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Mid-level generalist title and metro locations, but regulated-domain and architecture specialization reduce applicant pool.
Requires HIPAA/PCI and regulated-domain experience, limiting transferable candidates across industries.
Explicit 6+ years, platform authority, mandated MERN, cloud, and regulated-domain experience.
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Own end-to-end architecture and technical decisions for systems handling real patient data and money, including service boundaries, data models, API contracts, encryption, observability, and scaling.
Ensure compliance-by-design with PHI handling, payment data isolation, audit logging, access control, and encryption in production environments.
Hands-on coding, code reviews, leading incident retrospectives, making trade-off calls, and setting technical standards adopted across teams.
6+ years of production ownership experience, including 2-3 years as final technical authority on a platform.
Hands-on Node.js and React experience (MERN stack preferred) with production cloud 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.
Concrete experience making and living with trade-off decisions in architecture, not hypothetical scenarios.
Experienced in running production cloud systems with deep understanding of compliance and security in regulated environments.
Comfortable leading architecture decisions and client communications on critical trade-offs that influence multiple teams and long-term standards.
Track record of operational ownership of complex full-stack systems using MERN stack with infrastructure management (containers, Kubernetes, CI/CD, secrets).