[Remote] Senior Full Stack Developer / Technical Partner – Healthcare & Radiology Systems

Note: The job is a remote job and is open to candidates in USA. Filltre, LLC is building next-generation healthcare and radiology software with a clear path toward scale and a potential strategic exit. They are seeking a senior-level Full Stack Developer who will architect and build scalable clinical applications and work closely with founders and clinical stakeholders to design and implement healthcare workflows. Responsibilities • Architect, design, and build full-stack clinical applications supporting RIS and radiology workflows • Own and evolve backend services using Laravel (PHP) and RESTful APIs • Design, query, and optimize Amazon Aurora PostgreSQL databases for performance, scalability, and reliability • Develop modern, intuitive front-end interfaces using React • Lead and contribute to integrations with healthcare systems and standards (HL7, DICOM, PACS, modality worklists) • Translate real-world radiology and clinical requirements into scalable technical solutions • Ensure systems meet HIPAA, security, and data privacy requirements • Participate in and influence architecture decisions, technical strategy, and product roadmap planning • Troubleshoot production issues and improve system stability • Contribute to CI/CD pipelines, testing, and deployment workflows • Act as a thought partner in building a platform positioned for growth and acquisition Skills • 5+ years of experience as a Full Stack Developer • Proven experience with Radiology Information Systems (RIS) or healthcare IT platforms • Strong backend expertise in Laravel (PHP) • Hands-on experience with PostgreSQL / Amazon Aurora PostgreSQL • Strong front-end development experience with React • Experience designing and consuming RESTful APIs • Solid understanding of healthcare data workflows and interoperability • Experience working in cloud environments (AWS preferred) • Strong communication skills, independence, and an ownership mindset • Experience with PACS, VNA, or imaging gateways • Knowledge of HL7 v2, FHIR, and/or DICOM • Experience with containerization (Docker, ECS, Kubernetes) • Familiarity with queueing systems (SQS, Redis, RabbitMQ) • Experience operating in regulated environments (HIPAA, SOC 2, HITRUST) • Exposure to DevOps and infrastructure-as-code (Terraform, CloudFormation) Benefits • Meaningful upside / equity potential for the right person • Autonomy and flexible hours • Ability to work part-time or full-time based on availability and project phase • Entrepreneurial opportunity with real influence over product and technical direction • Meaningful upside and potential equity participation for the right long-term partner • Direct collaboration with founders and clinical leadership • High-impact work building mission-critical healthcare systems Company Overview • Radiology and Clinical Workflow for Tele-radiologists, Urgent Care, Imaging Centers, Nursing Homes, and other clinical settings needing an end to end workflow solution. It was founded in 2020, and is headquartered in dallas, TX, US, with a workforce of 11-50 employees. Its website is https://www.filltre.com. Apply Now Apply Now