Lead Full Stack Software Architect

Cutting-edge healthcare startup dedicated to revolutionizing the industry through innovative technologies. Join a collaborative, entrepreneurial team at National Quality Systems, Inc. and help shape the future of healthcare technology in a fully remote, high-impact role.

Highlights

• Build market-leading technology that improves patient care and hospital performance.
• Work in an entrepreneurial environment with a collaborative team.
• Join a startup company with over 100 healthcare clients and growing.
• Fully remote role with a large business impact.

Responsibilities

• Design, develop, test, and deploy scalable backend microservices and web applications using Python and React.
• Build and maintain SQL databases (e.g., PostgreSQL, MySQL) for efficient, secure data storage and retrieval.
• Develop and consume RESTful APIs and work with JSON, XML, and CSV for interoperability with EHRs, registries, and billing systems.
• Implement cloud-native solutions on Azure, including containerized services and infrastructure-as-code.
• Contribute to CI/CD pipelines and DevOps processes to ensure efficient deployments and reliable operations.
• Collaborate with cross-functional teams (clinical, product, engineering) to translate business and RCM requirements into technical solutions.
• Troubleshoot, debug, and resolve technical issues across the full stack.
• Write clean, maintainable, well-tested code following industry best practices.
• Participate in code reviews, design discussions, and continuous improvement initiatives.
• Stay current with emerging technologies, healthcare data standards, and regulatory requirements.

Requirements

• B.S. in Computer Science, Information Technology, or a related field.
• 5+ years of experience in full-stack development.
• Experience in a lead role.
• Proven healthcare domain experience (i.e., EHR systems, claims processing, clinical registries, HIPAA compliance).
• Backend: Python (Django, FastAPI, Flask), microservices development, RESTful API design, Kubernetes, and Terraform.
• Frontend: React, HTML5, CSS3, TypeScript, JavaScript.
• Database: SQL (e.g., PostgreSQL, MySQL).
• Strong experience with Azure.
• Familiarity with CI/CD pipelines and containerization tools (e.g., Docker, Kubernetes).
• Strong problem-solving skills with the ability to work independently in a remote environment.
• Excellent communication and collaboration skills.

Preferred Qualifications

• Experience with healthcare claims processing, including 837 (institutional/professional) claim formats and 835 remittance files, with an understanding of payer workflows, claim adjudication, and revenue cycle processes.
• Strong knowledge of RCM (Revenue Cycle Management), including charge capture, coding concepts, denials, and reimbursement workflows.
• Prior experience with early-stage companies or developing 0→1 products.

Pay

A reasonable estimate of the base salary range for this level is $125,000 to $160,000 annualized, plus other competitive benefits.