Senior Full-Stack Engineer, AI-Powered RCM
We're looking for a senior full-stack engineer to join greenfield product development on a new AI-powered revenue cycle management (RCM) product — built on a platform that moves dental records and imaging (CBCT, DICOM) between general practices, specialists, and dental schools. The engagement is fractional and milestone-based, with a quick sprint cadence and no fixed working hours — work is measured by shipped features and merged PRs. It can grow into a larger ongoing commitment as the product scales.
Your responsibilities will include:
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Building full-stack features in TypeScript / Node.js (Express, MySQL, Redis, Zod) and React 18 (Vite, TanStack Query, Tailwind);
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Integrating LLMs into product workflows — we build with Claude — including model harnesses, structured outputs, and data pipelines;
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Working with structured healthcare data and claims flows;
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Submitting PRs to dev and passing the same review and CI gates as the core team (GitHub Actions, dev → staging → prod).
What we expect from you:
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Senior-level full-stack TypeScript / Node.js experience;
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Hands-on AI / LLM integration experience in production;
- Strong React product UI skills;
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Experience with data pipelines and structured data;
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Strong English; ability to self-manage as an independent contributor;
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Daily use of AI tooling (Claude, Cursor) in your workflow;
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US healthcare / claims / RCM domain experience;
- HIPAA / PHI handling experience.
We offer:
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Interesting product challenges at the intersection of healthcare data and AI;
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Work in a small, focused founding team with a modern, AI-native development practice;
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Flexible fractional engagement — outcome-driven, no fixed hours, fully remote;
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Milestone-based cadence with room to grow into a larger ongoing commitment;
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Lack of bureaucracy and direct collaboration with the founding team;
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Trial period to validate the fit before scaling up the engagement.
Originally posted on Himalayas