Skeletor

DrSwarm | Founding Engineer (Full-Stack) | REMOTE (US or LATAM; must overlap with US Pacific hours) | Full-time or Contract to Full-time

DrSwarm is building AI-driven workflow automation for healthcare clinics / health systems (scheduling, RCM/billing workflows, patient ops). This is a true 0→1 role: ship fast, talk to customers, own systems end-to-end.

You will: - Build product end-to-end (Next.js + Django) - Ship integrations + workflow automation (APIs, webhooks, background jobs, queues) - Own reliability (logs/metrics, retries, failure modes) and pragmatic security (HIPAA-aware)

Stack: Next.js, React/TypeScript, Django/Python, Postgres, Celery/Redis, Docker, AWS/DigitalOcean, LLM APIs. Looking for: Strong full-stack builder. Good to work with. Can talk to customers / users / salespeople. Uses AI to generate 90%+ of their code, interested in AI + Healthcare.

Comp: Market with mix of base + bonus + meaningful equity

Process: 30m intro → 60m technical/product deep dive → short paid work trial → references.

Contact: jobs@drswarm.com (include “HN Founding Engineer” in subject) + GitHub/LinkedIn + 2–3 projects you’re proud of.

DrSwarm | Founding Engineer (Full-Stack) | REMOTE (US or LATAM; must overlap with US Pacific hours) | Full-time or Contract to Full-time

DrSwarm is building AI-driven workflow automation for healthcare clinics / health systems (scheduling, RCM/billing workflows, patient ops). This is a true 0→1 role: ship fast, talk to customers, own systems end-to-end.

You will: - Build product end-to-end (Next.js + Django) - Ship integrations + workflow automation (APIs, webhooks, background jobs, queues) - Own reliability (logs/metrics, retries, failure modes) and pragmatic security (HIPAA-aware)

Stack: Next.js, React/TypeScript, Django/Python, Postgres, Celery/Redis, Docker, AWS/DigitalOcean, LLM APIs.

Looking for: Strong full-stack builder. Good to work with. Can talk to customers / users / salespeople. Uses AI to generate 90%+ of their code, interested in AI + Healthcare.

Comp: Market with mix of base + bonus + meaningful equity Process: 30m intro → 60m technical/product deep dive → short paid work trial → references. I (founder) read every email and reply.

Contact: jobs@drswarm.com (include “HN Founding Engineer” in subject) + GitHub/LinkedIn + 2–3 projects you’re proud of.

DrSwarm | Founding Engineer (Full-Stack) | REMOTE (US or LATAM; overlap with US Pacific hours) | Full-time or Contract-to-FT

DrSwarm builds AI-driven workflow automation for healthcare clinics (scheduling, RCM/billing, patient ops). 0→1 role: ship fast, own systems end-to-end, talk to customers.

Near-term: ship a production integration for a design partner; build an auditable human-in-the-loop workflow/agent pipeline.

Stack: Next.js/TS, Django/Python, Postgres, Celery/Redis, Docker, AWS/DO, LLM APIs.

You: strong full-stack shipper, reliable teammate, comfortable with customer feedback.

Comp: market base + bonus + meaningful equity.

Email jobs@drswarm.com (subject: “HN Founding Engineer”) with GitHub/LinkedIn, 2–3 shipped projects, and your time zone/overlap.

DrSwarm | Founding Engineer (Full-Stack) | REMOTE (US or LATAM; must overlap with US Pacific hours) | Full-time or Contract to Full-time

DrSwarm is building AI-driven workflow automation for healthcare clinics / health systems (scheduling, RCM/billing workflows, patient ops). This is a true 0→1 role: ship fast, talk to customers, own systems end-to-end.

You will: - Build product end-to-end (Next.js + Django) - Ship integrations + workflow automation (APIs, webhooks, background jobs, queues) - Own reliability (logs/metrics, retries, failure modes) and pragmatic security (HIPAA-aware)

Stack: Next.js, React/TypeScript, Django/Python, Postgres, Celery/Redis, Docker, AWS/DigitalOcean, LLM APIs.

