Hire Back-End Developers for Healthcare Software
Healthcare software dies in the backend. Your EHR integration breaks, your API can't handle patient loads, your database crashes during peak hours. Pi Tech builds healthcare backends that work when lives depend on them.
At Pi Tech, We Don't Just Hire Back-End Developers - We Deploy Healthcare Software Engineers Who Understand What's at Stake
Your patient data can't wait for junior developers to figure out HIPAA compliance or learn how HL7 FHIR actually works in production.
How We Build Healthcare Back-End Teams That Ship Under Pressure
Database Architecture for Patient Data at Scale
Healthcare databases aren't just storing user profiles. Patient records, imaging data, lab results, medication histories - all while maintaining HIPAA compliance and sub-second query times. Pi Tech's backend developers design database architectures that handle healthcare's unique data complexity.
• Patient data normalization across multiple EHR formats
• Real-time replication for disaster recovery compliance
• Query optimization for complex medical record searches
• Automated backup systems that meet healthcare retention requirements
API Development for Healthcare Interoperability
Your healthcare software needs to talk to Epic, Cerner, lab systems, imaging devices, and pharmacy networks. Pi Tech's backend developers build APIs that handle healthcare's messy interoperability requirements while maintaining security standards that keep auditors happy.
• HL7 FHIR R4 implementation for seamless EHR integration
• OAuth 2.0 and SMART on FHIR authentication protocols
• Rate limiting and throttling for high-volume clinical data exchange
• Error handling that maintains data integrity during system failures
Security Implementation Beyond Basic Encryption
Healthcare security isn't just SSL certificates and password hashing. Pi Tech's backend developers implement security frameworks that protect PHI while enabling clinical workflows. From encryption at rest to audit logging that survives forensic review.
• End-to-end encryption for PHI transmission and storage
• Role-based access controls matching clinical hierarchies
• Comprehensive audit trails for regulatory compliance
• Intrusion detection systems tailored for healthcare environments
Performance Optimization for Critical Healthcare Systems
When a doctor needs patient data, milliseconds matter. Pi Tech's backend developers optimize healthcare systems for the performance demands of clinical environments - from emergency department dashboards to surgical planning systems.
• Caching strategies for frequently accessed patient records
• Load balancing across multiple data centers for high availability
• Database indexing optimized for medical query patterns
• Real-time monitoring with alerts for system performance degradation
Pi Tech Advantage for Healthcare Back-End Development
Specless Engineering for Healthcare Requirements
Healthcare requirements change faster than traditional specs can keep up. Pi Tech's backend developers work with scope abstraction - building systems that adapt to evolving clinical needs without architectural rewrites.
Senior-Only Talent with Healthcare Domain Knowledge
No junior developers learning HIPAA on your dime. Pi Tech's backend team averages 30+ years building healthcare systems. They know the difference between PHI and PII, understand why audit logs matter, and have debugged production issues at 3 AM.
Regulatory Expertise Built Into Development
Pi Tech's backend developers don't just write code - they write compliant code. From database design that supports audit requirements to API architectures that handle consent management, regulatory compliance is embedded in our development process.
Outcome-Focused Development with Measurable Results
Pi Tech measures success by system uptime, query performance, and audit results - not lines of code. Our backend developers focus on metrics that matter: patient data availability, system reliability, and regulatory compliance scores.
Case Study: Backend Architecture That Scales with Healthcare Growth
Vytalize's $50M Series B funding meant rapid expansion. But their backend couldn't keep up. Medicare claims arrived in different formats. EMR/EHR systems spoke different languages. Manual SQL jobs failed under the data load. Their growth was suffocating their infrastructure.
They needed backend architecture that could handle massive data volumes while maintaining HIPAA compliance.
Our Solution
Pi Tech rebuilt their entire backend infrastructure, focusing on automation and reliability at scale.
- Serverless backend architecture in AWS that processes large volumes of patient data without manual scaling or intervention
- Automated data pipelines replacing error-prone manual SQL and ETL processes, handling diverse data sources seamlessly
- Comprehensive integration layer managing incoming feeds from Medicare, EMR/EHR systems, and third-party providers
- Security-first backend design with PHI access controls and disaster recovery built into every component
The new backend transformed their data operations. What once required constant manual fixes now runs automatically. The serverless approach means their infrastructure scales with data volume - no capacity planning, no weekend emergencies.
Vytalize can now onboard new data sources quickly, process exponentially more patient information, and maintain compliance without adding backend complexity.
