Lead design, development and delivery of secure, HIPAA-aligned full-stack healthcare applications using Next.js, React and TypeScript. Build FHIR R4 integrations with Google Cloud Healthcare API, maintain Firestore-backed systems, implement RBAC with Firebase/Auth/NextAuth, develop Firebase Functions, stream data to BigQuery, integrate Google Genkit/Gemini AI responsibly, and ensure observability, testing (Playwright) and CI/CD for production reliability.
We’re looking for a Senior Full Stack Developer with deep hands-on experience in building secure, scalable healthcare software. In this role, you will take ownership of the design, development and delivery of enterprise-grade applications on our healthcare technology platforms. This is an ideal role for an experienced engineer who can drive technical decisions, own complex integrations and deliver production-quality solutions across a full-stack environment spanning modern web technologies, cloud infrastructure and healthcare data standards
Responsibilities
- Design and develop robust full-stack applications using Next.js, React, TypeScript and Firebase/Google Cloud services.
- Take ownership of end-to-end feature delivery: from architecture decisions and design through to production deployment.
- Build and maintain FHIR-compliant integrations with Google Cloud Healthcare API, including resource operations, data sync pipelines and streaming exports to BigQuery.
- Work on secure, role-based access control (RBAC) across Next.js middleware, Firebase Security Rules, and Firebase Functions.
- Develop and maintain Firebase Functions for serverless backend logic, Firestore triggers, Pub/Sub subscribers and scheduled jobs.
- Ensure data integrity across Firestore and FHIR datastores, including pipelines to BigQuery for analytics and reporting.
- Integrate and maintain AI/ML workflows using Google Genkit and Gemini AI, with strict attention to data privacy and PHI handling.
- Monitor application health using GCP Cloud Logging, Error Reporting and Cloud Trace; investigate and resolve production issues proactively.
- Conduct thorough code reviews and contribute to engineering standards, patterns and best practices.
- Write and maintain automated tests including E2E tests using Playwright to ensure software quality across multiple user roles.
- Work closely with cross-functional teams including Product, QA and Operations to support smooth project execution.
- Contribute to continuous integration and deployment processes (CI/CD) to improve development and release efficiency.
- Ensure all development adheres to HIPAA compliance requirements and healthcare data security standards; maintain up-to-date technical documentation.
- Framework: Next.js 15.0 with React 18.3
- Language: TypeScript for type-safe development
- UI Components: ShadCN UI with Radix UI primitives
- Styling: Tailwind CSS with custom design system
- State Management: React Hooks and Context API
- Form Handling: React Hook Form with Zod validation
- Authentication: Firebase Authentication with NextAuth.js and custom claims-based RBAC
- Database: Firebase Firestore (NoSQL) with Security Rules authoring
- FHIR Integration: Google Cloud Healthcare API — FHIR R4 resource operations and data exchange
- AI/ML Platform: Google Genkit with Gemini AI for clinical workflow automation
- Cloud Functions: Firebase Functions — HTTP, Firestore, Auth, Pub/Sub, and Scheduled triggers
- File Storage: Firebase Storage for documents and media
- Data & Analytics: BigQuery for FHIR data analytics; streaming and batch export pipelines from Google Cloud Healthcare API
- Messaging: GCP Pub/Sub for event-driven architectures and FHIR change notifications
- Observability: GCP Cloud Logging, Error Reporting, and Cloud Trace for monitoring and debugging
Requirements
- Bachelor’s degree in Computer Science, Engineering, or a related field (or equivalent work experience).
- 7-9 years of hands-on experience in software development with a strong focus on full-stack web technologies.
- Deep proficiency in Next.js, React and TypeScript for building production-grade web applications, including App Router patterns and Server Components.
- Strong experience with Firebase Authentication, NextAuth.js and implementing custom claims-based RBAC across Next.js middleware, Firebase Security Rules, and Cloud Functions.
- Hands-on experience with Firebase Firestore, including data modelling for NoSQL, Security Rules authoring, and working with consistency patterns.
- Good experience with Google Cloud Healthcare API for FHIR R4 compliant data exchange, including resource CRUD operations, search, and batch/streaming export to BigQuery.
- Practical experience working with BigQuery for healthcare analytics, including navigating FHIR-structured schemas and writing analytical SQL.
- Hands-on experience with Firebase Functions across multiple trigger types: HTTP, Firestore, Auth, Pub/Sub, and Scheduled.
- Experience with UI development using ShadCN UI, Radix UI primitives, Tailwind CSS, and form handling with React Hook Form and Zod validation.
- Experience building event-driven architectures using GCP Pub/Sub, including FHIR change notification pipelines and async processing.
- Experience integrating Google Genkit and Gemini AI into production applications, with strong understanding of responsible AI use and PHI handling in clinical contexts.
- Proficiency with GCP observability tools - Cloud Logging, Error Reporting, and Cloud Trace — for proactive monitoring and production issue diagnosis.
- Experience with Git and CI/CD pipelines; experience with Firebase App Hosting or similar deployment platforms.
- Strong understanding of HIPAA compliance requirements and experience designing HIPAA-compliant software, including PHI handling, audit logging and data security best practices.
- Excellent problem-solving skills, ability to work independently on complex systems, and strong written and verbal technical communication.
BenefitsWhat do you get in return?
- Be part of a high-impact team shaping the future of our IP and product innovation strategy.
- Work with cutting-edge technologies in a focused yet flexible lab environment.
- Help define how applied AI can solve real-world problems in complex, high-stakes domains.
- Grow with a small, mission-aligned team backed by executive support and a long-term vision.
- Receive industry-best compensation and benefits.
- Send us your updated CV. If possible, include a cover letter highlighting how you have contributed to and enriched your previous organization.
- If we find your profile suitable, our Talent team will reach out to understand your profile, interests, and how we can best align your aspirations with the opportunity.
- Finally, you will have a conversation with our Founder to learn more about us and explore whether this is the right next career move for you.
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