The technical linchpin. Owns architecture, the backend, the cloud foundation, the tenancy model, and security.
You will
· Own the system architecture and the database-per-clinic data layer, control plane, and migration tooling.
· Build the RIS backend in TypeScript/NestJS and the AWS foundation in Terraform.
· Integrate the PACS (Orthanc) — Modality Worklist, DICOMweb, S3 storage — and the HL7 engine (Mirth).
· Set the security baseline: encryption, secrets, RBAC, audit logging.
Must have
· 6+ years building production web backends; strong TypeScript/Node (or readiness to lead in it).
· Deep PostgreSQL, including multi-tenant or multi-database patterns and connection pooling.
· Hands-on AWS (ECS/Fargate, RDS, S3, IAM), Docker, Terraform, CI/CD.
· A security-first instinct and clean REST API design.
Strongly preferred
Healthcare data experience; exposure to DICOM, HL7, or PACS/RIS systems.
Built and run a multi-tenant SaaS in production.
Pay: ₹380,321.68 - ₹1,200,000.00 per year
Work Location: Remote
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