Overview
Skills
Job Details
Job Title: Full Stack Lead Healthcare App Modernization (Node.js, React, TypeScript)
Location: Remote (Preference: New York, NY)
Experience: 10+ Years
Education: BE/ME/BTech/MTech/BSc/MSc in Engineering or related field. Technical certifications are a plus.
We are seeking a Full Stack Lead Developer with a strong backend focus to support a large-scale healthcare application modernization initiative. This role requires hands-on expertise in Node.js (TypeScript), along with experience in React for frontend development. You'll play a pivotal role in migrating legacy healthcare systems using microservices architecture with a focus on zero-downtime deployment, regulatory compliance, and user-centric design.
What You'll Do Application Modernization (Strangler Pattern Approach)-
Lead the incremental migration of 100+ legacy healthcare applications to a modern architecture using Node.js (TypeScript) for backend and React for frontend.
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Implement modular services to gradually replace legacy components with minimal disruption to users.
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Collaborate with architects to define the modernization roadmap while ensuring HIPAA compliance.
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Design and build scalable, secure REST APIs and microservices using Node.js, TypeScript, and preferably NestJS.
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Integrate with SQL databases and healthcare platforms such as EHR/EMR systems, pharmacy networks, and third-party APIs.
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Apply ORM frameworks and follow secure coding practices for healthcare data.
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Optimize backend for performance and security on Azure cloud (Blob Storage, containerized environments).
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Enhance and modernize UI using React, with a focus on accessibility and healthcare UX standards (e.g., WCAG).
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Collaborate with designers to translate complex workflows into intuitive interfaces.
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Implement frontend state management (Redux, Context API) and performance optimization for high-traffic applications.
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Work closely with QA to ensure HIPAA, HITRUST, and other regulatory standards are met.
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Partner with DevOps to automate CI/CD pipelines using Azure DevOps and ensure production stability.
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Provide documentation, training, and support to internal teams adopting modernized components.
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10+ years of full-stack development experience.
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5+ years of recent experience with Node.js, TypeScript, and React.
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Proficiency in SQL database integration and use of ORM tools with Node.js.
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Deep understanding of microservices architecture-ability to design, implement, and scale services.
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Experience with cloud platforms (Azure preferred), containerization (Docker, Kubernetes), and secure coding practices.
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Experience with NestJS or similar backend frameworks (Express, Sails.js, LoopBack).
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Familiarity with Ruby on Rails or C# to support/refactor legacy code during migration.
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Knowledge of Azure Healthcare tools (Azure API for FHIR, Health Data Services).
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Exposure to healthcare interoperability standards (HL7, FHIR) or prior authorization workflows.
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Background in healthcare, life sciences, or other regulated industries (HIPAA, GDPR).