Senior Fullstack Engineer – RCM

• Build screens against the internal component library
• Design and implement contract-first API routes with schemas shared across frontend and backend
• Model clinical and revenue cycle data in MongoDB and keep it queryable as collections grow
• Work inside shared TypeScript packages used by every application in the monorepo
• Take features from specification through production and support them after launch
• Work across the full revenue cycle, from pre-visit clearance through payment
• Integrate with clients’ existing EHRs and external systems
• Own the main product surface end to end across Vue 3, TypeScript, Express, MongoDB, and shared TypeScript packages

Requirements

• 5+ years building and shipping production web applications
• 3+ years of health care revenue cycle management experience
• Strong TypeScript across the stack
• Hands‑on experience with a modern front‑end framework such as Vue or React
• Backend experience with Node, Express, and MongoDB/Mongoose
• Ability to design scalable queries and schemas for large clinical, patient, and financial datasets
• Ability to identify shortcomings of development tools
• Experience designing for unpredictable growth and explaining tradeoffs
• Experience improving large codebases without rewriting them
• Experience moving health data between systems using HL7, FHIR, and EHR connectivity
• Experience building complex, auditable systems geared towards visibility
• Experience processing financial events and managing transaction states
• Experience creating configurable state machines and rule engines
• Understanding of clinical workflows, care pathways, and healthcare revenue cycles (preferred)
• Familiarity with the OpenAI API or similar LLM tooling (preferred)
• Monorepo experience, such as Turborepo or Nx (preferred)
• Realtime or streaming applications experience (preferred)
• Durable workflow orchestration experience, such as Temporal, Cadence, or AWS Step Functions (preferred)
• Experience with AWS, Azure, or GCP (preferred)
• Experience building analytics or reporting on transactional data (preferred)
• Experience with EDI/X12, including 270, 271, and 835 (a plus)

Core Competencies

Demonstrates expertise in building and shipping production web applications with a focus on healthcare revenue cycle management. Proficient in TypeScript, Vue 3, and backend technologies, with a strong understanding of clinical workflows and data integration.

Highest-signal resume keywords

• TypeScript Expertise
• Healthcare Revenue Cycle Management
• Vue 3 Front-End Development
• Node and Express Backend Development
• MongoDB Data Modeling

ATS Optimization Keywords

Hard Skills

• TypeScript
• Vue 3
• Node
• Express
• MongoDB
• HL7
• FHIR
• EHR Connectivity
• Scalable Query Design
• Configurable State Machines

Soft Skills

• Problem Solving
• Communication
• Collaboration

Industry Keywords

• Clinical Workflows
• Revenue Cycle
• Financial Events
• Transaction States
• EDI/X12

Tools & Technologies

• OpenAI API
• AWS
• Azure
• GCP
• Monorepo Tools
• Turborepo
• Nx
• Temporal
• Cadence
• AWS Step Functions