.Net

Fractal Analytics•Massachusetts, MA

2d•$120,000 - $130,000

About The Position

Fractal is seeking a Mid-Level Business Logic & Integration Developer with strong expertise in .NET technologies to design, build, and manage backend services and integrations for a medical imaging platform. The role focuses on API development, data workflows, and integrating AI-driven outputs into radiology applications. Fractal is a strategic AI partner to Fortune 500 companies with a vision to power every human decision in the enterprise. Fractal is building a ecosystem where human imagination is at the heart of every decision. Fractal has been featured as a Great Place to Work by The Economic Times in partnership with the Great Place to Work® Institute and recognized as a 'Cool Vendor' and a 'Vendor to Watch' by Gartner.

Requirements

Strong experience in .NET (C#)
Solid experience in API design and development (RESTful services, Web APIs)
Experience with data integration and workflow orchestration
Familiarity with SQL databases (e.g., SQL Server, PostgreSQL) and/or NoSQL
Strong debugging, analytical, and problem-solving skills
Experience with radiology workflows and data structures
Basic understanding of medical imaging standards (DICOM)
Exposure to healthcare systems and interoperability standards

Nice To Haves

Experience integrating AI/ML outputs into production systems
Familiarity with AWS cloud services (App Services, Functions, API Management)
Experience with messaging systems (AWS Service Bus, Kafka, RabbitMQ)
Knowledge of HL7/FHIR standards
Experience with containerization (Docker) and CI/CD pipelines
Experience in medical imaging platforms or radiology viewers
Familiarity with real-time data processing or streaming systems
Exposure to Agile/Scrum methodologies
Strong communication and collaboration skills across cross-functional teams
Ability to translate technical concepts for non-technical stakeholders
Ownership mindset with attention to detail and ability to work independently

Responsibilities

Design, develop, and maintain scalable APIs and backend business logic using .NET (C#)
Build and manage ASP.NET Core-based services for data processing and system integration
Implement data integration workflows across multiple systems and components
Work with radiology data structures and clinical workflows
Integrate AI Agent outputs and external AI-driven results into the platform
Handle demo study loading, data orchestration, and end-to-end data flow
Collaborate with frontend developers, AI teams, and clinical stakeholders
Ensure high performance, reliability, and maintainability of backend systems
Write clean, modular, and well-documented code