Lead Developer - Healthcare SaaS

Lead Developer - Healthcare SaaS

Part-Time to Start Path to Technical Leadership

Location - Remote (US-based, Central or Eastern time zone)

Hours - 20 hours/week

Compensation - $60-75/hr depending on experience (1099)

Reports To - CEO

Growth Path - Head of Product Development / VP Engineering as the company scales

The Opportunity

We're a healthcare technology company building SaaSw products for the provider credentialing and enrollment market. We serve 270+ healthcare organizations and are at the stage where our technology is moving from prototype to production - which means the technical decisions being made right now will define the platform for years.

We outsource development to a managed offshore vendor team. What we need is the person on our side who owns the quality, the architecture, and the delivery discipline. Someone who reviews every PR, catches problems early, and holds the vendor to their commitments.

Today, this is a 20-hour-per-week hands-on role. But we're growing, and the right person will grow with us - into the technical leader who shapes our engineering organization as we bring more products to market. If you've led engineering teams before and are looking for a way back into a leadership seat at a company where your impact is visible from day one, this is that role.

What You'll Do

Own Code Quality

Review and approve all pull requests within 4 hours of submission

Enforce coding standards and architectural patterns across the full stack

Track code quality metrics (SonarQube, LinearB or similar) and act on trends before they become problems

Maintain test coverage thresholds before anything merges Guard the Architecture

Own the technical architecture and make sure what gets built matches what was designed

Review database schema changes, API contracts, and service boundaries

Catch shortcuts and scope creep in the backend before they get embedded

Run a weekly architecture sync with the vendor's tech lead Drive Delivery Discipline

Hold the vendor to sprint commitments using velocity data

Flag delivery risks early and escalate blockers before milestones slip

Validate milestone deliverables against the contractual Definition of Done

Keep vendor documentation (API docs, ADRs, runbooks) current Secure the Platform

Review security-sensitive code: authentication, RBAC, PII/PHI handling

Ensure deployment pipelines and infrastructure follow healthcare compliance standards Who You Are

8+ years of software development experience, with at least 3 in a technical lead or architect role

Strong in modern web application architecture - you've built or led teams building full-stack applications with a JS/TS, Java/Spring, .NET, or Python backend and a modern frontend framework

You've managed or governed an offshore vendor's development output - you know what it takes to keep quality up when the team is remote

Disciplined Git/GitHub workflow: branch strategies, PR review at scale, merge policies

Experience with CI/CD pipelines, Docker, and cloud infrastructure (Azure or AWS)

Comfortable with engineering analytics tools (SonarQube, LinearB, CodeClimate, or similar)

Clear written communicator - you document decisions and flag risks in writing Our Current Stack

React/Next.js (frontend), NestJS/Node.js/TypeScript (backend), PostgreSQL, Azure DevOps, Docker. If this isn't your primary stack but you've worked across comparable frameworks, we value architectural judgment and vendor governance experience over specific framework fluency.

Bonus Points

Healthcare technology experience (credentialing, RCM, enrollment, EHR)

HIPAA technical safeguards, HITRUST, or SOC 2 experience

Azure ecosystem: Azure DevOps, ACR, App Services, Entra ID

Multi-tenant SaaS architecture with role-based access control Why This Role

Direct line to the CEO - your input shapes product and technical direction from day one

Clear path from hands-on contributor to technical leadership as the company scales

Healthcare is a $4T industry with massive technology gaps - you'll work on problems that matter

Small team, real ownership - no layers of middle management between you and impact