About the role
As a .NET Developer, you will make an impact by designing, building, and supporting scalable digital solutions that enable critical healthcare workflows and secure data management. You will be a valued member of the technology delivery team and work collaboratively with product owners, architects, data teams, and healthcare stakeholders to deliver high-quality, compliant solutions.
In this role, you will:
Design, develop, and maintain .NET applications, including APIs, web services, and Azure Function Apps, supporting healthcare platforms
Build and optimize SQL queries, stored procedures, and data models to ensure performance, accuracy, and scalability
Support and enhance healthcare applications, including Facets modules (Member, Claims, Providers, Accumulation, and Open Access services)
Collaborate with cross-functional teams to gather requirements and translate them into technical solutions
Ensure solutions comply with healthcare regulations, security standards, and data privacy requirements
Troubleshoot and resolve application and database-related issues across environments
Contribute to CI/CD pipelines and deployments using Azure DevOps
Develop and maintain technical documentation for applications, APIs, and system processes
Build and maintain agentic AI workflows, including multi-step reasoning, tool usage, and autonomous task execution
Integrate and manage Model Context Protocol (MCP) servers to enable AI agents to interact with external tools, APIs, and data sources
Develop, test, and optimize prompts, pipelines, and agent orchestration logic
Work model
We strive to provide flexibility wherever possible. Based on this role’s business requirements, this is a remote position open to qualified applicants in El Salvador. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs.
The working arrangements for this role are accurate as of the date of posting. This may change based on the project you’re engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations.
What you need to have to be considered
Strong experience developing applications using .NET technologies
Advanced proficiency in SQL, including query optimization, stored procedures, and data modeling
Hands-on experience supporting healthcare applications and workflows
Experience working with Facets (Member, Claims, Providers, Accumulation, and Open Access services)
Understanding of healthcare standards and regulations such as HIPAA, HL7, or FHIR
Experience with CI/CD pipelines and deployments using Azure DevOps
Ability to work effectively in Agile delivery environments
Strong problem-solving skills and the ability to support production systems
These will help you stand out
Experience designing or deploying Generative AI or Agentic AI–powered solutions
Exposure to Azure cloud services and a strong interest in Azure upskilling
Experience building intelligent workflows that integrate AI agents with enterprise systems
Strong communication skills and experience collaborating with global or cross-functional teams
Salary and Other Compensation:
Applicants will be accepted till 05/30/2026
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without company sponsorship.
*Please note, this role is not able to offer visa transfer or sponsorship now or in the future*
The annual salary for this position will be in the range of $110K - $125K depending on experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant’s discretionary annual incentive program, based on performance and subject to the terms of Cognizant’s applicable plans.
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
Medical/Dental/Vision/Life Insurance
Paid holidays plus Paid Time Off
401(k) plan and contributions
Long-term/Short-term Disability
Paid Parental Leave
Employee Stock Purchase Plan
We’re excited to meet people who share our mission and can make an impact in a variety of ways. Don’t hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role.
About us
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, building the bridge between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, realize tangible returns and keep global enterprises ahead in a fast-changing world. See how at www.cognizant.com or @cognizant.
Additional employment information
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.
