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Mid-level generalist backend role with broad skillset requirements increases candidate density despite non-metro location.
Healthcare compliance and EHR integration needs create moderate domain specificity, limiting direct transferability somewhat.
Explicit 5+ years plus mandatory Python/Django, distributed systems, SQL, and AWS skills make filters strict.
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Design and implement backend systems for a HIPAA-compliant patient portal focused on behavioral health.
Take end-to-end ownership of complex features including architecture, development, and deployment.
Contribute to system design decisions, mentor junior engineers, and integrate with external EHR systems via async event-driven pipelines.
5+ years of experience building production applications using Python/Django or similar technology stacks.
Strong knowledge of distributed systems concepts, async workflows, event-driven architecture, and AWS services (Lambda, SQS, SNS).
Proficiency in React (experience with class components is a plus).
Expertise in SQL, data modeling, query optimization, and schema design.
Experienced systems thinker capable of reasoning about distributed state, failure modes, and long-term design tradeoffs beyond feature delivery.
Comfortable working with ambiguous requirements and making thoughtful tradeoff decisions.
Has prior exposure or interest in healthcare technology, compliance-heavy domains, or experience integrating with EHR/third-party platforms.