Solution Architect · Health Informatics & Social Protection Specialist · e-Governance Researcher
📍 Kathmandu, Nepal | 📧 sunilparajuli2002@gmail.com | 📱 (+977) 9849298499

Solution Architect and Senior Digital Health / Social Protection Specialist with over 9+ years of track record architecting national-scale health insurance platforms (openIMIS), Digital Public Infrastructure (openCRVS, MOSIP, openG2P, DHIS2), and HL7 FHIR / openHIM interoperability pipelines.

Proven expertise bridging public health policy with resilient software engineering across international missions and symposiums in Nepal, Germany, Kenya, Laos, and Cameroon. Lead author on health financing interoperability models and actively researching machine learning applications for false claims detection in national health insurance.

• Digital Public Goods & openIMIS: National health insurance architecture, beneficiary registries, automated claims processing, duplicate claim control, and modular microservices migration.
• Interoperability & Data Convergence: HL7 FHIR standards, openHIM middleware, openHIE architecture, openCRVS civil registration integration, and Digital Convergence Initiative (DCI) APIs.
• Applied AI & Social Protection: OCR-based supporting document verification, automated eligibility assessment, and machine learning models for health insurance fraud detection.
• Enterprise Architecture & Full-Stack: Python (Django, FastAPI), ReactJS, TypeScript, Next.js, VB.NET, PostgreSQL, MS SQL, Linux, VMware ESXi, Docker, and AWS.

• Context: GIZ Germany · Berlin Hackathon at SAP Data Space (Feb 2026)
• Role: Solution Architect & Lead Developer
• Impact: Engineered an AI/OCR verification tool that extracts and cross-validates structured applicant evidence against uploaded records, reducing manual review effort by 75% and preventing fraud.

• Context: Global Digital Health Forum (GDHF), Nairobi, Kenya (Dec 2025)
• Role: Lead Author & Presenter
• Impact: Presented the breakthrough model linking Community Health Worker (CHW) feedback directly with health financing and insurance systems using openIMIS and open standards to accelerate Universal Health Coverage (UHC).

• Context: Tinker Technology / GIZ S2HSS (Nov 2025 – Present)
• Role: Solution Architect
• Impact: Leading the decoupling and modernization of national openIMIS installations into independent, high-throughput microservices.

• Context: GIZ Support to Health Sector Strategy (S2HSS) (2024)
• Role: Team Lead for Interoperability
• Impact: Connected openCRVS with openIMIS via openHIM and DCI APIs to automate newborn health coverage enrollments and eliminate manual dual-entry.

• Context: SSF Nepal with Tinker Tech & International Labour Organization (ILO) (2023 – Present)
• Role: Health Insurance & Social Security Expert
• Impact: Developed core modules for contributor registration, claims adjudication, sickness/maternity benefits, and duplicate claims control, alongside FHIR EHR integration.

• Context: Asia eHealth Information Network (AeHIN) / MoH Lao PDR / WHO (2023 – 2024)
• Role: openIMIS Expert & Technical Consultant
• Impact: Conducted technical consultations and stakeholder workshops with the Ministry of Health Lao PDR and WHO to map openIMIS to national digital health strategies.

• Master in e-Governance | Nepal Open University (NOU)

  • GPA: 3.76 / 4.0 | European Qualifications Framework (EQF) Level 7
  • Thesis (9 Credits): Machine Learning for False Claim Detection in Health Insurance
  • Focus: Digital Public Infrastructure, Health Informatics, e-Governance Architecture, ICT Law & Ethics.

• Bachelor of Computer Engineering | Kathmandu University (KU)

  • EQF Level 6 | Software Engineering, Distributed Databases, Computer Networks, and Systems Architecture.

• Higher Secondary (+2 Science) | GoldenGate International College

  • EQF Level 4 | Physics, Mathematics, and Computer Science.

• 🇳🇵 Nepal: Health Insurance Board, Social Security Fund, Office of the Attorney General, Tinker Tech
• 🇩🇪 Germany (Berlin): GIZ SAP Data Space Hackathon (OCR & Document AI)
• 🇰🇪 Kenya (Nairobi): Global Digital Health Forum (Lead Author & Speaker)
• 🇱🇦 Laos (Vientiane): Ministry of Health Lao PDR & AeHIN (openIMIS Advisory)
• 🇨🇲 Cameroon (Yaoundé): openIMIS Global Developer Meet
• 🇸🇬 Singapore: Remote Cloud & Web Infrastructure
• 🇦🇺 Australia: Remote Platform Architecture

• English: C1 Advanced (Proficient in Technical, Academic & Executive Communication)
• Nepali: Native
• Hindi: Fluent Working Proficiency

• Email: sunilparajuli2002@gmail.com
• Phone: +977 9849298499
• Location: Tenzingchowk, 44600, Kathmandu, Nepal
• LinkedIn: linkedin.com
• GitHub: github.com/sunilparajuli