Overview
Skills
Job Details
Job Title: Full Stack Developer Healthcare App Modernization (Node.js, React, TypeScript)
Location: New York, NY (Remote)
Experience: 7+ Years
Salary Range: Based on experience
Education: BE/ME/BTech/MTech/BSc/MSc in Engineering or related field
Certifications: Technical certifications in relevant technologies are a plus
We are seeking a Full Stack Developer with strong backend expertise in Node.js and TypeScript, and working knowledge of React. You'll work alongside our technical lead to modernize a suite of legacy healthcare applications, replacing them incrementally with robust, secure, and scalable services. This role offers the opportunity to drive digital transformation in a regulated and highly impactful healthcare environment.
Key ResponsibilitiesApplication Modernization (Strangler Pattern)
-
Support the migration of over 100 legacy applications to a modern architecture using Node.js (TypeScript) and React
-
Design and implement modular, scalable services that replace legacy components without system downtime
-
Collaborate with architects to define modernization roadmaps and maintain HIPAA compliance
Backend Development (60 70% Focus)
-
Build secure, high-performance APIs and microservices using Node.js and TypeScript
-
Integrate with healthcare systems such as EHR/EMR, pharmacy platforms, and third-party APIs
-
Utilize SQL databases, ORM tools, and follow microservices best practices
-
Preferred experience with NestJS (or Express.js, LoopBack.js, Sails.js)
-
Leverage Azure cloud services (e.g., Blob Storage) while ensuring HIPAA-compliant data handling
Frontend Development (React Nice to Have)
-
Contribute to UI modernization using React, ensuring WCAG compliance and user-centered design
-
Collaborate with designers to map complex workflows into intuitive interfaces
-
Implement state management (Redux or Context API) and optimize performance for high traffic
Collaboration & Compliance
-
Partner with QA to ensure regulatory compliance (HIPAA, HITRUST)
-
Work with DevOps on CI/CD pipeline automation using Azure DevOps
-
Document technical progress and support training and onboarding for teams transitioning to modern tools
-
7+ years of Full Stack development experience, with a strong backend focus
-
5+ years of hands-on experience in Node.js (TypeScript) and React
-
Strong understanding of microservices architecture and RESTful API development
-
Proven experience with application modernization using the Strangler Pattern or similar strategies
-
Proficiency in SQL database integration with Node.js and use of ORMs
-
Experience with cloud platforms (preferably Azure) and containerization tools (Docker, Kubernetes)
-
Adherence to secure coding practices within healthcare environments
-
Experience with NestJS for backend architecture
-
Familiarity with Ruby on Rails or C# to support and refactor legacy systems
-
Knowledge of healthcare protocols such as FHIR, HL7, or prior authorization workflows
-
Exposure to Azure Healthcare APIs (e.g., Azure API for FHIR, Health Data Services)
-
Background in healthcare tech, life sciences, or regulated environments (HIPAA, GDPR)