Senior C# Engineer - AI & Automation

Kforce has a client that is seeking a Senior C# Engineer - AI & Automation in Madison, WI.

Summary:

We are hiring a Senior Engineer to help build next-generation automation and AI-driven applications for a fast-growing startup serving healthcare clients nationwide. This is a hands-on role focused on designing and delivering multi-layered automation solutions that integrate directly with modern AI services.

You will work alongside a team of highly skilled domestic AI engineers to build scalable, production-grade systems using a mix of open-source frameworks and modern cloud services.

Key Responsibilities:

* Design and develop end-to-end automation applications using C#/.NET

Build multi-layer architectures integrating:

* AI/LLM services (OpenAI, Azure OpenAI, etc.)

* APIs, data pipelines, and backend systems

* Develop intelligent automation workflows that improve operational efficiency for healthcare clients

* Partner with AI engineers to integrate models into production-ready applications

* Create clean, maintainable, and well-documented code with strong ownership

* Leverage AI-assisted development tools (Copilot, etc.) while maintaining full context, code quality, and accountability

* Participate in architecture decisions and help shape engineering standards

* Support testing, debugging, and optimization of high-scale systems

* Ensure solutions are secure, compliant, and reliable in healthcare environments
* 5+ years of software engineering experience, with strong expertise in C#/.NET

* Experience building distributed or multi-tier applications

* Hands-on experience integrating APIs and third-party services

* Exposure to AI/ML or LLM-based systems (direct or adjacent experience)

Strong understanding of:

* Object-oriented design

* Microservices or service-based architecture

* System integration patterns

* Ability to work independently in a fast-paced startup environment

* Strong problem-solving and debugging skills

Preferred Qualifications:

* Experience with AI/LLM integrations (OpenAI, Azure OpenAI, or similar)

Familiarity with:

* Automation frameworks or workflow orchestration tools

* Cloud platforms (Azure preferred)

* Experience in healthcare systems, data, or compliance environments

* Exposure to open-source frameworks used in AI or automation stacks

* Experience working in AI-native or AI-assisted development environments

What Makes This Role Different:

* You're not just
-calling APIs- - you're building multi-layer automation systems powered by AI

* The team values code ownership, not blind reliance on AI-generated code

* Heavy focus on real-world utility - applications used directly by healthcare clients

* Opportunity to influence both engineering practices and product direction

Environment:

* Startup environment with high ownership and autonomy

* Collaborative engineering team with deep AI expertise

* Focus on building practical, scalable solutions - not experimentation for its own sake