Senior .NET Developer | HL7 or DICOM or FHIR | HealthTech & BioTech Systems

• Location: Nottingham (Hybrid, 2–3 days onsite initially, more flex after that)
• Salary: Up to £80,000+ depending on experience

The Role

Join a specialised engineering team within a leading HealthTech/BioTech organisation developing digital platforms used across scientific, clinical, and laboratory environments. Your work will centre on building and maintaining .NET-based integrations that connect internal systems with external healthcare partners.

You’ll design, refine, and support dataflows that are essential for time-sensitive scientific and clinical processes—ensuring stable, compliant and scalable communication between multiple platforms. This role involves close collaboration with software engineers, integration specialists, technical project teams and operational users.

Non-Negotiables

• C#/.NET development
• HL7 OR DICOM OR FHIR experience
• SQL Server experience
• Experience delivering data integrations or clinical system connections
• Comfortable working with compliance-heavy, on-prem environments and clinical workflows

Nice to Haves

• Blazor front-end exposure
• API development for healthcare systems
• Digital pathology or histopathology workflow understanding
• Experience working with NHS Trusts or diagnostic environments
• Background with LIMS or imaging systems

What You’ll Work With

• C#/.NET development (moving toward .NET 8)
• HL7 messaging, DICOM imaging pipelines or FHIR APIs
• MS SQL Server (on-premises for hospital compliance)
• Digital pathology workflows & LIMS integrations
• Azure DevOps pipelines + Git branching
• Secure, regulated clinical environments with multi-system interoperability

You will help:

• Build integrations linking hospitals, labs and imaging systems
• Migrate legacy APIs and services onto modern .NET architectures
• Enhance real-world clinical dataflows used daily by pathologists and lab teams
• Contribute to a forward-thinking digital transformation roadmap within healthcare
• Work closely with domain experts across pathology, digital imaging and multi-omics

Why Join

You’ll be part of a long-standing engineering function with strong retention and deep domain expertise. This is a chance to work directly on systems that support real clinical diagnostics across the UK, improving digital workflows, modernising legacy services and enabling next-generation diagnostic technologies.

Senior .NET Developer | HL7 or DICOM or FHIR | HealthTech & BioTech Systems