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:
Building full-stack features in TypeScript / Node.js (Express, MySQL, Redis, Zod) and React 18 (Vite, TanStack Query, Tailwind);
Integrating LLMs into product workflows — we build with Claude — including model harnesses, structured outputs, and data pipelines;
Working with structured healthcare data and claims flows;
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:
Senior-level full-stack TypeScript / Node.js experience;
Hands-on AI / LLM integration experience in production;
Strong React product UI skills;
Experience with data pipelines and structured data;
Strong English; ability to self-manage as an independent contributor;
Daily use of AI tooling (Claude, Cursor) in your workflow;
US healthcare / claims / RCM domain experience;
HIPAA / PHI handling experience.
We offer:
Interesting product challenges at the intersection of healthcare data and AI;
Work in a small, focused founding team with a modern, AI-native development practice;
Flexible fractional engagement — outcome-driven, no fixed hours, fully remote;
Milestone-based cadence with room to grow into a larger ongoing commitment;
Lack of bureaucracy and direct collaboration with the founding team;
Trial period to validate the fit before scaling up the engagement.
Originally posted on