Senior DevSecOps Engineer
US HealthTech client
HIPAA-compliant cloud architecture, zero-downtime migration to cloud-native infrastructure, 99.9% uptime, 30% faster deploys via CI/CD automation.
00 Healthcare · HIPAA
Healthcare softwarebuilt by engineers who shipto production under HIPAA.
Custom healthcare software for US HealthTech startups, medical device companies, telehealth platforms, and digital therapeutics — delivered through dedicated engineering teams that stay through audit cycles.
01 · What we build
Custom healthcare software for US HealthTech.
- Patient-facing applications
Patient portals, telehealth platforms, mobile health apps, symptom checkers, scheduling and appointment systems.
- Provider-facing applications
EHR integrations, clinical workflow tools, provider dashboards, prescribing systems, care coordination platforms.
- Backend platforms
HIPAA-compliant cloud architecture, FHIR/HL7 integrations, claims processing, eligibility verification.
- AI and analytics
Clinical decision support, risk stratification models, RAG systems for clinical content, automated documentation.
This is not website work. We build production healthcare software handling real PHI for real patients.
02 · The difficulty most CTOs underestimate
Healthcare software is 3–5× harder than generic SaaS.
The compliance overhead is real. Every architectural decision intersects with HIPAA. PHI must be isolated at the infrastructure level, encrypted at rest and in transit, access-controlled by role, and audited end-to-end. A misconfigured S3 bucket is a 6-figure fine.
Integration complexity is brutal. Healthcare APIs (FHIR, HL7v2, X12) are sprawling, inconsistently implemented across vendors, and evolve slowly. Connecting to Epic, Cerner, Athenahealth, or insurance carriers takes longer than the rest of your application combined.
Audit windows compress your roadmap. SOC 2 Type II audits, HIPAA risk assessments, and customer security questionnaires consume 20–40% of engineering time during their cycles.
Generic engineers don't price this complexity in. By the time they discover it (usually month 4), your timeline has already slipped by quarters.
03 · Active engagements
Engineers shipping HIPAA-bound workloads now.
Senior DevOps + AI/ML Engineer
US HealthTech client
Building intelligent agents with LangChain/CrewAI for workflow automation within HIPAA-compliant infrastructure. Handling 50K+ medical transcripts.
AI/ML Engineer
US healthcare AI workloads
RAG systems processing 10K+ daily queries at 95% accuracy. HIPAA-compliant medical chatbots and clinical decision support.
ISTQB-certified QA Engineer
US AI HealthTech client
Automated testing frameworks catching 30–40% of critical bugs pre-staging in regulated healthcare environments.
Multiple engineers actively shipping HIPAA-bound workloads · See the full roster →
04 · Compliance posture
Built for security questionnaires, not surprised by them.
Healthcare software vendors fall into two categories: those who treat HIPAA as a checkbox and those who built compliance into how they operate. Our compliance posture:
- Every engineer signs comprehensive NDAs covering PHI handling
- SOC 2 audit-ready processes — access controls, change management, monitoring, evidence collection
- ISO 27001 audit-ready operational practices
- Engineers work within your VPN, access controls, and encrypted channels — not on independent infrastructure
- HIPAA experience is a vetting criterion for healthcare engagements, not an afterthought
- DMARC-verified email infrastructure
Read: What HIPAA compliance actually means for engineering hiring →
05 · Our development model
Dedicated engineering teams, not project handoff.
Dedicated teams stay engaged through product evolution, audit cycles, and feature iteration. Codebase knowledge compounds.
Project handoff vendors disappear after delivery. Your maintenance burden multiplies.
Our typical engagement: 2–5 dedicated engineers (full-stack, DevOps, AI/ML, QA), embedded in your team for 12+ months. We handle HR, payroll, equipment, and retention. You manage the engineers like extensions of your in-house team.
Looking for embedded engineers instead? See our HealthTech engineering teams page →
06 · Pricing
Published, all-in monthly rates.
Mid-Level
$2,750/mo
Feature development, integrations
Senior
$3,500/mo
Architecture, technical leadership
Staff
$5,000/mo
Multi-team coordination, complex compliance
Principal
$6,250/mo
Platform-level decisions, audit leadership
All-in pricing — salary, HR, payroll, equipment, workspace, retention programs. No hidden fees. Full rate card →
For comparison: US-based healthcare engineers cost $200,000–$300,000/yr fully loaded. Boutique HealthTech consulting firms charge $250–500/hr.
07 · How we work
From scoping call to engineers shipping production code.
- 01
Scoping call — your platform, requirements, compliance context, timeline.
- 02
Matched candidate shortlist — 2–3 engineers with verified healthcare experience. You interview them.
- 03
Placement and embedding within 1–2 months. Engineers integrate into your tools, processes, and team — productive within the first week.
08 · Questions you're probably asking
What healthcare buyers want to know before they call.
09 Next step
Scope your healthcare engineering team in 15 minutes.
Tell us your platform, compliance context, and what shipping looks like. We'll come back with a shortlist of HIPAA-experienced engineers to interview — matched for fit, not speed.