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Aanchal N.
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Aanchal N.

Senior Healthcare Software Engineer | .NET, FHIR & Azure

Senior .NET developer — 10 years, 21,000+ hours, and a 100% Job Success Score. I build and modernize healthcare and enterprise software: FHIR-based clinical platforms, .NET Core migrations, and the API integrations that hold complex systems together. Most recently, I worked on a large FHIR-based digital care platform for a leading Dutch university medical center — a production system connecting hospital EHR data (HiX) to clinician-facing apps. It spans a .NET 8 / Azure Functions backend (FHIR R4 pipelines, SAML2/DigiD SSO, federated data access, AI-assisted care tooling) and a clinician (HCP) web app built in React/TypeScript, used by practitioners day to day. I also spent 2+ years building an enterprise payment and account-management ecosystem for universities and institutions — 21 projects covering a WCF/REST payment platform integrating 10+ gateways (TouchNet, Authorize.Net, PayPal, Moneris, Global Payments, FlyWire and more), a multi-tenant admin system with RBAC and audit logging, an e-commerce portal, and an Angular 15 front end. I spent 6 years as lead developer on HealthTrac (SetpointHealth), migrating a weight-management platform off Classic ASP & VB.NET onto .NET Core, Web API, and Vue.js, and integrating 9+ health-device APIs. If you have a healthcare/FHIR platform to build, an aging codebase to modernize, or a tangle of third-party integrations that need to just work, that's exactly my lane. What I do best: • Healthcare & FHIR — FHIR R4 pipelines, SMART-style auth flows, consent & RBAC in regulated environments • Backend & cloud — .NET 8 / .NET Core, C#, Web API, Azure Functions, Event Hubs, Service Bus, Key Vault, Hangfire, SignalR; MS SQL Server, Entity Framework • API design & integration — health-device APIs (Fitbit, Garmin, Withings, Google Fit, Dexcom, iHealth, Biosense, KetoMojo, Seca), messaging (Twilio, Plivo, SendGrid), Microsoft Graph • Payments & fintech — 10+ gateway integrations (TouchNet, Authorize.Net, PayPal, Moneris, Global Payments, Govolution, FlyWire, WeChat Pay), hosted payment pages, webhooks, auto-topup, reconciliation & reversals • AI-assisted features — Azure OpenAI, Semantic Kernel care assistants, speech-to-text consult transcription • Legacy modernization — Classic ASP / VB.NET → .NET Core, without breaking what already works • Front-end — React 18 / TypeScript (Redux, TanStack Query, Vite), Vue.js • Security — JWT/OAuth, Veracode-driven hardening, TLS 1.2, no-PHI-in-logs / audit practices I care about clean, tested, maintainable code and getting it right the first time. Clients keep me on long-term because I'm reliable, communicative, and I own outcomes end to end. Available for new projects now. Send me the problem, and I'll tell you honestly whether I'm the right fit.

🇮🇳Delhi, India$30/hr100% JSS5.00 (13)Since Aug 2018

Earnings and projects

MRR
$8.4k

Last 6 months ÷ 6

World#1,900 / 412k
🇮🇳Country#168 / 45.9k
Revenue, last 30 days
$8.3k

Last 6 months: $50k

World#2,170 / 412k
🇮🇳Country#197 / 45.9k
Total earnings
$483k

Billed in all: $503k

World#2,977 / 412k
🇮🇳Country#404 / 45.9k
Per project
$28k

$17k in the last 6 months

World#3,207 / 412k
🇮🇳Country#312 / 45.9k
Projects, last 6 months
3
0% fixed100% hourly
World#66,479 / 412k
🇮🇳Country#7,740 / 45.9k
Projects in all
17

Across 21 contracts

10% fixed90% hourly
World#149,089 / 412k
🇮🇳Country#20,954 / 45.9k

Earnings, last 30 days

$503k+$8.3k earned in the last 30 daysBilled in all, before Upwork's fee · drag across the chart to see what was earned in any stretch
$490k$495k$500k$505kOct 8Oct 23Nov 7

Skill rankings: Top 0.60% in Web API

Top 1% in 5 of 17 skills, ranked by MRR among everyone on Upwork with the skill.

  1. 2SendGrid146 freelancers · 🇮🇳 #1Top 1%
  2. 2Single Sign-On131 freelancers · 🇮🇳 #1Top 2%
  3. #4Web API670 freelancers · 🇮🇳 #1Top 0.60%
  4. #5Twilio743 freelancers · 🇮🇳 #1Top 0.67%
  5. #14Entity Framework1,047 freelancers · 🇮🇳 #1Top 1%
  6. #27ASP.NET MVC2,619 freelancers · 🇮🇳 #8Top 1%
  7. #33ASP.NET2,819 freelancers · 🇮🇳 #5Top 1%
  8. #36REST API5,062 freelancers · 🇮🇳 #5Top 0.71%