🔥 Immediate Hiring: .NET Core + FHIR R4 Specialist (C2C - H1B Candidates Only)Mandatory Experience -Hands-on experience with FHIR implementations (R4 preferred)Work with HL7 standards (FHIR, HL7 v2) and healthcare data formats (JSON, XML)Role Descriptions: Actuarial - Health & Care Essential Skills: Actuarial - Health & Care Desirable Skills:Key ResponsibilitiesDesign, develop, and maintain .NET-based applications and APIs supporting healthcare interoperabilityImplement and manage FHIR R4/R5 resources for clinical and administrative data exchangeBuild and consume RESTful APIs for integration with EHRs and external healthcare systemsWork with HL7 standards (FHIR, HL7 v2) and healthcare data formats (JSON, XML)Ensure compliance with HIPAA, security, and data privacy requirementsCollaborate with business analysts, product owners, and QA teams to deliver high-quality solutionsPerform code reviews, unit testing, and support CI/CD pipelinesTroubleshoot production issues and optimize application performanceParticipate in system design, architecture discussions, and technical documentationRequired Skills & QualificationsTechnical SkillsStrong experience in C#, .NET Core / .NET 6+, ASP.NET Web APIHands-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 ConnectProficiency in SQL Server and/or NoSQL databasesExperience with JSON, XML, and healthcare data transformationsFamiliarity with Azure / AWS cloud servicesKnowledge of CI/CD, Git, Azure DevOps or similar toolsHealthcare DomainUnderstanding of US Healthcare workflows (Provider, Payer, Claims, Clinical data)Knowledge of EHR/Epic/Cerner integrations is a plusExperience with SMART on FHIR is preferred