// US-based React developers · Healthcare
Free project plan & cost estimate in 48 hours.
Senior React developers for healthcare teams, based in the US
Engineers who treat patient data carefully, build with access logging and encryption, and understand how clinical and billing workflows actually run.
- Interview engineers before you pay anything
- 100% U.S.-based, working your hours
- No brief or spec needed to get started
First 5 Dev Hours Free
Project plan. Roadmap. Cost & ROI estimation.
Real engineers. Real conversations.
Talk to an engineer. Not a salesperson.
Free · No commitment · Project-focused call
Most teams interview matched engineers within a week
Not the right fit? We bring in a replacement
Get your free project plan
Three quick steps. No brief needed.
Free · No commitment · Reply within one business day
// teams we've worked with
“NextGen scaled us from 2 to 7 dedicated engineers in under a quarter. Enterprise-grade capacity, zero agency drag.”
Sound familiar?
- Patient data sits in systems that don't talk to each other.
- Every feature carries privacy and security review overhead.
- EHR and billing integrations keep breaking.
- You need people you can trust with sensitive data, not a rotating offshore bench.
What our React engineers build for healthcare teams
Healthcare workflows
EHR integrations, intake, scheduling, and billing tools with access logging.
Product front-ends
React apps with typed state, solid testing, and components your designers recognize.
Performance fixes
Slow renders, bloated bundles, and janky pages found, measured, and fixed.
Built for HIPAA-regulated work
- We sign a Business Associate Agreement (BAA) when the work touches patient data.
- Access logging, encryption, and least-privilege access as the default.
- Every engineer is US-based and signs an NDA and IP assignment.
How it works
- 01
Pick a time
Book a 30-minute project call directly in our calendar.
- 02
Talk through the problem
Tell us what needs building, what's stuck and what success looks like. No spec needed.
- 03
Your plan in 48 hours
Get your project plan, roadmap, cost and ROI estimates. The plan is yours to keep.
- 04
First 5 dev hours free
Agree the scope with our team. Decide whether to continue before any paid work begins.
Common questions
Will this turn into a sales pitch?
No. The call is about your project: what needs building, what's stuck, and whether we have the right engineers. If we're not a fit, we'll say so.
What do I get for free?
A project plan, roadmap, cost estimate and ROI estimate within 48 hours of your project call. Your first 5 development hours are free, too. We agree the scope and any paid work with you before proceeding.
Do I need a spec or brief?
No. Tell us the problem in plain words and we'll help shape the scope with you.
Are the engineers really in the U.S.?
Yes. Every engineer lives and works in the United States. No offshore hand-offs, and that's in the contract.
What our clients say
"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."
Hire US-based React developers for patient portals, scheduling interfaces, and clinical dashboards that connect to healthcare systems. React 19 and TypeScript projects need careful handling of patient context, session expiration, and asynchronous clinical data. For SMART on FHIR integrations, distinguish authorization scopes from interface permissions, and plan how FHIR R4 resources such as Patient, Appointment, and Observation appear in usable screens.
NextGen Coding Company signs a BAA when work touches patient data, plus an NDA and full IP assignment before code access. Every engineer lives and works in the US and joins your standups during your hours. Discuss test-data boundaries, accessibility requirements, and EHR sandbox access on a 15-minute call so the role reflects your clinical workflow rather than a generic frontend backlog.
Frequently asked questions
- Can React be used for a patient portal that handles protected health information?
- React can provide the interface, but no frontend framework makes a patient portal compliant by itself. Architecture needs appropriate authentication, authorization, audit logging, and careful handling of browser storage and telemetry. NextGen Coding Company signs a BAA when work touches patient data. Define access boundaries and approved development environments before connecting the frontend to clinical services.
- How does a React app integrate with SMART on FHIR?
- A SMART on FHIR application uses an authorization flow to obtain scoped access to an EHR's FHIR endpoints. Libraries such as fhirclient can support browser integration. The React interface still needs to handle launch context, token expiration, missing resources, and vendor-specific behavior. Confirm the target EHR's supported FHIR version and sandbox capabilities first.
- How do we keep patient data out of React logs and analytics?
- Review error reporting, session replay, analytics events, URL parameters, and browser persistence before introducing patient data. Avoid recording sensitive payloads, and use explicit allowlists for telemetry fields. Check TanStack Query cache lifetimes and clear patient-specific state during sign-out or context changes. Synthetic fixtures should support routine development and automated tests wherever practical.
- What accessibility testing does a React patient portal need?
- Test keyboard navigation, visible focus, form labels, error announcements, and screen-reader behavior across scheduling and account workflows. React Testing Library and axe-core can catch some issues, but manual checks remain necessary. Pay particular attention to date pickers, modal dialogs, medication lists, and lab-result tables, where custom controls often hide important context from assistive technology.
- What should we ask a React healthcare developer during an interview?
- Ask how they would prevent patient-context mix-ups, handle partial FHIR responses, and recover from expired authentication during a long form. Discuss accessible clinical tables and tests that use synthetic records. Our engineers work your hours and join your standups. Most teams interview matched engineers within a week of the initial call.
- 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.
Related reading
- How to hire a software developer
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- Hiring test for senior engineers
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- Senior engineer salary guide 2026
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The honest tradeoffs.
- Forward deployed engineers
Need an owner, not just capacity?
- Resource library
Every guide and benchmark we publish.
Start your project request
Tell us what you're building — engineering capacity, AI, QA, cloud, or a fixed-scope software engagement. Our NYC team responds within one business day.
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