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Prysm Health

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Data Engineer

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Summary

Data Engineer at Prysm Health building scalable pipelines and schemas for clinical data from EHRs, lab systems, and healthcare apps, including LLM/ML-backed extraction and EHR migration/cutover tooling. Stack: TypeScript/Node/NestJS, PostgreSQL (Prisma, pgvector), AWS, and Terraform.

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

Skills

Apply

See also

Data Engineering jobs by country — openings, pay and top skills →

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