optimize documentation, test utilization, and automation initiatives.What You'll Bring
7–10 years of progressive RCM experience with a significant focus on clinical laboratory or pathology billing.5+ years in a management or director-level RCM role with direct people management.Deep expertise in laboratory billing regulations—CLIA, PAMA, LCD/NCD compliance—and molecular/genomic billing.Hands-on knowledge of laboratory CPT/HCPCS coding across molecular pathology, microbiology, and genomics.Proficiency with laboratory information systems (LIS) and laboratory billing platforms.Strong analytical skills—using data to spot trends, resolve billing issues, and drive performance.Exceptional leadership, communication, and cross-functional collaboration skills, plus high proficiency in Excel and PowerPoint.Bachelor's degree in healthcare administration, business, finance, or a related field preferred (an equivalent combination of education and experience will be considered).Experience managing lab billing across both hospital outreach and independent laboratory settings is a strong plus.Where & How You'll Work
This is a full-time, exempt role that will be a combination of remote as well as regular, onsite presence at our laboratory locations. Expect ongoing travel (approximately 20%) to lab sites across the organization, plus occasional travel for conferences, payer meetings, and industry events. Standard business hours apply, with the flexibility to meet operational demands. This is a hybrid role, meaning you can live & work from any of the states in our company footprint (Oregon, Washington, Idaho, Nebraska) with the understanding that a portion of your time will be working from our worksites. This position also requires approximately 20% travel.
Why Join Us
You'll step into a senior leadership role with end-to-end ownership, a specialized team to grow, and a direct line to the success of our growing family of companies. If you thrive on solving complex billing challenges and building high-performing teams, this is your seat at the table. This role reports to the VP of Revenue Cycle and is open to both internal and external applicants.
About Us
Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and management services.
Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. With over 50 years of proven success, our organization thrives thanks to the passion, dedication, and ingenuity of our people.
Ready to Apply?
If this sounds like your next move, we'd love to hear from you. Submit your application today and help shape the future of laboratory revenue cycle services.
Read LessREVENUE CYCLE MANAGEMENT
Director of Clinical Revenue Cycle Services
Lead end-to-end RCM strategy across a multi-clinic, multi-state organization — from patient access through AR resolution.
THE OPPORTUNITY
We're looking for a seasoned revenue cycle leader to take full ownership of RCM performance across our clinic line of business. Reporting to the VP of Revenue Cycle, you'll set strategy, drive measurable financial outcomes, and lead a high-performing team spanning billing, coding, patient access, and accounts receivable.
This is a seat at the table — partnering with clinical operations, finance, compliance, and health information management to protect and grow net revenue while delivering a superior patient financial experience.
WHAT YOU'LL OWN
End-to-end clinic RCM operations: patient registration, insurance verification, charge capture, coding, billing, collections, denial management, and payment postingKPI ownership — days in AR, clean claim rates, denial rates, collection rates, and net collection percentageRCM budgeting, forecasting, and variance analysisNet revenue optimization through denial trend analysis, underpayment identification, and payer-specific performance gap resolutionPayer relations — primary liaison with commercial, Medicare, and Medicaid payers for escalated claims, appeals, and operational issuesRCM technology ecosystem, including practice management systems, clearinghouses, and denial management platformsTeam leadership across billing supervisors, coding staff, AR specialists, and patient access personnelCompliance oversight in line with CMS guidelines, HIPAA, OIG guidance, and payer-specific requirementsCollaboration with clinical leadership on documentation quality, coding accuracy, and charge capture completenessWHAT YOU BRING
7–10 years of progressive RCM leadership in a clinic, physician group, or multi-specialty ambulatory setting5+ years in a management or director-level RCM role with direct supervisory responsibilityDemonstrated success driving measurable financial improvement at scaleStrong working knowledge of government payer programs (Medicare, Medicaid) and commercial payer contractingExpert fluency in CPT, ICD-10, and HCPCS coding standards, billing regulations, and payer policy updatesProficiency with practice management platforms such as Epic, Athenahealth, eClinicalWorks, Oracle Health, or Greenway; Oracle Health experience preferredSharp analytical skills — able to translate data into strategy, not just reportsExceptional leadership, communication, and change management skillsA track record of building accountable, high-performing teams across billing, coding, and patient access functionsHigh proficiency in Microsoft Excel and PowerPoint for reporting and presentationsWHAT YOU'LL BRING
7–10 years of progressive RCM experience with a significant focus on clinical laboratory or pathology billing.5+ years in a management or director-level RCM role with direct people management.Deep expertise in laboratory billing regulations—CLIA, PAMA, LCD/NCD compliance—and molecular/genomic billing.Hands-on knowledge of laboratory CPT/HCPCS coding across molecular pathology, microbiology, and genomics.Proficiency with laboratory information systems (LIS) and laboratory billing platforms.Strong analytical skills—using data to spot trends, resolve billing issues, and drive performance.Exceptional leadership, communication, and cross-functional collaboration skills, plus high proficiency in Excel and PowerPoint.Bachelor's degree in healthcare administration, business, finance, or a related field preferred (an equivalent combination of education and experience will be considered).Experience managing lab billing across both hospital outreach and independent laboratory settings is a strong plus.WHERE & HOW YOU'LL WORK
This is a full-time, exempt role that will be a combination of remote as well as regular, onsite presence at our company/clinic locations. Expect ongoing travel (approximately 20%) to sites across the multi-site, mutli-state organization, plus occasional travel for conferences, payer meetings, and industry events. Standard business hours apply, with the flexibility to meet operational demands. This is a hybrid role, meaning you can live & work from any of the states in our company footprint (Oregon, Washington, Idaho, Nebraska) with the understanding that a portion of your time will be working from our worksites.
EDUCATION
Bachelor's degree in Healthcare Administration, Business Administration, Finance, or a related field preferred. An equivalent combination of education and directly relevant work experience will be considered.
About Us
Adaugeo Healthcare Solutions is part of a family-owned and operated healthcare organization, providing collaborative support and corporate oversight to our family of companies. We are committed to operational excellence and cost-efficient administrative, technical, and management services.
Our family of companies also includes Praxis Health, the largest independent medical group in Oregon, and Interpath Laboratory, Inc., the Northwest's leading clinical and anatomic medical laboratory with over 90 locations across Oregon, Washington, Idaho, and Nebraska. With over 50 years of proven success, our organization thrives thanks to the passion, dedication, and ingenuity of our people.
SKILLS & TOOLS
Revenue Cycle Mgmt
Denial Management
Medical Coding (CPT/ICD-10)
Oracle Health / Epic
Medicare & Medicaid
Payer Contracting
HIPAA Compliance
AR Management
Team Leadership
Change Management
This position is open to both internal and external candidates. Standard business hours apply with flexibility to meet operational demands. Travel to clinic sites across the organization is required on an ongoing basis.
Read Less