Overview
Skills
Job Details
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.