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Popular fullstack technical-lead title and metro hiring footprint create moderate candidate competition.
Requires regulated-domain (HIPAA/PCI/fintech) and production cloud/security experience, limiting cross-industry transferability.
Explicit 6+ years, architect-level authority, mandatory MERN, cloud, and regulated-domain experience.
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Own end-to-end architecture for a production system handling real patient and payment data, including service boundaries, data models, API contracts, encryption, observability, and scaling.
Ensure compliance-by-design with PHI handling and strict payment-data isolation in a regulated environment.
Make and defend major architectural trade-off decisions and set technical standards that influence multiple teams and clients.
6+ years in production ownership roles such as architect, principal, or staff engineer with 2–3 years as final technical authority.
Hands-on experience with Node.js and React in production (MERN stack preferred).
Real cloud production experience on AWS, GCP, or Azure including networking, security, and cost optimization.
Experience in regulated or high-stakes domains like HIPAA/PHI, PCI-DSS, fintech, banking, or insurance.
Experienced full-stack technologist comfortable owning complex, regulated production systems end-to-end, especially MERN stack and cloud infrastructure.
Proven record of making and sustaining defensible architectural trade-offs under real-world constraints.
Capable of establishing technical standards and influencing cross-team technical directions and client engagements in high-stakes environments.