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Dec 15, 2025
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Software Engineer (C# / FHIR / CQL / Healthcare)
LATAM
Remote
Fulltime
Senior
Software Engineer (.NET · FHIR · CQL · Healthcare) · LATAM
Location: Anywhere in LATAM
Job Type: Remote
Engagement: Contractor
Project: Healthcare interoperability & digital quality measures platform
Time Zone: Eastern Time (US) overlap required
English Level: B2 / C1
Get to Know Us
At Darwoft, we create software that drives real change. But were more than just tech — were people first. We believe in building human-centered digital experiences and having fun while we do it. Our team is curious, passionate, and always growing.
Based in Latin America, we partner with companies around the world to build high-impact, long-term software solutions. We work remotely, collaboratively, and with a strong sense of community, always embracing continuous learning, ownership, and real-world impact.
Were Looking for a Software Engineer
Were seeking a Senior Software Engineer (Contractor) to join a mission-critical healthcare platform used by a leading U.S. organization to compute national healthcare quality measures.
This role focuses on backend development in .NET, working with healthcare interoperability standards such as FHIR and CQL. Youll be contributing to a mature, production-grade system operating in a highly regulated environment, where quality, security, and correctness are essential.
This is not a greenfield project. The ideal candidate is comfortable understanding existing systems, evolving them carefully, and taking ownership of complex backend logic.
What Youll Be Doing
Design, develop, and maintain backend services using .NET / C#
Work with healthcare data models and pipelines based on FHIR standards
Implement and maintain CQL-based logic for clinical quality measure execution
Contribute to upgrades and maintenance of the CQL Engine (e.g., Firely SDK)
Develop and maintain APIs and background processing jobs (e.g., Hangfire or similar)
Collaborate with frontend, QA, DevOps, and client technical teams
Participate in production support, troubleshooting, and root cause analysis
Ensure code quality through testing, reviews, and documentation
Contribute to technical documentation, release notes, and operational guidelines
Work within Agile/Scrum processes, participating in sprint ceremonies
What You Bring
Must-Haves
6+ years of professional software development experience
Strong hands-on experience with .NET / C# in production environments
Practical experience working with FHIR (R4 or newer)
Familiarity with CQL (Clinical Quality Language) or execution of clinical quality measures
Experience building and integrating complex backend systems and APIs
Understanding of distributed systems and background processing
Experience working in regulated or compliance-driven environments
Experience with Docker and containerized applications
Strong communication skills and solid technical documentation habits
Fluent English for daily collaboration with U.S.-based teams
Nice-to-Haves
Experience with USCore or other FHIR implementation guides
Exposure to HEDIS or healthcare quality measurement systems
Experience maintaining or upgrading CQL engines (Firely SDK or similar)
Experience with AWS, Azure, or GCP
Familiarity with HIPAA, HITRUST, OWASP, or secure coding standards
Previous experience acting as a technical reference or senior contributor within a team
What Darwoft Offers
Contractor agreement with payment in USD
100% remote work
Argentinas public holidays
English classes
Referral program
Access to learning platforms
Long-term projects with international clients
Explore this and other openings at:
www.darwoft.com/careers

