Full-Stack Engineer

Remote Full-time
Faithful Therapy is building a secure, multi-tenant, HIPAA-compliant internal EHR platform to power mental health and nutrition services across multiple states.
This system will serve as our clinical system of record and operational backbone. It will manage scheduling, documentation, audit logging, provider access controls, integrations, and reporting.
We are hiring a senior engineer to own architecture, implementation, and long-term system integrity.
This is not a feature-execution role. This is a system ownership role.
What You’ll Build
You will lead development of:
Multi-tenant EHR platform with row-level data isolationProvider, admin, and patient portalsRole-based access control with enforced 2FAAppend-only audit logging for PHI accessScheduling engine with availability rules and licensing constraintsMedical note editor with structured templates and lock/sign workflowsIntegration with Zoom (server-to-server OAuth)Event-based integration with HubSpotBilling export pipelineReporting layer including guarded SQL execution
This system stores protected health information and must meet HIPAA security and audit expectations.
Tech Stack
Next.js (TypeScript)PostgreSQL (Cloud SQL)ReactPrisma ORMtRPC API layerSecure auth with TOTPGCP (Cloud Run, Cloud SQL, Cloud Storage)Zoom OAuthHubSpot APIAutomated testing (Vitest / Playwright)
Responsibilities
Own database schema design and migrationsImplement multi-tenant data isolationEnforce RBAC and audit loggingArchitect integration retry and failure handlingDeploy and maintain production infrastructureMonitor performance and reliabilityHarden system for security and complianceGuide long-term scalability decisions
Required Experience
3+ years building production-grade web systemsStrong PostgreSQL expertise (constraints, indexing, transactions)Experience implementing secure authentication and RBACExperience working in regulated environments (healthcare, fintech, etc.)Experience integrating OAuth-based APIsExperience owning infrastructure end-to-end
Preferred
HIPAA experienceMulti-tenant SaaS architectureHealthcare or EHR platform experienceExperience building scheduling systems
Compensation
Base Salary: $4000-5000 USD per month plus $10,000 USD Bonus for on-time completion
This role is foundational to the company’s technical infrastructure and long-term defensibility.


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