Healthcare - Fullstack Engineer (JS)

ABOUT THE ROLE
folio3 is looking for a hands-on Senior Full-Stack Software Engineer to work on a healthcare technology platform supporting patient
engagement, care management, clinical workflows, and healthcare integrations.
50% Full-Stack Product Engineering - patient and care-management applications, workflows, UI/UX, APIs, and feature delivery.
50% Backend, Cloud & Integration Engineering - AWS, data, healthcare interoperability, DevOps, security, and reliability.
The engineer should be comfortable owning functionality end to end:
UI → API → Database → Cloud → Monitoring → Production Support
KEY RESPONSIBILITIES
• Build and maintain patient-facing and care-management applications using React and TypeScript.
• Develop backend services, APIs, asynchronous workflows, and PostgreSQL-based applications.
• Deliver functionality across enrollment, care plans, assessments, clinical workflows, communications, dashboards, and administrative
capabilities.
• Build integrations with payers, HIEs, QHINs, and healthcare partners using REST APIs, FHIR R4, HL7/ADT, C-CDA, SFTP, and file-based
integrations.
• Develop and support applications and infrastructure running on AWS, including CI/CD, automated testing, deployment, monitoring,
security, and production reliability.
• Troubleshoot issues across frontend, backend, database, integrations, and cloud infrastructure, and collaborate closely with technology
leadership, Product, Clinical, Operations, and external partners.
TECHNICAL SKILLS
Core: React, TypeScript, Node.js, Express, PostgreSQL, REST APIs, Git/GitHub, AWS, CI/CD, and automated testing.
Relevant platform experience: AWS ECS/EC2, RDS, ALB, Secrets Manager, GitHub Actions, Playwright, Twilio, SendGrid, SFTP, and file-based
integrations.
Healthcare experience: Hands-on experience with healthcare technology is highly desirable, particularly FHIR R4, HL7/ADT, C-CDA, payer
integrations, HIEs, QHINs, clinical workflows, or patient engagement platforms.
WHAT WE'RE LOOKING FOR
A senior engineer with a minimum of 5 years of professional software development experience, who can work independently, quickly
understand an existing codebase, and take ownership of complex functionality from design through production. The ideal candidate is
comfortable moving between frontend, backend, database, cloud, and integrations while maintaining a strong focus on security, reliability,
maintainability, and healthcare data privacy. Experience working in a lean engineering environment and using modern AI-assisted
development tools is a plus.

Work arrangement
Yes