Full-Stack Engineer

Job Description

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.