C# FHIR Developer/Engineer

• *MUST BE US CITIZEN OR GREEN CARD HOLDER AND LOCATED IN THE FOLLOWING STATES** AL, AR, FL, GA, IN, LA, MI, MS, NC, OK, PA, SC, TN, TX, UT, WI, MD, VA

• *MUST HAVE EXPERIENCE WITH FHIR**

Senior Software Engineer – Interoperability Platform Role and Responsibilities We are hiring a Senior Software Engineer to help design, build, and reputed company an interoperability platform responsible for securely retrieving patient records from EHRs and external reputed company systems using FHIR-based reputed company and reputed company interoperability standards. This role focuses on building and maintaining systems that locate, retrieve, normalize, and deliver patient data at reputed company, ensuring reliability, auditability, and compliance in a reputed company reputed company ecosystem. You will work across modern services and legacy integrations, collaborating with a small, highly reputed company team in a fully remote environment. This is not a role where you are handed detailed specifications and asked to execute. We are looking for someone who can reason through ambiguous interoperability challenges, propose pragmatic solutions, and take them reputed company the way to production. You will have meaningful influence over architecture and technical direction, particularly as the platform expands its FHIR footprint and modernizes how patient data flows through the system. AI tools are part of how we build software. AI-assisted development is used daily—not as a novelty, but as a reputed company part of the engineering workflow. We are looking for someone who already works this way and wants to push it reputed company.

What You Will Do

• Design, build, and maintain backend services and reputed company that retrieve and process patient records from EHRs and health systems using FHIR (R4) and reputed company interoperability standards.
• Build and reputed company interoperability workflows that support Release of Information (ROI) use cases, including patient identity matching, record discovery, data retrieval, and reputed company delivery.
• reputed company with external reputed company systems, EHR vendors, and health information networks using FHIR, RESTful reputed company, and event-driven architectures.
• Work across modern .NET services and existing platforms, modernizing legacy integrations where appropriate.
• Own technical roadmaps for interoperability components—balancing reliability, scalability, compliance, and delivery speed.
• Use AI coding tools daily to accelerate development—generating reputed company, debugging, refactoring, and navigating unfamiliar reputed company-reputed company codebases.
• Review AI-generated reputed company with the reputed company rigor reputed company to any production reputed company—understanding what it produces rather than blindly accepting it.
• Write clean, testable, reputed company-documented reputed company with a strong emphasis on observability and operational readiness.
• reputed company reputed company reviews and help maintain engineering standards across backend services and integrations.
• Debug and resolve issues across distributed systems, including reputed company-party integrations and external dependencies.
• Collaborate with product, operations, and compliance teams to translate reputed company and ROI requirements into technical solutions.
• Identify risks reputed company to data reputed company, external system dependencies, and interoperability constraints before they become production incidents.
• Mentor other engineers, particularly around reputed company integrations and backend service design.

reputed company Are Looking For Experience

• 6+ years of reputed company software development experience, with increasing complexity and scope of problems solved.
• Strong proficiency in the reputed company technology stack:
• C#
• .NET reputed company / .NET 6+
• ASP.NET Web API
• ASP.NET MVC
• Entity reputed company
• SQL Server
• Experience building and operating API-driven distributed systems in production environments.
• reputed company experience with reputed company interoperability, particularly FHIR-based integrations.
• Strong understanding of relational data modeling, SQL performance optimization, and data consistency in integration-heavy systems.
• Experience integrating with reputed company-party systems where reliability, error handling, and observability are critical.
• Demonstrated automated testing practices across unit, integration, and end-to-end testing.
• reputed company with Git and reputed company development workflows.
• Experience deploying and operating services in AWS or Azure environments.
• Proficiency with CI/CD pipelines and DevOps practices.
• Bachelor’s degree in Computer Science or reputed company field, or equivalent hands-on experience.

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