Manager- Technology and Product development

Role Summary

We are seeking a Full-Stack Developer to build and secure features for our Therapy Planning Software (TPS), which integrates with RMS/RIS, EMR systems, devices (DICOM, Bluetooth, VR, robotics, FES), and supports ICD–ICF–ICHI coding. The role involves ~40% frontend and 60% backend development, with end-to-end responsibility for security across application layers.

Responsibilities

Frontend (40%)

1. Build responsive, accessible UI in React + TypeScript (or Angular/Vue).
2. Implement multilingual (i18n/l10n) and WCAG 2.1 accessibility standards.
3. Develop offline-capable PWAs for home programs.
4. Integrate REST/FHIR APIs for patient workflows, scheduling, and reporting.
5. Support features like voice-to-text, video capture, and compression.

Backend (60%)

1. Design and scale REST APIs using Python (FastAPI/Django).
2. Build modules for EMR storage, assessments, therapy plans, and data logging.
3. Implement HL7/FHIR endpoints and secure integrations with external EMRs.
4. Handle file uploads (virus scanning, HD video compression, secure storage).
5. Optimize PostgreSQL schemas and queries for performance.
6. Implement RBAC, MFA, PDPA compliance, edit locks, and audit trails.

Security Layer (Ownership)

1. Identity & Access: OAuth2/OIDC, JWT, MFA, SSO.
2. Data Protection: TLS, AES-256 at rest, field-level encryption, immutable audit logs.
3. Compliance: PDPA, HIPAA principles, MDA requirements.
4. DevSecOps: Secure coding (OWASP ASVS), dependency scanning, secrets management.
5. Monitoring: Logging/metrics (ELK/Prometheus), anomaly detection, DR/BCP preparedness.

Requirements

• Strong skills in Python (FastAPI/Django) and React + TypeScript.
• Experience with HL7/FHIR, EMR data, and REST APIs.
• Knowledge of OAuth2/JWT authentication, RBAC, audit logging.
• Proficiency with PostgreSQL and database optimization.
• Cloud deployment (AWS/Azure) and containerization (Docker/K8s) a plus.

Added Advantage

• Familiarity with ICD, ICF, ICHI coding systems or medical diagnosis workflows.

Success Metrics

• Deliver secure end-to-end features with clinical workflow integration.
• Pass OWASP/ASVS L2 security baseline.
• Establish full audit trail and role-based access across at least one clinical workflow.

Full Stack Engineer (RUBY ON RAILS + REACT)

About Us

DirectShifts has set out to modernize healthcare recruiting. We're a team of physicians, entrepreneurs, and problem solvers who have come together to solve major pain points facing medical professionals today.

We've built a healthcare staffing technology platform that connects healthcare professionals directly with employers by using advanced technologies and digitizing the recruitment and staffing processes. Using an AI-based platform, DirectShifts matches the right clinicians to the right jobs at healthcare employers.

DirectShifts is headquartered in New York, NY and our team is spread across the US and India. Join us!

About What You’ll Be Doing

DirectShifts is growing rapidly and we are looking for a full-stack engineer to join our technical team, working out of India. We need incredibly tenacious engineers who are not only great engineers but who can bring unique value to our rapidly growing team.

If you are passionate about coding – and do it on a day-to-day basis, then this is the place for you.

We are big fans of focusing mainly on two things: 1) talking to users and 2) build products. 

You will be responsible for implementing ideas and mocks for our app (web and mobile) which is used daily by healthcare professionals, internal users, and healthcare employers - you will own the frontend development as well as the building blocks and the APIs that power the web app (and the mobile apps). You need to be comfortable dabbling with some basic infrastructure management on AWS.

About You

Ideal Qualifications

• Recent Hands-on experience with Ruby on Rails and React.js
• 4+ years of work experience, primarily as a full-stack developer
• A strong foundation of Ruby on Rails
• Strong React, HTML, Javascript & CSS skills
• High ownership at all stages of product development - from conception to maintenance
• Adaptability - learn new technologies as and when needed
• Good communication skills to get your point across
• Bachelor in Computer Science
• Ability to work remotely

Bonus Skills

• Redux experience
• Experience with REST APIs
• Experience with cloud services (preferably AWS)

Specifically, You Will:

Work closely with the founders and senior management across various functions. You will have the opportunity to influence the trajectory of the products and of the company. This is a great opportunity to help healthcare systems & professionals become more efficient which directly helps them provide better care, improve outcomes and save more lives!

You will excel if you have

An ability to thrive in a fast-paced environment and the ability to iterate quickly by understanding what users want. 

More about DirectShifts

We have raised more than $45 million from some of the world’s leading investors including Serent Capital, YCombinator, and Soma Capital. We're on a mission to disrupt a massive industry and improve healthcare in the United States by ensuring every patient has easy access to the healthcare they need. At DirectShifts, everyone has a voice to create change and move the needle; no hierarchy, no bureaucracy, no politics, no BS...just real people working on solving real problems.