Looking for: - Strong full-stack builder who ships - Good to work with - Can talk to customers / users / salespeople - High integrity, cares about healthcare

Comp: Market with mix of base + bonus + meaningful equity

Process: 30m intro → 60m technical/product deep dive → short paid work trial → references. I (founder) read every email and reply.

Contact: jobs@drswarm.com (include “HN Founding Engineer” in subject) + GitHub/LinkedIn + 2–3 projects you’re proud of.

Awesome work! Really exciting project!

Lyndsay is one of the best gift givers I know! Definitely worthwhile to get her help!

Well, we all vote when we use Facebook (or don't use Facebook)

Burn it at both ends?

Everyone is faking it until they make it. I think a deciding event is when someone takes on no other employment for 1 year at a time and works 110% all in on their startup, then they are definitely an entrepreneur and have made the leap from the sidelines.

One idea I didn't see listed elsewhere: Try to go and work for an early stage startup if you are having trouble getting a startup off of the ground yourself. You will learn a lot more as one of the first 10 employees as you do as one of the first 10k. If you tell startups founders you eventually want to do your own startup they respect that and will try to give you opportunities and can share a lot with you about their startup experience.

Also hopefully if you are part of a successful startup exit you will get some street cred and some money to live off of. If it's a failed startup even better as you will learn even more from that experience.

Build a website and an iOS (and/or Android) app and get them up and running and give them away for free. It may be a lot harder and take a lot longer than you think to convert hardware -> software skills. If you do it in your spare time as a hobby you will ramp up at your own pace and have something to show future employers.

You should file a complaint with https://www.consumerfinance.gov/ (CFPB.) It will get Citibank's attention and you will get to their escalated support team which will hopefully get a better result. They will take a CFPB complaint very seriously and respond. There are existing regulatory systems in place to push back against the shady practices you mentioned.

drchrono | Software Engineer | Sunnyvale, CA; Hunt Valley, Maryland | REMOTE, VISA,

https://www.drchrono.com/careers/

drchrono is a medical platform for doctors and patients. We are crafting the best mobile healthcare experience, with a focus on iPad, iPhone, Apple Watch and web.

The driving force of our efforts is in changing the way people engage and experience healthcare through electronic health records. You would be part of an entrepreneurial, sharp and capable team.

We’re hiring Python/Django Devs, Frontend Developers, Graphic Designers, and we are hiring for Dev-ops.

Take our healthcare hacker challenge here or apply through https://www.drchrono.com/careers/

https://www.hackerrank.com/tests/2tenc80md2q/5dc28bc357687ab... to getting hired

Step 1: Take our Hackerchallenge

Step 2: Phone call with our People Operations Manager

Step 3: On-Site Healthcare Hackathon

Step 4: Join the team & change healthcare!!!

http://www.wikihow.com/Clean-Your-iPad

https://discussions.apple.com/thread/4383886?start=0&tstart=...

I clean my personal iPhone/iPad once every few months. I think it's much easier and more possible to sterilize a glass/metal ipad than a keyboard (especially for onboarding of patients in a waiting room.)

This is the kind of thing that we are trying to fix at drchrono. I think legacy EMR interfaces that are heavily reliant on keyboard/mouse interfaces are too distracting.

Mobility (iPad's for drchrono) are just starting to make a bigger impact on the market and I think over the next 5 years 80% of providers in the US will be using a mobile interface (probably an iPad) and not touching a keyboard/mouse while a patient is in the room.

I think it's great that there are projects like http://www.open-emr.org/ , https://oscar-emr.com/oscar/ , http://openmrs.org/ , and https://www.hl7.org/fhir/http.html ;

I think these tools would be even better if they released their code under LGPL (instead of GPL) so that lazy commercial EHR developers would reuse and help maintain some core modules to promote more interoperability.

I don't think it's going to ever be possible (or that it is even desirable) to ever have a "Universal EHR" that everyone is forced to use through either government intervention or through market/economic forces. We can all exchange emails with each other, but we aren't all forced to use the same email client

The reason that the entire healthcare system seems broken to most consumers is legacy EHR systems in large hospitals. These legacy enterprise vendors are essentially what Oracle was 20 years ago in the rest of the enterprise software market before companies like Salesforce.com came along. Another part of this "broken" feeling is the difficulty of exchanging data between different EHR systems; but this doesn't have to be the case.

