Senior Fullstack Engineer - RCM
Flagler Health4 hours ago
Responsibilities
- Build frontend screens using 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 maintain query performance as collections grow.
- Develop and maintain shared TypeScript packages used across the monorepo.
- Take features from specification through production and support them after launch.
- Build workflows spanning the full revenue cycle, from pre-visit clearance through payment.
- Integrate with clients’ EHRs and external systems.
- Create auditable systems, financial transaction state management, configurable state machines, and maintainable rule engines.
Requirements
- 5+ years of experience building and shipping production web applications, including 3+ years of healthcare revenue cycle management experience.
- Strong TypeScript experience across the full stack.
- Hands-on experience with modern frontend frameworks such as Vue or React.
- Backend experience with Node, Express, and MongoDB/Mongoose.
- Ability to design scalable schemas and queries for large clinical, patient, and financial datasets.
- Experience improving large existing codebases rather than rewriting them.
- Experience moving health data between systems using HL7, FHIR, and EHR connectivity.
- Experience building complex, auditable systems designed for visibility.
- Experience processing financial events and managing transaction states.
- Experience creating configurable state machines and rule engines that accommodate new cases with minimal code changes.
- Understanding of clinical workflows, care pathways, and healthcare payment practices is preferred.
- Familiarity with the OpenAI API or similar LLM tooling is preferred.
- Monorepo, realtime or streaming, durable workflow orchestration, cloud platform, analytics/reporting, and EDI/X12 experience are preferred or advantageous.
Benefits
- Distributed remote team with hybrid offices in NYC and Vancouver.
- Hybrid work arrangement with regular and consistent onsite presence required.
Tech Stack
Categories
About Flagler Health
Flagler Health builds an AI-enabled operating system for musculoskeletal care, used by outpatient clinics to coordinate clinical and administrative workflows within existing EHRs. The platform aggregates clinical and claims data from disparate EHR sources to run care management programs and surface candidates for intervention. Founded in 2023 and headquartered in New York City, the company is privately held and venture-backed, with investors including Bessemer Venture Partners and SignalFire.