Production-ready Healthcare AI pipelines, HIPAA-compliant backends, and multi-tenant medical SaaS architectures.
How I can help
I work with HealthTech founders and clinical engineering teams in three steps: shaping the architecture, shipping production AI and SaaS, then scaling without compliance or security risks.
Primary Focus: Healthcare AI & Clinical SaaS · Also architecting high-concurrency multi-agent & RAG platforms for B2B SaaS
Healthcare AI Strategy & Architecture
I translate complex clinical requirements into clear blueprints. I map out HIPAA-conscious system architectures, multi-tenant database isolation, EHR/FHIR API integrations, and structured backend pipelines.
Production Clinical AI Build
I implement production-grade Healthcare AI end-to-end. From Next.js frontends to Python RAG engines and AI agents, I deploy code handling safety-critical workflows, real-time teleguidance, and vector search.
Scale, Compliance & Automation
Once live, I keep your healthcare platform running smoothly. I focus on system hardening, zero-downtime AWS infrastructure, immutable audit logging, and automated clinical intake workflows as traffic scales.
Engagement Models: Scoped fixed-phase builds & ongoing technical partner retainers
Articles & Architecture Notes
Real engineering decisions from production Healthcare AI platforms, cloud security envelopes, and multi-tenant SaaS systems.
5.0 / 5 across Upwork & LinkedIn
A few recommendations from founders, CTOs, and teams I shipped with, real projects and real accountability.
Jovan Stojanovic
Ex-CEO of PhoneSales & Founder · Roasform
“Dereje is an exceptional developer! I hired a total of 6 developers, and he was the last one standing at the end of the project because he was the best! He's great, very reliable, can fix things quickly, is prompt, and overall has been an incredible first hire.”
Neeraj Kumar
Co-Founder & CTO · Healium Intelliscan
“Dereje delivered good work on this React development project and I enjoyed working with him. His communication was top-notch, he met all deadlines, and his skills were reasonably strong. I enjoyed working with Dereje and will likely have additional jobs for him in the future.”
Tray Branch
Co-Founder & CEO · IntuitySync AI
“Dereje is a highly skilled and reliable developer. He consistently delivered high-quality work, met deadlines, and communicated effectively throughout the project. I would highly recommend him for any development work.”
Tibebu
ICT Director · AAAE
“Dereje is a dedicated and skilled developer who designed and developed both mobile and web applications from the ground up. His work always stood out for being efficient, well-structured, and user-friendly.”
Mekanehiwot Mengistu
Technical Team Leader
“Dereje is one of the most skilled Full Stack Engineers I've worked with. His command of JavaScript, TypeScript, and React is top-notch. He's also highly capable in AWS and DevOps, showing deep understanding of CI/CD pipelines and cloud infrastructure.”
Bushra Mustofa
Senior DevOps Engineer
“Dereje is exactly the sort of developer any company would love. He simplified a complex ERP system concept I'd struggled with for days in just minutes. He has a great way of breaking down problems and always writes clean, well-organized code.”


