Lead Full Stack Software Architect

National Quality Systems, Inc.; United States; On-site; USD 125,000 - 160,000; Full time

Benefits offered by this job

Fully remote

Job summary

National Quality Systems, Inc. is seeking an experienced Full Stack Software Engineer to join our growing team as the right-hand person to the Sr. VP of Engineering.

This hands-on, high-impact, fully remote role will help shape technical strategy and scale the platform for a healthcare startup serving many clients. You will design, develop, test, and deploy scalable backend microservices and web applications using Python and React, build and maintain SQL databases, and integrate with EHRs and

Qualifications

• B.S. in Computer Science or related field.
• 5+ years of full-stack development experience.
• Healthcare domain experience (EHR, claims, registries, HIPAA).
• Experience in leading technical initiatives and teams.

Responsibilities

• Design, develop, test, and deploy scalable backend microservices and web applications using Python and React.
• Build and maintain SQL databases (PostgreSQL, MySQL) for secure data storage.
• Develop and consume RESTful APIs and integrate with healthcare data systems.
• Implement cloud-native solutions on Azure and manage CI/CD pipelines.
• Collaborate with cross-functional teams to translate business requirements into technical solutions.
• Troubleshoot and resolve issues across the full stack and write clean, tested code.

Skills

Leadership

Remote work

Problem-solving

Team collaboration

Education

B.S. in Computer Science

Tools

Python

Django

FastAPI

Flask

Kubernetes

Terraform

Azure

Docker

Job description

Cutting Edge healthcare startup dedicated to revolutionizing the industry through innovative technologies. Our client, National Quality Systems, Inc., is looking for an experienced Full Stack Software Engineer to join their growing team. This position will serve as the right-hand peson to the Sr. VP of Engineering, playing a key role in shaping technical strategy, driving execution, and helping scale the organization’s technology platform. This hands-on, high impact and fully remote U.S. based role will have the opportunity to influence the future of the company.

Highlights

• Desire to build market-leading technology that improves patient care and hospital performance.
• Work in an entrepreneurial environment with a collaborative team.
• Join a startup company with over 100 healthcare clients and growing!
• Fully remote role that has a large business impact.

How You’ll Contribute

• Design, develop, test, and deploy scalable backend microservices and web applications using Python and React.
• Build and maintain SQL databases (e.g., PostgreSQL, MySQL) for efficient, secure data storage and retrieval.
• Develop and consume RESTful APIs and work with JSON, XML, and CSV for interoperability with EHRs, registries, and billing systems.
• Implement cloud-native solutions on Azure, including containerized services and infrastructure-as-code.
• Contribute to CI/CD pipelines and DevOps processes to ensure efficient deployments and reliable operations.
• Collaborate with cross-functional teams (clinical, product, engineering) to translate business and RCM requirements into technical solutions.
• Troubleshoot, debug, and resolve technical issues across the full stack.
• Write clean, maintainable, well-tested code following industry best practices.
• Participate in code reviews, design discussions, and continuous improvement initiatives.
• Stay current with emerging technologies, healthcare data standards, and regulatory requirements.

About YOU!

• B.S. in Computer Science, Information Technology, or a related field.
• 5+ years of experience in full-stack development.
• Have been in a lead role.
• Proven healthcare domain experience (i.e. EHR systems, claims processing, clinical registries, HIPPA compliance).
• Backend: Python (Django, FastAPI, Flask), microservices development, RESTful API design, Kubernetes, and Terraform.
• Strong experience with Azure.
• Familiarity with CI/CD pipelines and containerization tools (e.g., Docker, Kubernetes).
• Strong problem-solving skills with the ability to work independently in a remote environment.
• Excellent communication and collaboration skills.

Preferred

• Experience with healthcare claims processing, including 837 (institutional/professional) claim formats and 835 remittance files, with an understanding of payer workflows,
• claim adjudication, and revenue cycle processes.
• Strong knowledge of RCM (Revenue Cycle Management), including charge capture, coding concepts, denials, and reimbursement workflows.
• Prior experience with early-stage companies or developing 0→1 products.

EQUAL OPPORTUNITY EMPLOYER

Individual salaries that are offered to a candidate are determined after consideration of numerous factors including internal equity, market data, the candidate’s qualifications-including but not limited to specialty skills, prior relevant industry experience, relevant degrees or certifications. The salary range estimate below is inclusive of all departments, and offered salaries may vary within the given range between departments. A reasonable estimate of the base salary range for this level is $125,000 to $160,000 annualized and other competitiv e benefits.