"If you've seen one HL7 standard implementation, you have seen exactly one HL7 standard implementation." Which means most systems don't interoperates with anyone else's systems unless there is an existing commercial relationship that forced everyone to interoperate on a local scale.

For anyone looking to work on an idea to improve healthcare check out: https://www.drchrono.com/api/ and/or https://www.drchrono.com/careers/

Congrats to Ted and the WorkRamp team! We use WorkRamp to onboard all of our new employees at drchrono and it saves us a ton of time and everyone has positive experiences with using the product.

Some ideas that I think are outside of the wheelhouse of typical Silicon Valley thought leaders:

1) Mike Bloomberg: Talk about founding and tech development of Bloomberg Professional Service (don't talk about politics at all)

2) Judy Faulkner: Founder and CEO of EPIC systems, a large privately held Hospital EHR vendor (Epic is one of the largest and most insular tech companies in the world)

3) Jack Ma: Founder of Alibaba

4) Pierre Omidyar: Founder Ebay

5) Bill Gates and/or Steve Ballmer

6) Mark Cuban

More traditional Silicon Valley:

1) Larry Ellison: CEO of Oracle

2) Marc Benioff: CEO/Founder Salesforce

3) Paul Buccheit: Talk about gmail and early Google R&D product only

4) Matt Cutts: Get him to tell us how SEO really works

5) Scott Cook: Founder Intuit

6) Jeff Bezos: Founder/CEO Amazon

7) Tony Fadell: iPod Designer & CEO of Nest

If this Doctor was using drchrono she wouldn't have this problem.

drchrono Mountain View, CA | Onsite, Fulltime | Visa sponsorship available

drchrono is hiring for backend engineers to work on our award winning iPad EHR (Electronic Health Record) and Medical Billing System. You can take our fun online hacker test here: https://www.hackerrank.com/tests/527036edb11ff/0ca5532381fbe...

We reach out to all top-scoring candidates.

At drchrono (#1 iPad EHR on the Market, YC W'2011) we are building a very open API that has an open door policy to our customers and other digital health startups.

If anyone is working in the digital healthcare space we'd love to work with you. You can get access to and build on our JSON API in 1-2 days. Sign up here: https://drchrono.com/api

Here is a youtube video we shot with a startup that built on our API: https://www.youtube.com/watch?v=HBCIzuXEH44

Yes. I feel software engineers at drchrono make a difference every day by giving amazing software to doctors who use it to treat more patients and make more money doing it (which will keep them from rage quitting medicine after using other EMR software which is just terrible.)

Hi, one of the founders of drchrono here. I think the hackerrank challenge works well for us as a company and is better for most candidates than phone screening or resume reviews. It isn't perfect and it has strong and weak points like any interview process.

There are really great programmers we hired who first came through this hackerrank challenge that we would have missed if we had used more traditional interview methods like screening their resume and a phone interview. As an engineer myself I hate technical phone screenings and resume reviews, I HATE doing them when I'm hiring and I HATE being subjected to them if I was looking for a job.

Based on this post and some other feedback I've seen, there must be a set of good programmers (who companies like drchrono and others would love to hire) who do terribly on these types of tests or just don't want to commit to taking the 60 minutes or so to do these tests.

If you don't want to commit the time to do the tests and you want to blanket apply for tons of jobs at once, then larger companies/recruiters are a better fit and I'm ok as a tech startup if we miss out on you. We want to recruit people who are passionate about changing healthcare and our company's mission, and having someone commit an hour of time feels fair. We as a company spend 10+ hours for every candidate we screen so asking for one of your hours for 10+ of ours seems reasonable (I'm sorry if other people don't feel that way.)

We use Python/Django on our backend and we found the tests are reasonable to complete in Python. For iOS developers the C-type challenges seem an order of magnitude harder. So language experience and the technical limits of hackerrank do make this process have blind spots and we know we are going to miss out on some good candidates. I still think hackerrank is the best solution I've seen so far to objectively judge technical talent and works better than phone screens and resume reviews (which are horrible and I personally hate).

