Flaglerhealth

Senior Fullstack Engineer - RCM

NYC Office, Remote. Posted 2 months ago

The role

Senior Fullstack Engineers own the main product surface end to end. You will build screens, design API routes, model clinical and revenue cycle data, and integrate with EHRs and external systems.

What you will do

  • Build screens against our internal component library
  • Design and implement API routes contract-first, 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 every app in the repo depends on
  • Take features from spec to production and support them once they're live
  • Work across the full revenue cycle, from pre-visit clearance through payment
  • Integrate with the EHRs and external systems that our clients already run on

Required qualifications

  • 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 modern front-end framework such as Vue or React
  • Backend experience with Node, Express, and MongoDB/Mongoose
  • Experience moving health data between systems: HL7, FHIR, EHR connectivity
  • Built complex yet auditable systems geared towards visibility
  • Experience processing financial events while effectively managing states for each transaction
  • Created configurable state machines and rule engines

Nice to have

  • Understanding of how care is delivered: clinical workflow, care pathways, how a patient moves through the system, and how a practice gets paid for it
  • Familiarity with the OpenAI API or similar LLM tooling
  • Monorepo experience (e.g., Turborepo, Nx)
  • Realtime or streaming applications
  • Durable workflow orchestration (e.g., Temporal, Cadence, AWS Step Functions)
  • Experience with cloud platforms such as AWS, Azure, or GCP
  • Experience building analytics or reporting on top of transactional data
  • Experience with EDI/X12 (270, 271, 835)

About the company

Flagler Health is building the clinical operating system for modern musculoskeletal care. They partner with MSK provider groups and specialty clinics to help them grow and deliver longitudinal care.