Lead Developer — Healthcare SaaS 

Part-Time to Start  |  Path to Technical Leadership 

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