Healthtech web app development on subscription. HIPAA-aware architecture, EHR integration awareness, clinical-workflow depth. Pair with your clinical co-founder. $4,999/mo.
- Scope
- Ship
- Iterate
monthly subscription
Who this is for
Healthtech founder — pre-seed or post-seed — with a clinical co-founder who understands the care workflow deeply but has no senior engineering on the team yet. You know what the product needs to do clinically. You need someone who can translate that into production-grade code without creating a compliance mess you'll have to unwind at Series A.
The pain today
- Clinical co-founder knows the workflow but no senior tech co-founder on the team
- Freelancers shipped something that works until it doesn't — no documentation, no HIPAA thinking
- Investor-ready MVP needed fast, but PHI handling can't be an afterthought
- HL7/FHIR or EHR integration on the roadmap with no one who's done it before
- Fundraising pressure — demo has to land in weeks, not quarters
The outcome you get
- Senior engineer as subscription co-founder at $4,999/mo
- Clinical-grade MVP in 4 to 8 weeks — investor-ready, not just demo-ready
- HIPAA-aware architecture and BAA-covered services from day one
- Clinical co-founder paired weekly to keep logic accurate and documented
- EHR integration plan and HL7/FHIR approach set before a line of code is written
Why healthtech founders need senior engineering from day one
Healthtech is unforgiving about early technical choices. A wrong database schema that lets PHI leak into application logs costs months to fix once real patient data exists. A missing BAA with a cloud provider is a compliance blocker that can delay a pilot site agreement. A poorly modeled clinical workflow baked into the data layer means the clinical co-founder's corrections get expensive fast.
I build healthtech web apps with a specific sequence: compliance architecture first, clinical logic second, feature velocity third. That order feels slow at the start and saves enormous pain at month six. With the GigEasy pattern — clear scope, daily async updates, no ceremony — I delivered an investor-ready MVP in 3 weeks against a typical 10-week cycle. The same discipline applies to healthtech, with HIPAA and clinical rigor on top.
Senior engineer as subscription co-founder at $4,999/mo
HIPAA-aware architecture: what that actually means
HIPAA does not prescribe a specific tech stack. It requires demonstrable safeguards: encryption of PHI at rest and in transit, access controls, audit trails, and signed Business Associate Agreements with every vendor that touches protected health information.
For web apps I build, that means: PostgreSQL with column-level encryption for PHI fields, TLS 1.3 in transit, role-based access control tied to clinical roles (not just user types), audit logging for every PHI read and write, and HIPAA-eligible cloud services on AWS or Google Cloud — both offer BAA-covered services, and I get those signed before any real data enters the system. Authentication through Clerk, Auth0, or WorkOS handles MFA and SSO without me reinventing access control. Every vendor choice is documented as an ADR so your future engineering team inherits the reasoning.
3 weeks: From kickoff to investor demo.
EHR integration and HL7/FHIR: where most MVPs get scoped wrong
The two most common scoping mistakes I see in healthtech MVPs: trying to integrate with an EHR system before the core workflow is validated, and underestimating the variance between EHR vendors' FHIR implementations.
My approach: scope the MVP around the clinical workflow your product controls — the part that doesn't require pulling or pushing data to an existing EHR. That gives investors a working product faster and gives the clinical co-founder real usage data to refine. EHR integration (Epic, Athenahealth, Cerner, or others) goes on the post-MVP roadmap, planned properly with the right FHIR resource mapping and sandbox access. If integration is genuinely needed at MVP, I build it against the vendor's FHIR R4 API with clear error handling and fallback states — not a fragile custom connection that breaks on the next EHR release.
How I pair with clinical co-founders
Weekly live sessions — 45 to 60 minutes — walking through the coming week's build priorities. Async daily updates in Slack or Linear so the clinical founder can follow progress without joining every meeting.
The most important artifact is a shared clinical logic document: a structured file where the clinical co-founder defines rules — care protocols, dosing logic, triage criteria, eligibility conditions — in plain language, and I implement those rules in code with a clear mapping back to the document. When the clinical co-founder spots an error, they correct the document and I fix the code. That loop eliminates the translation-layer bugs that quietly break healthtech products over time. It also produces the kind of documented clinical decision rationale that investors and pilot sites often ask to see.
Technical stack for healthtech MVPs
My default for healthtech web apps: Next.js and TypeScript on the frontend, PostgreSQL for the primary data store, Prisma as the ORM, hosted on AWS or Google Cloud with HIPAA-eligible configurations. For workflows that benefit from richer admin tooling or complex queuing, Laravel is a strong alternative — I've used it at GigEasy and Cuez across production systems serving funded companies.
