Key Responsibilities

• Design, develop, and maintain .NET-based applications and APIs supporting healthcare interoperability
• Implement and manage FHIR R4/R5 resources for clinical and administrative data exchange
• Build and consume RESTful APIs for integration with EHRs and external healthcare systems
• Work with HL7 standards (FHIR, HL7 v2) and healthcare data formats (JSON, XML)
• Ensure compliance with HIPAA, security, and data privacy requirements
• Collaborate with business analysts, product owners, and QA teams to deliver high-quality solutions
• Perform code reviews, unit testing, and support CI/CD pipelines
• Troubleshoot production issues and optimize application performance
• Participate in system design, architecture discussions, and technical documentation

Required Skills & Qualifications Technical Skills

• Strong experience in C#, .NET Core / .NET 6+, ASP.NET Web API
• Hands-on experience with FHIR implementations (R4 preferred)
• Solid understanding of FHIR resources (Patient, Encounter, Observation, Practitioner, Condition, etc.)
• Experience with RESTful services, OAuth 2.0, OpenID Connect
• Proficiency in SQL Server and/or NoSQL databases
• Experience with JSON, XML, and healthcare data transformations
• Familiarity with Azure / AWS cloud services
• Knowledge of CI/CD, Git, Azure DevOps or similar tools

Healthcare Domain

• Understanding of US Healthcare workflows (Provider, Payer, Claims, Clinical data)
• Knowledge of EHR/Epic/Cerner integrations is a plus
• Experience with SMART on FHIR is preferred

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