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.
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.
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)
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
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
HIPAA experience
Multi-tenant SaaS architecture
Healthcare or EHR platform experience
Experience building scheduling systems
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.