Clinician-Developer: Cloud & Integrations

ABOUT US

Charleston Children’s Therapy Center is a pediatric therapy practice offering occupational, physical and speech therapy. We built our own practice management platform because off-the-shelf software kept failing our therapists and families. It’s HIPAA-compliant and runs our clinics every day: scheduling, documentation and goal tracking, intake, authorizations, insurance claims and payments, fax intake, payroll, reporting and AI-assisted workflows.

We use modern AI-assisted development tools, so much of the code is drafted quickly. Automated checks enforce security and HIPAA rules on every change. What we need now is a person who brings two things the tools can’t: clinical judgment and hands-on cloud and integration skills.

WHY THIS ROLE EXISTS

Our founder covers product direction and the practice. The gaps are:

1. Clinical reality checks. Does a workflow make sense to a therapist with a full caseload? Is a note, goal, plan of care or billing rule clinically and payer-correct?

2. AWS and production operations. Deployments, monitoring, access control, cost, and responding when something breaks.

3. Third-party APIs. Insurance clearinghouse (EDI claims, remittance, eligibility), e-fax, SMS, payments and email, plus the webhooks that connect them.

WHAT YOU’LL DO

• Own the AWS side. Keep production healthy, including servers, the managed database, file storage, encryption, monitoring and AI services. Tighten access controls, watch costs, and help write and follow runbooks.

• Integrations and APIs. Debug failed webhooks and API calls, read request/response logs, and work with vendor support. Help add or harden integrations with clearinghouses, fax, SMS and payment providers.

• Clinical product partner. Review new features as a clinician would. Catch workflows that would frustrate therapists or break documentation, billing or compliance rules. Turn real clinic pain points into clear, actionable tickets.

• Review and ship. Review AI-drafted code changes for correctness, especially clinical logic, billing math and data handling. Test changes in the running app and help get them into production.

• Be the first responder for production issues, with clear notes so nothing gets lost.

WHAT WE’RE LOOKING FOR

Must have:

• A clinical background: OT, PT, SLP, ABA/BCBA, nursing, or clinical informatics. Pediatric or outpatient therapy experience is a strong plus. Current licensure is not required.

• Hands-on AWS experience (any of EC2, RDS, S3, IAM, CloudWatch, Lambda). You should be comfortable in the console and the command line.

• API experience. You’ve called REST APIs, read JSON payloads, handled authentication and webhooks, and debugged why an integration failed.

• Working knowledge of Python, the terminal and Git/GitHub.

• A HIPAA mindset: you treat patient information carefully, by default.

Nice to have:

• Healthcare billing knowledge: CPT/ICD-10, claims, ERAs/EOBs, authorizations, payer rules, or EDI X12.

• Flask, SQLAlchemy or PostgreSQL experience.

• Experience with therapy EMR/practice management systems (WebPT, Fusion, TheraNest, etc.) from the clinician side.

• Experience with AI coding assistants, and the habit of checking their output critically.

• CI/CD or Docker experience.

Who this fits: a therapist who moved into tech or informatics, a clinician who taught themselves cloud and coding, or a health-tech engineer with real clinical experience. We care more about judgment and reliability than years of experience.

ROLE DETAILS

• Type: 1099 independent contractor. A signed confidentiality agreement and HIPAA training are required.

• Hours: 30–40 hrs/week, flexible. Some overlap with weekday business hours (Eastern time).

• Pay: $25–$40/hour depending on clinical, AWS and API experience.

• Location: Fully remote, US-based. Being in the Charleston area is a plus but not required.

HOW TO APPLY

Send your resume and a short note (a paragraph is fine) covering:

1. Your clinical background, and how you ended up working with technology.

2. One time you debugged a broken integration or something in AWS: what was wrong and how you found it.

3. Something about therapy software you’ve used that frustrated you.

Pay: $25.00 - $40.00 per hour

Expected hours: 30.0 – 40.0 per week

Benefits:

• Flexible schedule

Work Location: Remote