Senior Full-Stack Engineer, AI-Powered RCM - remote job

Empat is hiring a Senior Full-Stack Engineer, AI-Powered RCM - a senior role, so the employer expects you to make the calls yourself. The role sits in IT and programming and is fully remote. The company places no restriction on where the candidate lives, so you can apply from anywhere.

The main tools named in the advert are: React, Node.js, TypeScript, SQL. Your CV should show concrete examples of exactly these skills.

The employer did not publish a figure; that is settled at interview. The advert sets no condition on working hours.

This vacancy passed an automated check: the list excludes any advert requiring a foreign work permit, visa sponsorship, a particular citizenship, or residence in a specific country.

We're looking for a senior full-stack engineer to join greenfield product development on a new AI-powered revenue cycle management (RCM) product - built on a platform that moves dental records and imaging (CBCT, DICOM) between general practices, specialists, and dental schools. The engagement is fractional and milestone-based, with a quick sprint cadence and no fixed working hours - work is measured by shipped features and merged PRs. It can grow into a larger ongoing commitment as the product scales.

Your responsibilities will include:

* Building full-stack features in TypeScript / Node.js (Express, MySQL, Redis, Zod) and React 18 (Vite, TanStack Query, Tailwind);

* Integrating LLMs into product workflows - we build with Claude - including model harnesses, structured outputs, and data pipelines;

* Working with structured healthcare data and claims flows;

* Submitting PRs to dev and passing the same review and CI gates as the core team (GitHub Actions, dev → staging → prod).

What we expect from you:

* Senior-level full-stack TypeScript / Node.js experience;

* Hands-on AI / LLM integration experience in production;

* Strong React product UI skills;

* Experience with data pipelines and structured data;

* Strong English; ability to self-manage as an independent contributor;

* Daily use of AI tooling (Claude, Cursor) in your workflow;

* US healthcare / claims / RCM domain experience;

* HIPAA / PHI handling experience.

We offer:

* Interesting product challenges at the intersection of healthcare data and AI;

* Work in a small, focused founding team with a modern, AI-native development practice;

* Flexible fractional engagement - outcome-driven, no fixed hours, fully remote;

* Milestone-based cadence with room to grow into a larger ongoing commitment;

* Lack of bureaucracy and direct collaboration with the founding team;

* Trial period to validate the fit before scaling up the engagement.

Originally posted on Himalayas