About this opportunity
Jobtailor lists this Senior Fullstack Engineer – RCM opportunity in new york, New York. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Build screens against the internal component library
Design and implement contract-first API routes 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 used by every application in the monorepo
Take features from specification through production and support them after launch
Work across the full revenue cycle, from pre-visit clearance through payment
Integrate with clients’ existing EHRs and external systems
Own the main product surface end to end across Vue 3, TypeScript, Express, MongoDB, and shared TypeScript packages
Requirements
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 a modern front‑end framework such as Vue or React
Backend experience with Node, Express, and MongoDB/Mongoose
Ability to design scalable queries and schemas for large clinical, patient, and financial datasets
Ability to identify shortcomings of development tools
Experience designing for unpredictable growth and explaining tradeoffs
Experience improving large codebases without rewriting them
Experience moving health data between systems using HL7, FHIR, and EHR connectivity
Experience building complex, auditable systems geared towards visibility
Experience processing financial events and managing transaction states
Experience creating configurable state machines and rule engines
Understanding of clinical workflows, care pathways, and healthcare revenue cycles (preferred)
Familiarity with the OpenAI API or similar LLM tooling (preferred)
Monorepo experience, such as Turborepo or Nx (preferred)
Realtime or streaming applications experience (preferred)
Durable workflow orchestration experience, such as Temporal, Cadence, or AWS Step Functions (preferred)
Experience with AWS, Azure, or GCP (preferred)
Experience building analytics or reporting on transactional data (preferred)
Experience with EDI/X12, including 270, 271, and 835 (a plus)
Core Competencies
Demonstrates expertise in building and shipping production web applications with a focus on healthcare revenue cycle management. Proficient in TypeScript, Vue 3, and backend technologies, with a strong understanding of clinical workflows and data integration.
Highest-signal resume keywords
TypeScript Expertise
Healthcare Revenue Cycle Management
Vue 3 Front-End Development
Node and Express Backend Development
MongoDB Data Modeling
ATS Optimization Keywords
Hard Skills
TypeScript
Vue 3
Node
Express
MongoDB
HL7
FHIR
EHR Connectivity
Scalable Query Design
Configurable State Machines
Soft Skills
Problem Solving
Communication
Collaboration
Industry Keywords
Clinical Workflows
Revenue Cycle
Financial Events
Transaction States
EDI/X12
Tools & Technologies
OpenAI API
AWS
Azure
GCP
Monorepo Tools
Turborepo
Nx
Temporal
Cadence
AWS Step Functions
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Worksite address
new york, NY, 10261, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.