Senior Fullstack Engineer - RCM
Core
Build the clinical operating system for musculoskeletal care, handling revenue cycle data, EHR integrations, and complex state machines for patient workflows.
Role type
Senior Fullstack Engineer (Healthcare Revenue Cycle)
Builds
A monorepo product connecting care delivery with clinic operations for MSK provider groups
Domain
Healthcare / Revenue Cycle Management / Clinical Operations
Deliverable
production ML models | product features
Required skills
TypeScript, Vue.js/React, Node.js/Express, MongoDB/Mongoose, HL7/FHIR/EHR connectivity, state machines, rule engines, financial event processing, scalable query design
Preferred skills
LLM tooling (OpenAI API), Monorepo management (Turborepo/Nx), Realtime/streaming apps, Workflow orchestration (Temporal/Cadence), Cloud platforms (AWS/Azure/GCP), EDI/X12 processing
Technologies
Vue 3, TypeScript, Express, MongoDB, Turborepo, AWS, Azure, GCP, OpenAI API, Temporal, Cadence, AWS Step Functions
Responsibilities
Design and implement API routes contract-first, model clinical and revenue cycle data in MongoDB, integrate with EHRs and external systems, take features from spec to production, manage configurable state machines for financial transactions
Seniority
Senior, hands-on IC