Full-Stack Engineer

Faithful Therapy is building a secure, multi-tenant, HIPAA-compliant internal EHR platform to power mental health and nutrition services across multiple states.

This system will serve as our clinical system of record and operational backbone. It will manage scheduling, documentation, audit logging, provider access controls, integrations, and reporting.

We are hiring a senior engineer to own architecture, implementation, and long-term system integrity.

This is not a feature-execution role. This is a system ownership role.

What You’ll Build

You will lead development of:

Multi-tenant EHR platform with row-level data isolation

Provider, admin, and patient portals

Role-based access control with enforced 2FA

Append-only audit logging for PHI access

Scheduling engine with availability rules and licensing constraints

Medical note editor with structured templates and lock/sign workflows

Integration with Zoom (server-to-server OAuth)

Event-based integration with HubSpot

Billing export pipeline

Reporting layer including guarded SQL execution

This system stores protected health information and must meet HIPAA security and audit expectations.

Tech Stack

• Next.js (TypeScript)

  PostgreSQL (Cloud SQL)

  React

  Prisma ORM

  tRPC API layer

  Secure auth with TOTP

  GCP (Cloud Run, Cloud SQL, Cloud Storage)

  Zoom OAuth

  HubSpot API

  Automated testing (Vitest / Playwright)

Responsibilities

• Own database schema design and migrations

  Implement multi-tenant data isolation

  Enforce RBAC and audit logging

  Architect integration retry and failure handling

  Deploy and maintain production infrastructure

  Monitor performance and reliability

  Harden system for security and compliance

  Guide long-term scalability decisions

Required Experience

• 3+ years building production-grade web systems
  

  Strong PostgreSQL expertise (constraints, indexing, transactions)
  

  Experience implementing secure authentication and RBAC
  

  Experience working in regulated environments (healthcare, fintech, etc.)
  

  Experience integrating OAuth-based APIs
  

  Experience owning infrastructure end-to-end

Preferred

• HIPAA experience
  

  Multi-tenant SaaS architecture
  

  Healthcare or EHR platform experience
  

  Experience building scheduling systems

Compensation

Base Salary: $4000-5000 USD per month plus $10,000 USD Bonus for on-time completion

This role is foundational to the company’s technical infrastructure and long-term defensibility.