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Senior Full-Stack Engineer - AI Healthtech SaaS MVP Build

Budget: $15.0 - $35.0 HOURLY / FULL_TIME ⭐ 0.00 (0) United States

javascript, next.js, typescript, postgresql, api-development, amazon-web-services, react-js, node.js, python, cloud-architecture, hipaa, health-technology

About the Project We are building Roman Copilot, an AI operating layer for medical aesthetics and outpatient healthcare practices. The product connects to existing practice management systems, including EMR/POS platforms, unifies fragmented operational data, and surfaces a daily AI-generated task queue for clinic managers and a strategic intelligence view for owners. Think of it as the operational intelligence layer small healthcare businesses have never had. We already have a detailed PRD, defined architecture, and design mockups in place. We are not designing from scratch. We need a strong engineer who can execute against a clear spec and make smart decisions when gaps surface. What You Will Build EMR API connector, starting with Boulevard, with a schema designed for future multi-EMR support HIPAA-conscious data architecture, including de-identification at ingestion and encryption in transit and at rest Analytics engine and KPI computation layer feeding both the UI and AI recommendation engine AI recommendation engine producing daily Observation / Impact / Action outputs using Claude API Manager task queue UI and owner strategic view with role-based access Conversational AI copilot sidebar across all screens, supporting natural language queries against live data Morning email digest and onboarding flow What We Are Looking For Strong full-stack experience with Node.js or Python backend and React or Next.js frontend Experience building against third-party APIs, ideally in healthcare or practice management Experience with data pipelines, schemas, and normalized data models Familiarity with HIPAA, healthcare data, or regulated-data architecture Experience integrating LLM APIs such as Claude, OpenAI, or similar into production applications Ability to work from a detailed spec, move quickly, and flag gaps proactively Strong communication and comfort working in an early-stage startup environment Healthcare or EMR experience is a strong plus, but not required if you are an excellent systems-minded builder. ********************************** IMPORTANT - Engagement This will begin with a 1-hour intro call to assess fit. If there is alignment, we will move directly into a paid contract. ********************************** Please apply with: A short note on why this project is relevant to your experience Examples of full-stack products, data systems, API integrations, or AI applications you have personally built Your availability over the next 4–8 weeks Your hourly rate or preferred project structure
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