US based Full Stack engineer (Healthcare and AI experience)

US-BASED CONTRACT FULL-STACK / AI ENGINEER FOR HEALTHCARE PRODUCT Remote, US-Based Contractor | East Coast Time Required | Home Health AI Product About Scribble Scribble is the top-rated AI platform for home health purpose-built to give clinicians their time back. Home health agencies run on documentation: visit notes, care plans, prior authorizations, compliance paperwork - we help automate these processes. Project Overview We are looking for one or more experienced US-based contractors to help us move faster across several important areas of our product. We need hands-on builders who can scope clearly defined product needs, ask the right questions, and independently deliver high-quality work. This is not a narrow ticket-taking role. We are looking for people who can own meaningful pieces of the product, communicate clearly, work asynchronously, and make steady progress without heavy day-to-day management. Depending on your strengths, the work may focus on mobile, backend, AI workflows, and EMR robotic process automation. You will ideally own end to end development including testing. What We Need Help With • Build and improve visit types and clinical documentation workflows for home health use cases • Improve accuracy of AI-generated outputs, including prompt design, evaluation, testing, and workflow refinements • Integrate completed visits and documentation into EMR systems using APIs where available and robotic process automation where needed • Work across React Native mobile app features, Node.js backend services, OpenAI/LLM workflows, and automated testing • Debug production issues, improve reliability, and help us ship quickly without sacrificing quality • Troubleshoot and fix bugs quickly, and make product improvements based on customer feedback • Translate product requirements into practical technical plans and independently execute against them • Document decisions, provide frequent updates, and proactively flag risks, blockers, and trade-offs • Potentially collaborate with team members across different parts of the roadmap Skills We Are Looking For Required • Advanced use of Claude Code • US-based contractor with East Coast time zone availability required • Strong experience with React Native mobile development • Backend experience with Node.js, APIs, databases, authentication, and production debugging • Hands-on experience with OpenAI or other LLM APIs, prompt engineering, structured outputs, and AI workflow testing • Strong testing mindset, including unit tests, integration tests, regression testing, and quality checks for AI outputs • Ability to work independently from a product goal, break it into technical tasks, and deliver without constant direction • Excellent written and verbal communication; concise updates, clear questions, and proactive status reporting are essential • Speed and quality are both must-haves: we need someone who can move quickly while still shipping reliable, well-tested work • Comfortable working with sensitive healthcare data and following HIPAA-aware, security-conscious development practices Strongly Preferred • Meaningful healthcare experience is strongly preferred, especially in home health, clinical documentation, EMR/EHR workflows, HIPAA-aware development, or regulated healthcare environments Contract Details • Contract role for a US-based independent contractor • US-based candidates only; East Coast time zone availability is required • Part-time or project-based to start, with potential for ongoing work • Minimum availability of 20 hours per week is required • We may hire multiple contractors based on specialty, fit, and availability • Clear deliverables, frequent communication, and fast iteration cycles • Hourly rate or fixed-price milestones can be discussed based on scope and experience • Selected contractors will need to sign appropriate IP assignment, NDA, and Business Associate Agreement documents before accessing sensitive product or healthcare data • We may request and check references before starting a larger engagement