Senior Full-Stack Engineer, AI-Powered RCM - vacante remota

La empresa Empat busca cubrir el puesto de Senior Full-Stack Engineer, AI-Powered RCM: es un puesto senior, así que la empresa espera que las decisiones las tome usted. La vacante pertenece al área de IT y programación y es totalmente remota. La empresa no pone ninguna restricción sobre el lugar de residencia, así que usted puede postular desde donde vive.

Las herramientas principales que nombra el anuncio son: React, Node.js, TypeScript, SQL. El CV debería mostrar ejemplos concretos justo de esas capacidades.

La empresa no publicó ninguna cifra, eso se aclara en la entrevista. Sobre el horario, el anuncio no pone ninguna condición.

Esta vacante pasó una revisión automática: los anuncios que exigen un permiso de trabajo extranjero, patrocinio de visa, una nacionalidad concreta o residencia en un país determinado no entran en la lista.

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