We've used hackerrank (formerly interviewstreet) almost since we started hiring software engineers, so every engineer we currently have working at drchrono passed through the hackerrank challenge as the first line interview. One other benefit is that if someone gets a good score on the test we feel 90% sure that the person is technically strong enough to be able to do their job and we focus the rest of our interactions with the candidate on other variables.

I think the best way to apply and get a job at a company that uses challenges like this if you are bad at them, is to have built awesome stuff: Have an app in an app store that people use, have a popular website, have contributed significantly to an amazing project/product) and to reach out through your network on Linkedin / Angellist to people at the company. This works better for candidates who have done a lot of stuff. I've seen programmers coming out of high school who have really cool apps in the App Store and have cool websites / web applications, so this is achievable for developers of any background.

Yesterday.

drchrono cofounder here.

I spoke with Dr. Dal on the phone and we worked out his issues. We try to make all of our users happy, but from time to time things don't work out. The drchrono team and I are working to change healthcare doctor by doctor and healthcare is a hard space to fix.

Dr. Dal was using our RCM (Revenue Cycle Management) service where we do all of the staff work for billing for the Doctor in exchange for a percentage of all of the insurance collections done in a month. There is a monthly minimum fee for the first few months the service ramps up, but for all of these contracts the percentage of billing fees is designed to exceed the monthly minimum in a steady state. In all the months Dr. Dal was using our RCM service he was paid on all of his medical claims in our system, but his account still never exceeded the minimum fee.

We raised rates for all of our RCM customers whose contracts weren't exceeding the minimums across the board. We gave customers several months notice about these rate changes and helped any customer that wanted to do their own billing or port to another service do so.

All of our users have access to download all of their data at any time. Users can also synch all of their data on an ongoing basis to Box's Enterprise HIPAA compliant storage. We put up a blog post to highlight these features and give instructions for users with links to our knowledge base: https://drchrono.com/blog/backup-records-outside-drchrono/

I think it's important that users always have access to their own data to use with other services at their convenience and to have for their own safety and peace of mind.

This is Michael, CEO of drchrono. It's definitely a rude awakening to wake up to see a post on top of Hacker News from an angry customer.

I've reached out to Dr. Dal to have a phone call today to see how we can resolve his issues. Me and my staff have attempted to have a phone call with him for the past several weeks to address his issues.

Rather than try to dig into the issues he brought up publicly, we'll do our best to contact him directly and resolve the issues he has.

Why do you say that?

drchrono: iPad Electronic Health Records YC Winter 2011 Alum

Fulltime in Mountain View, CA

Join the fastest growing company in healthcare technology!

https://drchrono.com/jobs

a) We are hiring backend Python/Django developers: Join the best software development team in healthcare!

Visit: http://www.jobscore.com/jobs/drchrono/engineer-backend/aC0_8...

b) Experienced Sales Candidates: Help us get every Doctor in the U.S. using drchrono!

Visit: http://www.jobscore.com/jobs/drchrono/sales/citWIuSeKr4j-QeJ...

c) Account Managers: Help Doctors and their staff master the drchrono platform!

http://www.jobscore.com/jobs/drchrono/customer-support-cadet...

Mountain View, CA

drchrono: Improving Healthcare via our iPad/iPhone certified EHR for private practice doctors and patients.

1) FTE: Graphic Designer with strong product focus

2) FTE: Server side Python/Django engineers: Junior and Senior level

3) FTE: iOS Developers: Join the best of the best in the healthcare space.

4) Sales: Hiring entry level sales evangelists.

Read more at: https://drchrono.com/jobs

Take our 1 hour hacker test here: http://goo.gl/3oVVo If you get a good score on the test you'll get a call from us.

drchrono is hiring amazing hackers, designers, SEM marketers, and sales people! See more here: https://drchrono.com/jobs

We sponsor H1B, hiring full time and remote work is an option for most positions.

That's the exact way the market looked to Salesforce.com when Seibel system only went after large markets and told their salesforce to "run" not "walk" away from smaller customers. Salesforce.com definitely killed Seibel in the enterprise space after building a better product with feedback from smaller sales forces.