Sr Node.js, Typescript Fullstack Developer

Experience: - 10+ Years

Location: - (Remote) EST hours

Educational Qualifications: -

• Engineering Degree – BE/ME/BTech/MTech/BSc/MSc.
• Technical certification in multiple technologies is desirable.

Full Stack Lead (Healthcare App Modernization – Node.js, React, TypeScript)

60 - 70% - Backend is needed we need basically a backend guy with some experience in frontend. React is frontend. having it is a plus.

-> Typescript(Most important)

-> NestJS(Preferred) or Express JS or Sails.Js or loopback.js

-> NodeJS in Backend 

-> Must have SQL DB integrations with node backend 

-> Knowledge on ORM

-> Micro-services Architecture (Most people failing here)

What is in it for you?

• We’re seeking a Full Stack Developer with expertise in Node.js (TypeScript) and React to work closely with our lead for application modernization efforts.
• You’ll modernize legacy systems by incrementally replacing components with new services built on Node.js and React, ensuring zero downtime for healthcare providers and patients.
• Experience with cloud platforms like Azure, and familiarity with NestJS, Ruby on Rails, or C#, will help you bridge legacy and modern systems during this transformation

Key Responsibilities: -

Application Modernization (Strangler Pattern):

• Work with the workstream lead for the incremental migration of 100+ legacy applications to a modern Node.js (TypeScript) backend and React frontend.
• Design and implement modular services to "strangle" legacy components, ensuring seamless integration and minimal disruption.
• Collaborate with architects to define migration roadmaps, prioritize high-impact modules, and maintain HIPAA compliance

Frontend Development:

• Modernize user interfaces with React, ensuring accessibility and compliance with healthcare UX standards (e.g., WCAG).
• Collaborate with designers to translate complex healthcare workflows into intuitive, patient-centric interfaces.
• Implement state management (Redux, Context API) and optimize frontend performance for high-traffic scenarios.

Backend Modernization:

• Build scalable, secure APIs and microservices with Node.js and TypeScript, prioritizing performance for healthcare workflows.
• Integrate with EHR/EMR systems, pharmacy networks, and third-party healthcare APIs.
• Optimize Azure cloud resources (Blob Storage) for HIPAA-compliant data handling

Collaboration & Compliance:

• Work with QA teams to ensure applications meet healthcare regulatory standards (HIPAA, HITRUST).
• Partner with DevOps to automate CI/CD pipelines (Azure DevOps) and monitor production systems.
• Document modernization progress and provide training for teams adopting new tools.

Nice to Have Skills:

• Experience with NestJS for structuring enterprise-grade backend services.
• Familiarity with Ruby on Rails or C# to maintain/refactor legacy components during migration.
• Knowledge of Azure healthcare tools (Azure API for FHIR, Health Data Services).
• Exposure to healthcare-specific protocols (HL7, FHIR) or prior authorization workflows.

Qualifications

Required Skills:

• 10+ years of full stack development experience, with 5+ years in Node.js (TypeScript) and React.
• Proven track record modernizing large-scale applications using the Strangler Pattern or similar incremental migration strategies.
• Strong understanding of RESTful APIs, SQL/NoSQL databases, and secure coding practices for healthcare.
• Experience with cloud platforms (Azure preferred) and containerization (Docker, Kubernetes).

Preferred Skills:

• Background in healthcare technology, life sciences, or regulated industries (HIPAA, GDPR).
• Familiarity with NestJS, Ruby on Rails, or C#.
• Knowledge of FHIR standards or healthcare interoperability frameworks.