US-based Python developers for healthcare data and integrations
EHR integrations, clinical and claims data pipelines, and patient-facing backends, built by US engineers who treat patient data with the care HIPAA requires.
- Every engineer lives and works in the US
- Works your hours, joins your standups
- NDA and full IP assignment from day one
Book your call: tell us what you need

"NextGen scaled us from 2 to 7 dedicated engineers in under a quarter. Enterprise-grade capacity, zero agency drag."

"Their R&D tax credit workflow platform paid for itself in the first filing season."

"AI-native from day one. Our IRS transcript pipeline runs 24/7 without a human in the loop."

"Property tax appeals used to take weeks. Their comp analysis tooling turned it into hours."

"The AI intake agent handles our tier-1 patient calls with a hand-off cleaner than our old call center."

"POS, inventory, ordering — all unified. We finally have one source of truth across every location."

"The procurement platform paid for itself in the first quarter of use."

"They shipped our matching engine in 6 weeks. Our old team would've taken 6 months."

"Enterprise-grade delivery without the enterprise-agency price tag."

"Their team plugged into our sprint on day one. Zero ramp time."

"NextGen scaled us from 2 to 7 dedicated engineers in under a quarter. Enterprise-grade capacity, zero agency drag."

"Their R&D tax credit workflow platform paid for itself in the first filing season."

"AI-native from day one. Our IRS transcript pipeline runs 24/7 without a human in the loop."

"Property tax appeals used to take weeks. Their comp analysis tooling turned it into hours."

"The AI intake agent handles our tier-1 patient calls with a hand-off cleaner than our old call center."

"POS, inventory, ordering — all unified. We finally have one source of truth across every location."

"The procurement platform paid for itself in the first quarter of use."

"They shipped our matching engine in 6 weeks. Our old team would've taken 6 months."

"Enterprise-grade delivery without the enterprise-agency price tag."

"Their team plugged into our sprint on day one. Zero ramp time."









































Sound familiar?
- EHR integrations keep slipping and your team is stuck on interfaces.
- Patient data can't leave the US, which rules out most outsourcing.
- Claims, eligibility, or lab data arrives messy and gets cleaned by hand.
- You need engineers who already know HL7 and FHIR, not ones learning on your dime.
What our Python engineers build
EHR & FHIR integrations
HL7 v2 and FHIR interfaces to Epic, Cerner, athenahealth, and others, with monitoring and retries built in.
Clinical data pipelines
Claims, eligibility, and lab data normalized and delivered to analytics and reporting teams on schedule.
Document & intake automation
Referrals, faxes, and intake forms turned into structured records, with staff review where it matters.
HIPAA-aware from day one
- US-based engineers only. Patient data never leaves the country.
- We sign a Business Associate Agreement when the work involves PHI.
- Least-privilege access, logged changes, and reviewed code on every release.
How it works
- 01
15-minute call
Tell us what you need built or fixed and where it's stuck.
- 02
Matched profiles
You meet US-based engineers with directly relevant work behind them.
- 03
You interview
Run your own technical interview. You only move forward with people you pick.
- 04
They start shipping
Onboarded into your repo, tools, and review process, with a weekly written update.
Frequently asked questions
- Are your developers really based in the US?
- Yes. Every engineer lives and works in the United States. No offshore subcontracting and no hand-offs to another team. That's written into the contract.
- How fast can someone start?
- Most teams interview matched engineers within a week of the first call. Start dates depend on your interview process.
- Who owns the code?
- You do. Every engineer signs an NDA and full IP assignment before touching your code.
- What if the fit isn't right?
- Tell us and we'll bring in a replacement with a proper hand-over, so nothing gets lost.
- Will you sign a BAA?
- Yes. When the work touches protected health information, we sign a Business Associate Agreement before access is granted.







