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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 world where individual choices, freedom, and diversity are the greatest assets; an ecosystem where human imagination is at the heart of every decision. Where no possibility is written off, only challenged to get better. We believe that a true Fractalite is the one who empowers imagination with intelligence. 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.
 

Please visit Fractal | Intelligence for Imagination for more information about Fractal.
 

Role Overview

We are 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.
 

Key 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

Required Skills

• 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

Preferred Skills

• 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

Pay

The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Fractal, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is: $120,000 – $130,000. In addition, you may be eligible for a discretionary bonus for the current performance period.
 

Benefits

As a full-time employee of the company or as an hourly employee working more than 30 hours per week, you will be eligible to participate in the health, dental, vision, life insurance, and disability plans in accordance with the plan documents, which may be amended from time to time. You will be eligible for benefits on the first day of employment with the Company. In addition, you are eligible to participate in the Company 401(k) Plan after 30 days of employment, in accordance with the applicable plan terms. The Company provides for 11 paid holidays and 12 weeks of Parental Leave. We also follow a "free time" PTO policy, allowing you the flexibility to take time needed for either sick time or vacation.
 

Fractal provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

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