Technologies: AWS Serverless Architecture, Python and SQL for backend processing, automated ETL/SQL tools, HIPAA-compliant backend security infrastructure.
When to Outsource Back-End Development
Your Database Can't Handle Healthcare Data Complexity
Patient records aren't simple user profiles. Lab results, imaging data, medication histories, insurance claims - all interconnected, all regulated, all mission-critical. Your current backend team is drowning in healthcare data requirements they've never seen before.
Your APIs Keep Breaking EHR Integrations
Epic integration worked in staging. Cerner integration crashes in production. Your backend developers are learning HL7 FHIR on the job while your go-live date slips. Healthcare interoperability isn't something you figure out during development.
Compliance Auditors Found Backend Security Issues
Your security review failed because your backend developers don't understand healthcare compliance requirements. PHI encryption, audit logging, access controls - all implemented wrong because your team learned HIPAA from blog posts instead of production experience.
Your Backend Performance Dies Under Clinical Load
Your system works fine with test data. Put real patient loads through it and everything slows to a crawl. Healthcare systems need performance optimization that accounts for medical query patterns, not generic web application traffic.
Our Back-End Development Services
Pi Tech provides senior backend developers who've shipped healthcare software that handles real patient data under regulatory scrutiny.
Healthcare Backend Architecture Design
We design backend architectures that handle healthcare's unique requirements from day one. Database schemas optimized for medical data, API architectures that support clinical workflows, and security frameworks that protect PHI while enabling care delivery.
EHR Integration and Interoperability Development
Our backend developers build the integrations that connect your healthcare software to existing clinical systems. HL7 FHIR implementations, Epic MyChart integrations, lab system connections - all built by developers who've done it before.
HIPAA-Compliant Database Development
Healthcare databases need more than basic encryption. Pi Tech's backend developers implement database architectures that protect PHI, support audit requirements, and maintain performance under clinical query loads.
Healthcare API Development and Management
We build APIs that healthcare systems actually use. Authentication that works with clinical workflows, rate limiting that handles peak usage, error handling that maintains data integrity during system failures.
Performance Optimization for Clinical Systems
Healthcare software performance requirements are different. Pi Tech's backend developers optimize systems for the query patterns, data volumes, and uptime requirements that determine whether clinical software succeeds or fails.
What Our Clients Say
“In my 20 years of working at technology companies such as Amazon, Groupon, Opendoor, and Jawbone, if I had to pick one person to solve a complicated technology challenge in the shortest time possible, Michael [CTO @ Pi Tech] would be at the top of my list. He is resourceful, scrappy, and has focus, unlike anyone I have ever seen.”
Jason Child
CFO, Arm - Former CFO, Splunk, OpenDoor, Groupon
“In my 20 years of working at technology companies such as Amazon, Groupon, Opendoor, and Jawbone, if I had to pick one person to solve a complicated technology challenge in the shortest time possible, Michael [CTO @ Pi Tech] would be at the top of my list. He is resourceful, scrappy, and has focus, unlike anyone I have ever seen.”
Jason Child
CFO, Arm - Former CFO, Splunk, OpenDoor, Groupon
"We’re impressed with their ability to exceed our expectations and go beyond the scope of the project. In addition, they’re very flexible and highly capable of delivering quality work."
David Hose
COO, Blockware Solutions
"Michael [Pi Tech CTO] relishes tackling and solving the toughest technical problems. He has the ability to almost intuitively find the core of a solution to a difficult problem, but understands and practices the principle that the core idea to solving a difficult problem is often the first step in a long process to achieve a fully workable solution. He has an extraordinary work ethic, and focuses until the job is completely done."
Ross Bott
President & CEO, SEVEN Networks
"Working with Pi Tech was very easy. They streamlined and managed their engineering time to avoid a large bill, and I was pleasantly surprised with their delivery."
Pat Downing
CTO, Action Title Research
"For anyone who is looking to get the job done, Michael [Pi Tech CTO] has never let me down. He’s a 24/7 soldier, from experimentation to design to hard-crafted one-offs. Michael is a jack-of-all-trades in addition to being a great manager and leader. You would be lucky to have his hands and mind in translating your vision into a tangible device or solution."
Steven Goldstein
CEO, MYTI.ai
Ready to Build Healthcare Backend Infrastructure That Works?
Stop hiring junior developers to learn healthcare compliance on your production system. Pi Tech's senior backend developers have shipped healthcare software that handles millions of patient records while passing every audit. We know what works because we've built it before.
Pi Tech delivers healthcare backend teams that ship compliant software on schedule.
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