For real-time clinical features (live collaboration, notification pipelines, async messaging), I use Redis and background job queues with idempotent processing. Monitoring through Sentry and Datadog, both available with BAAs. Infrastructure provisioned as code (Pulumi or Terraform) so the environment is reproducible and auditable. Nothing proprietary, nothing that traps you with a single vendor.
Pricing and what you get
Standard tier is $4,999/mo. Pro tier is $5,499/mo. For healthtech MVPs with active clinical co-founder involvement and a tight investor timeline, Pro is usually the right fit — the cadence matters as much as the hours.
14-day money-back guarantee on month one. Cancel anytime after. 100 percent code ownership under Work Made for Hire from day one — code lives in your repositories, not mine. NDA and BAA are standard in the engagement terms. For founders raising in parallel with development, I can structure milestones around pitch needs: demo-ready at week 3, pilot-ready at week 8, Series A diligence package ready whenever you need it.
When you need a full team instead
A subscription engineer works well for founders with 30 to 50 hours per week of senior engineering need and a focused roadmap. Once you are serving multiple pilot sites across different specialties, preparing for Series A, or shipping regulated SaMD (Software as a Medical Device) with full FDA documentation, you need a team — a lead engineer, two or three mid-level engineers, a DevOps and security specialist.
I help hire that team as part of the engagement, often transitioning into a Fractional CTO role for continuity. I have hired engineering teams at W2O (15 developers, 30+ customers) and held the CTO role at Imohub. For healthtech founders, the first full-time hire is usually a full-stack engineer who can own most of what I was doing; the second is typically a clinical informatics specialist or a DevOps and security lead.
Recent proof
A comparable engagement, delivered and documented.
Built and shipped an investor-ready MVP from scratch
Built the entire technological base and delivered MVP in just 3 weeks, enabling a successful rapid launch and investor demo.
Read the case studyFrequently asked questions
The questions prospects ask before they book.
The short answer: the moment any real PHI touches the system — even a single test record from an actual patient — HIPAA applies fully. I build with HIPAA-aware architecture from sprint one because retrofitting it costs three to five times more than building it in. If your MVP uses only synthetic or de-identified data for testing, you have a window. But the BAA-covered infrastructure and encryption should be in place before real data ever enters, not after.
A Business Associate Agreement is a contract that extends HIPAA obligations to any vendor who handles PHI on your behalf. That includes your cloud provider (AWS and Google Cloud both offer BAA-covered service tiers), your authentication provider, your monitoring and logging tools, and your email or SMS notification service. I get BAAs signed with all relevant vendors before any real patient data enters the system. Your EHR integration partners will need them too.
Yes, though EHR integration is almost never the right MVP scope. Each vendor's FHIR R4 implementation has quirks, and Epic's sandbox access in particular has a lead time. My recommendation: build the core clinical workflow first, validate it with pilot users, then layer in EHR integration once you know exactly which data you need and which vendor you're integrating with. I scope and plan that integration as part of the post-MVP roadmap so it doesn't become a surprise.
SaMD — Software as a Medical Device — is FDA's classification for software that performs a medical purpose on its own, without being part of a physical device. Whether your product qualifies depends on what clinical decisions it supports. I build the code artifacts a SaMD submission needs — design controls, change control documentation, software classification rationale, risk analysis structure — but the FDA submission itself requires a qualified regulatory affairs specialist. Your clinical co-founder or a dedicated RA contractor leads that process; I build the evidence.
Every engagement is designed for handoff from day one. Architecture decisions documented in ADRs. A clinical logic document the clinical co-founder owns. Inline code documentation and module-level guides updated weekly. When you hire a full-time engineer, they ramp in days rather than months because the context is all captured. I overlap with the new hire for one to two months and then step back, or transition to a Fractional CTO role if you want continuity at the architecture level.
No. Every engagement is Work Made for Hire — once you pay, 100 percent of code, architecture documents, ADRs, and design artifacts belong to your company. Git repositories live in your organization from day one. This matters for healthtech fundraising and acquisition due diligence, where clean IP ownership is a standard check. No lock-in, no 'only I know this system' dependency.
I prepare a technical diligence package covering architecture overview, security controls list, HIPAA compliance posture, scalability model, infrastructure cost projection, team hiring plan, and technical roadmap. For healthtech investors with their own technical advisors, I make sure the ADRs, change logs, and design controls are clean and accessible. The goal is that diligence is fast, not a scramble.