Senior Full-Stack Software Engineer (Healthcare Platform) | USA

About Folio3

Folio3 is a global digital transformation and software engineering firm with over 20 years of experience delivering high-impact tech solutions. Operating across North America, Europe, Asia, and the Middle East, we partner with clients ranging from innovative startups to Fortune 500 enterprises.

In the digital health domain, Folio3 builds secure, HIPAA-compliant, and scalable healthcare platforms—spanning EHR/EMR connections, clinical workflows, patient engagement apps, and complex interoperability integrations.

Job Summary

We are seeking a hands-on, self-driven Senior Full-Stack Software Engineer to join our team in building and scaling a modern healthcare technology platform. This platform supports critical functions across patient engagement, care management, clinical workflows, and complex healthcare integrations.

In this role, you will own functionality end-to-end—from front-end UI/UX down to database schemas, cloud infrastructure, monitoring, and production support.

What You'll Do

• 50% Full-Stack Product Engineering: Design and build user-facing patient and care-management applications, clinical workflows, UI/UX components, REST APIs, and core platform features.
• 50% Backend, Cloud & Integration Engineering: Architect resilient backend services on AWS, build healthcare interoperability pipelines, ensure data security/HIPAA compliance, and maintain DevOps pipelines and system reliability.

Key Responsibilities

• Application Development: Build, optimize, and maintain responsive patient-facing and care-management web applications using React and TypeScript.
• Backend & API Systems: Develop scalable microservices, RESTful APIs, asynchronous background workflows, and robust PostgreSQL database schemas.
• Core Feature Delivery: Implement end-to-end functionality across patient enrollment, care plans, clinical assessments, care workflows, multi-channel communications, analytics dashboards, and admin toolkits.
• Healthcare Interoperability: Build and manage data integrations with payers, HIEs, QHINs, and health systems using FHIR R4, HL7/ADT, C-CDA, REST APIs, SFTP, and secure file transfer protocols.
• Cloud & DevOps: Provision, deploy, and manage AWS infrastructure (ECS/EC2, RDS, ALB, Secrets Manager) using automated CI/CD tools, robust monitoring, and automated testing frameworks.
• Collaboration & Support: Provide full-lifecycle production support and troubleshoot complex issues across the full stack while collaborating directly with Product, Engineering, Operations, and Clinical teams.

Qualifications & Requirements

• Experience: Minimum 5+ years of professional full-stack software development experience.
• Core Stack Mastery:
• Frontend: React, TypeScript
• Backend: Node.js, Express, REST APIs
• Database: PostgreSQL
• Cloud & DevOps: AWS (ECS/EC2, RDS, ALB, Secrets Manager), CI/CD pipelines (GitHub Actions), automated testing (Playwright)
• Services: Twilio, SendGrid, SFTP / file-based integrations
• Engineering Mindset: Ability to quickly navigate existing codebases, work independently in a lean environment, and take end-to-end ownership from system design to production deployment.
• Modern Tooling: Familiarity with modern, AI-assisted development tools (e.g., GitHub Copilot, Cursor, LLM workflows) is a plus.

Preferred Qualifications (Healthcare Domain — Big Plus)

• Hands-on experience developing healthcare software, digital health apps, or HIPAA-compliant solutions.
• Direct experience with healthcare interoperability standards and protocols: FHIR R4, HL7/ADT, C-CDA.
• Prior background working with payer integrations, HIEs, QHINs, patient engagement tools, or clinical workflow platforms.

Benefits:

• Health insurance

Work Location: Remote