• Can write reliable, scalable, testable and maintainable code.
• Familiarity with Agile methodologies and clean code.
• Design and/or contribute to client-side and server-side architecture.
• Well versed with fundamentals of REST.
• Build the front-end of applications through appealing visual design.
• Knowledge of one or more front-end languages and libraries (e.g. HTML / CSS, JavaScript, XML, jQuery, Typescript) JavaScript frameworks (e.g. Angular, React, Redux, Vue.js)
• Knowledge of one or more back-end languages (e.g. C#, Java, Python, Go, Node.js and frameworks like SpringBoot, .NET Core) 
• Well versed with fundamentals of database design.
• Familiarity with databases - RDBMS like MySQL, Postgres & NoSQL like MongoDB, DynamoDB.
• Well versed with one or more cloud platforms like - AWS, Azure, GCP.
• Familiar with Infrastructure as Code - CloudFormation & Terraform & deployment tools like Docker, Kubernetes.
• Familiarity with CI/CD tools like Jenkins, CircleCI, Github Actions.
• Unit testing tools like Junit, Mockito, Chai, Mocha, Jest

• Must have 3+ years of hands-on experience in web development using core PHP,Wordpress, CodeIgniter etc
• Must have hands-on experience in front-end using JavaScript (ES6+), HTML, CSS etc.
• Must have experience with design patters such as RESTful, AJAX, and jQuery
• Experience in building responsive web pages
• Proficient understanding of code versioning tools, such as Git
• Should have working knowledge of MySQL database system
• Should have basic programming skills using object-oriented programming (OOP) languages with in-depth knowledge of common APIs and data structures

• Write well designed, testable, efficient quality code.
• Ensure designs are in compliance with specifications.
• Developing and implementing strong algorithms/techniques for solving problems in a
• Frameworks are good, but you should be able to function without them.
• Test and deploy applications and systems.
• Revise, update, refactor, debug code and improve existing software.

Role: Application Architect

Job Description:

Key Responsibilities:

1. Understand requirements, functional and non-functional requirements, and devise end to end approach and strategy to modernizeapplications
2. Plan, Design, and develop architectures for highly available, scalable, and secure enterprise systems
3. Ideate and drive automation, lead PoVs point of view / PoCs Proof of concept/lead in the development of minimal viable product
4. Identify risks, and issues, and work on a mitigation plan
5. Able to review enterpriseapplicationportfolios and be able to provide application rationalization and modernization strategies
6. Provide functional and/or technical expertise to plan, analyze, define, and support the delivery of future functional and technical capabilities for anapplicationor group of applications.
7. Assist in facilitating impact assessment efforts and in producing and reviewing estimates for work requests.

Technical Experience:

1. Highly experienced withapplicationarchitecture capabilities with cloud-native architectures, microservices, and serverless architectures
2. Understanding of Domain-driven design, Event-drivearchitecture
3. Equipped with in-depth experience in developingapplicationswith either PHP/Python or databases such as PostgreSQL, MySQL, etc.

Professional Attributes:

1. Candidate should have good communication skills
2. Candidate should have good documentation and presentation skills
3. Candidate should be a team player and must be able to collaborate and network with different teams
4. Highly motivated and should work with minimum supervision and unclear requirements

Responsibilities and Duties:

· Write well-designed, testable, efficient code by using best software development practices

· Website designing, building, or maintaining

· Expanding/enhancing the website once built.

· Responsive website design

Qualifications and Skills:

· 1+ Years of Work Experience.

· Proven experience as a WordPress Developer.

· Proficient in JavaScript, HTML, and CSS.

· Experience with responsive and adaptive design.

· Thorough functional knowledge and coding experience

· Should be computer savvy and have strong communication skills.

· Able to develop ideas and processes and clearly express them.

· Ability to thrive in a fast-paced environment.

· Knowledge of E-commerce.

· Familiarity with at least one of the following programming languages: PHP, ASP.NET, JavaScript or Ruby on Rails.

· A solid understanding of how web applications work including security, session management, and best development practices.

1. We are looking for candidates who have good programming skills. Strong on data structures, algorithms, understand time space complexity, able to come up with multiple solutions and then arrive at most optimized one keeping in mind customer requirements. Should also be well aware of OO concepts. If he / she has a strong background on these areas ( in any programming language), half the job is done. – 50% weightage
2. Next the candidate should have worked on JS  with good hands on experience in a few projects mainly in backend development like making api calls, handling exception, models, data transformations, controllers etc.  – 20-30% weightage
3. The last would be having some experience in any one of react.js/ node.js or even angular.js since some of these are being used in the current project. – 20-30% weightage
4. Prefer candidates with Angular (ver 8+), react (ver 16+), Node (Ver 14+) and extremely good in JavaScript, HTML & CSS
5. Experience : 4-6 years relevant