Senior .NET Developer / Technical Lead - Healthcare Domain

Neuronimbus Software Services; Gurugram District; Hybrid; INR 1,800,000 - 3,200,000; Full time

Job summary

Neuronimbus Software Services is seeking a Senior .NET Developer / Technical Lead in Gurugram, offering a hybrid model. You will build scalable healthcare applications, lead technical direction, and mentor teams.

The role covers integration with EHR/EMR systems, HL7 FHIR standards, and secure data handling, with emphasis on architecture and CI/CD practices. You will collaborate with product and healthcare stakeholders to deliver robust backend services, real-time data processing, and compliant

Qualifications

• 7-12 years of experience in .NET development and leadership responsibilities.
• Experience delivering healthcare software solutions with secure data handling.
• Proven ability to guide architecture, reviews and CI/CD practices.

Responsibilities

• Develop scalable healthcare applications using C# and ASP.NET Core; build backend services and REST APIs for patient management and clinical workflows.
• Integrate EHR/EMR and hospital systems; implement HL7 FHIR and v2 standards; work with Firely .NET SDK.
• Create configurable clinical workflows, business rules and audit trails; ensure versioning and traceability.

Skills

Technical leadership

Team guidance

Architectural design

Code reviews

CI/CD involvement

Communication

Tools

Kafka

RabbitMQ

Azure Service Bus

SignalR

WebSockets

Docker

Kubernetes

Firely .NET SDK

HL7 FHIR

Job description

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.