Senior .NET Developer / Technical Lead - Healthcare Domain

Senior .NET Developer / Technical Lead

Experience: 7-12 Years
Location: Gurugram / Hybrid
Domain: Healthcare Technology, Clinical Applications & Medical Device Integration

Key Responsibilities

1. Healthcare Application Development

• Develop scalable healthcare applications using C# and ASP.NET Core.
• Build backend services and REST APIs for patient management, clinical records and workflows.
• Ensure application performance, security and reliability.

2. Healthcare Integration & Interoperability

• Integrate EHR/EMR, hospital systems and third-party healthcare platforms.
• Implement HL7 FHIR and HL7 v2 standards.
• Work with Firely .NET SDK for FHIR-based integrations.
• Develop healthcare data mapping and transformation services.

3. Clinical Workflows

• Develop configurable clinical workflows and treatment protocols.
• Implement workflow orchestration, business rules and approval processes.
• Ensure workflow versioning, audit trails and traceability.

4. Real-Time Data Processing

• Develop services for processing clinical observations and medical device data.
• Work with Kafka, RabbitMQ, Azure Service Bus and SignalR/WebSockets.
• Integrate medical device gateways and vendor APIs.

5. Security & Compliance

• Implement authentication, authorisation and role-based access.
• Ensure secure handling of patient information and clinical data.
• Support audit logging, monitoring and healthcare compliance.

6. Technical Leadership

• Contribute to architecture and technical design.
• Guide developers and conduct code reviews.
• Collaborate with architects, product teams and healthcare stakeholders.
• Support CI/CD, testing and production deployments.

Required Technical Skills

Core .NET Technologies

• C#, .NET, ASP.NET Core and Web API.
• Entity Framework Core, LINQ and REST APIs.
• Microservices and distributed architectures.
• SQL Server / PostgreSQL.
• Asynchronous programming and Dependency Injection.
• xUnit / NUnit, Git and CI/CD.

Healthcare Technologies

• HL7 FHIR and HL7 v2.
• Firely .NET SDK.
• FHIR resources: Patient, Encounter, Observation, Practitioner and Device.
• Healthcare data modelling and API integration.

Distributed Systems

• Kafka, RabbitMQ or Azure Service Bus.
• SignalR and WebSockets.
• Event-driven architecture and API integrations.

Desirable Skills

• ICU, Critical Care or Remote Patient Monitoring applications.
• Medical device integration (Patient Monitors, Ventilators, Infusion Pumps).
• IEEE 11073 standards.
• Mirth Connect / NextGen Connect.
• Temporal, Elsa Workflows or Camunda.
• DICOM / PACS integration.
• TimescaleDB or other time-series databases.
• ABDM healthcare interoperability.
• Azure / AWS, Docker and Kubernetes.
• Healthcare cybersecurity and medical software quality standards.

Healthcare Domain Experience

Experience in one or more of the following domains:

• EHR / EMR and Hospital Information Systems.
• Clinical Information Systems.
• Remote Patient Monitoring.
• Telemedicine and Virtual Care.
• ICU / Critical Care Applications.
• Medical Device Integration.
• Clinical Decision Support Systems.
• Healthcare Data Exchange Platforms.

Note: Candidates should understand patient safety, clinical data integrity, auditability and secure healthcare information exchange.