Fifthnote is Hiring | Senior Software Engineers – .Net

Posted on June 4, 2025June 4, 2025 by Sheevani

Fifthnote, an Ensemble Health Partners Company, is a leading technology acceleration company, that identifies business process optimization by implementing system integration and automation. We were founded in 2012 and acquired by Ensemble Health Partners in 2020. We support EnsembleIQ (EIQ), cloud-based analytics-driven revenue cycle operating platform that enables highly efficient and intelligent workflow automation to apply extensive domain expertise, automation and advanced artificial intelligence to drive efficiency.

Ensemble Health Partners has the second-largest share in the RCM space in the US Market with 7000+ professionals working in the organization. Ensemble has partnered with almost 300 hospitals across the United States to improve financial outcomes and patient experiences. Along with its partners, Ensemble Health Partners creates a hands-on approach that helps health systems forge a healthier path forward to improve financial performance, the billing process and customer service. Together, Ensemble and fifthnote are redefining the possible in health care by empowering people to be the difference.

We at Fifthnote are currently looking for Senior Software Engineers – .Net

Candidate should have a Bachelors Degree in Computer Science/ IT/ Engineering or Equivalent with extensive experience with Azure cloud services (App Services, Azure SQL, Networking, Monitoring) and proven ability to manage scalable and resilient systems.

Leadership experience in SRE or DevOps roles with a focus on production reliability, observability, and platform optimization.
Strong expertise in infrastructure as code (e.g., Bicep, ARM templates, Terraform) and automation tools (e.g., Azure DevOps, Prometheus, Grafana).

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