Roles we place
Four kinds of engineer cover most healthcare builds. We match against the specific gap in your team, not a generic profile.
Healthcare backend engineers
Engineers who have built against FHIR and HL7v2 and know why the integration takes longer than the feature. Node, Python, and AWS, with PHI handling as a working habit rather than a policy document.
Healthcare AI engineers
RAG over clinical documents, medical transcription pipelines, and LLM features designed around a clinician review step — including the evaluation work that tells you whether the output is safe to put in front of one.
Integration engineers
Specialists in EHR connections: sandbox onboarding, SMART on FHIR launch, HL7v2 interfaces, terminology mapping, and the vendor review process each system imposes.
Cloud & compliance engineers
AWS architecture inside a BAA boundary — encryption, IAM, audit logging, and the documentation your customers' security reviews will ask you for.
Engagement models
Compliance & architecture review
Pre-build, or before an enterprise security review
A fixed-scope review of your architecture, PHI flows, access model, and audit posture, ending in a prioritised remediation list. Often the fastest way to find out whether your current build will survive a hospital's vendor assessment.
Product pod
Digital health startups building v1 or v2
A cross-functional team — backend, frontend, AI, and design — owning delivery end to end against a roadmap. HIPAA-aware architecture from the first commit rather than retrofitted after a customer asks.
Integration engagement
Teams blocked on an EHR connection
Scoped to a specific integration: FHIR or HL7v2 against a named EHR, including sandbox setup, mapping, error handling, and the certification path where the vendor requires one.
Embedded engineers
Teams with a roadmap and no bandwidth
Senior engineers embedded in your team with 4+ hours of daily US overlap, in your standups and your repo. Scale up or down month to month.
Hiring FAQs
Do your developers have healthcare experience?+
The engineers we place on healthcare work have shipped healthcare products — EMR, telehealth, practice management, and AI front-desk platforms. We will not put someone on a PHI-handling codebase to learn the domain on your project.
Do you sign a BAA for staff augmentation?+
Yes. If our engineers will have access to PHI, whether embedded in your team or delivering a project, a BAA is signed before access is granted.
What time zones do your engineers work?+
Our engineers provide 4+ hours of daily overlap with US (EST-PST) and UK working hours, with standups and reviews on your schedule — the same coverage as our general engineering team, since HIPAA and BAA obligations attach to the engagement, not to where an engineer is based.
How quickly can we start?+
Most engagements begin within one to two weeks. For staff augmentation we share matched senior profiles within three to five business days, and you interview before committing.
Can we hire for a single integration?+
Yes. A scoped integration engagement — one EHR, defined resources, agreed acceptance criteria — is one of the most common ways teams start with us, and it is a low-risk way to see how we work.