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Salary
$170k – $230k per year
Location
Remote (United States)
Employment
Full-Time

Confirmed on the employer's own hiring board on Nov 14, 2026. First seen by Alion on Oct 23, 2026.

Overview
Company
Impact
Profile match
Prysm unifies documentation, compliance, MDS and PDPM, and real-time operator visibility for skilled nursing facilities. Hiring remote-first engineers.

What you'll work on

  • Design, build, and maintain scalable data pipelines that ingest, process, and store clinical data from multiple sources.

  • Develop and iterate on data models and schemas that support efficient querying and reporting.

  • Integrate data from various sources, including EHRs, lab systems, and other healthcare applications, ensuring data quality and consistency.

  • Migrate facilities off their incumbent EHR with mapping, reconciliation, and cutover tooling that operators can trust.

You might be a fit if

  • You have both built the data infrastructure as well as used it to analyze and interpret data.

  • Strong TypeScript, or Python and a willingness to work in TypeScript, plus SQL you are proud of.

  • You have shipped LLM- or ML-backed extraction and built systems to measure and improve its accuracy over time.

  • You treat a dropped or duplicated record as an incident, not a rounding error.

Bonus points

  • Healthcare data standards: HL7 v2, FHIR, X12, C-CDA.

  • Experience with CMS submissions (iQIES, PBJ) or a claims clearinghouse.

Our stack

Backend

TypeScript, Node, NestJS

Data

PostgreSQL with row-level security, Prisma, pgvector

Frontend

React, Vite, Radix

Infra

AWS (ECS Fargate, RDS, SNS/SQS, Bedrock), Terraform

Quality

Jest, Vitest, Puppeteer acceptance specs, GitHub Actions merge queue

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