Source description
About the role
The technical linchpin. Owns architecture, the backend, the cloud foundation, the tenancy model, and security. You will Own the system architecture and the database-per-clinic data layer, control plane, and migration tooling. Build the RIS backend in TypeScript/NestJS and the AWS foundation in Terraform. Integrate the PACS (Orthanc) Modality Worklist, DICOMweb, S3 storage and the HL7 engine (Mirth). Set the security baseline: encryption, secrets, RBAC, audit logging. Must have 6+ years building production web backends; robust TypeScript/Node (or readiness to lead in it). Deep PostgreSQL, including multi-tenant or multi-database patterns and connection pooling. Hands-on AWS (ECS/Fargate, RDS, S3, IAM), Docker, Terraform, CI/CD. A security-first instinct and clean REST API design. Strongly preferred Healthcare data experience; exposure to DICOM, HL7, or PACS/RIS systems. Built and run a multi-tenant SaaS in production. Compensation: 380,321.68 - 1,200,000.00 per year Work Location: Remote .