Custom Healthcare SaaS & MVP Engineering

Turn your care model, operations playbook, or product idea into a production multi-tenant SaaS built to HIPAA requirements (encryption, audit logging, role-based access), delivered end to end on patterns proven in production.

Engineering Approach

Most healthcare operators don't have a software problem — they have a business-logic problem that no off-the-shelf tool understands. A care-management company tracking billable minutes across thousands of patients. A clinic network whose reporting playbook lives in one operations manager's head. A founder with a validated service model that needs to become a product before a competitor productizes it first. We take that business logic and turn it into real software: the data model, the backend, the web and mobile apps, the compliance architecture, and the cloud infrastructure — shipped as a working MVP in months, then iterated in production. This is not a dev-shop handoff where you write a spec and pray. You work directly with the Opexia team behind a production CCM/PCM operations platform that scaled a US care-management company from 3,200 to 8,000+ patients and was later re-architected into a multi-tenant SaaS. Opexia is led by founder and lead engineer Sheharyar Amin, who also designed, built, and operates MealCircle, a HIPAA-oriented nutrition-coaching platform, end to end — backend, React web app, native mobile app, and GCP infrastructure. Both systems run in production today. The same architecture patterns proven there — schema-per-tenant PostgreSQL isolation, field-level encryption of patient identifiers, role-based access control, audit logging, CPT-code-driven billing automation, CI/CD to serverless cloud — become the foundation of your product, and you own all of the IP.

Core Benefits

Production MVP in Months
Multi-Tenant From Day One
You Own 100% of the IP

Technical Capabilities

  • HIPAA-First Architecture (Field-Level Encryption, Audit Trails, RBAC)
  • Multi-Tenant SaaS Foundations (Schema-per-Tenant Isolation)
  • Billing & CPT-Code Workflow Automation
  • Web + Native Mobile Apps From a Shared Design System

Methodology

Every build starts with the business logic, not the tech stack. In a 1-2 week discovery phase we map how your operation actually works: who touches which data, what gets billed and under which codes, what reports leadership needs, where the manual work lives, and which parts of the model are genuinely yours versus commodity. That produces two artifacts — a data model and a phased build plan — and the first phase is always the narrowest slice that replaces real manual work. From there the architecture follows patterns proven in production: a Python API backend (FastAPI or Litestar) on PostgreSQL, with row-level security and schema-per-tenant isolation if multi-tenancy is on the roadmap; field-level encryption for patient identifiers; role-based access control designed around your actual org chart; and audit logging from the first migration, not bolted on later. Frontends are built to fit the users — Flutter web or React for staff-facing dashboards, Expo React Native when patients or field staff need a native mobile app — sharing one design system so the product looks coherent everywhere. Everything deploys through CI/CD to serverless cloud infrastructure (GCP Cloud Run or AWS), so shipping an improvement is a git push, not a maintenance window. An initial production MVP typically lands in 8-12 weeks; after that, the system evolves in short iterative cycles driven by what your team actually uses. When the product is ready to serve other organizations, the multi-tenant conversion path — organization onboarding, tenant-scoped encryption, isolated data environments — is already designed in rather than requiring a rewrite.

Technology Stack

FastAPI / Litestar (Python)

Async API backends with typed schemas

PostgreSQL

Schema-per-tenant isolation, row-level security, field-level encryption

Flutter Web / React + Next.js

Staff dashboards and admin portals

Expo React Native

Patient- and client-facing native mobile apps

Firebase Auth

Authentication with tenant-aware role management

GCP Cloud Run / Cloud SQL

HIPAA-eligible serverless infrastructure

GitHub Actions

CI/CD — every change tested and deployed automatically

Real Client Engagement

A US care-coordination company ran Chronic Care Management (CCM) and Principal Care Management (PCM) for roughly 3,200 patients on Excel — care-minute logs, monthly progress verification, and provider invoicing were all manual. Opexia designed the architecture and built the platform end to end: FastAPI + PostgreSQL backend with field-level encryption and audit logging, Flutter web dashboards with role-based access, per-patient time tracking mapped to CMS billing codes (CPT 99490/99439/99426/99427), and automated monthly report and invoice generation. The operation has since scaled past 8,000 patients, and the platform was re-architected into a multi-tenant SaaS — schema-per-tenant isolation, invitation-based organization onboarding — so partner care-coordination organizations now run the same infrastructure independently. Opexia's founder also built and operates MealCircle, his own HIPAA-oriented nutrition-coaching SaaS (Python backend, React web app, Expo mobile app, GCP), live in production.

Frequently Asked Questions

Common questions about custom healthcare saas & mvp engineering

Who is this service for?

Two kinds of buyers: healthcare operators (care-management companies, clinic groups, specialty programs) whose operation runs on spreadsheets and manual reporting and needs to become software, and healthcare founders who have validated a service model and need senior product engineering to build the actual SaaS. If you already have a large in-house engineering team, you probably don't need Opexia.

What does an MVP actually include?

A working production system your team uses daily — not a prototype. Typically: the core data model, role-based dashboards for staff and managers, the single most painful workflow automated end to end (billing, reporting, or tracking), HIPAA-grade security architecture, and cloud deployment with CI/CD. Scope is deliberately narrow so it ships in 8-12 weeks and earns trust before expanding.

How much does it cost?

Cost depends on scope, so we don't quote a generic range. Book a free 30-minute consultation: we review your requirements and workflow, then send a written scope and quote tied to what you actually need. The scope covers the data model and a phased build plan, so you can commit one phase at a time. After launch, ongoing iteration runs under a monthly engineering retainer.

Is the software HIPAA compliant?

The software is built to HIPAA requirements (encryption, audit logging, role-based access) from the first commit: encrypted PostgreSQL with field-level encryption of patient identifiers, role-based access control, comprehensive audit logging, and HIPAA-eligible cloud infrastructure. We sign a Business Associate Agreement (BAA) before any PHI access: no one on our team sees protected health information until it is executed. We provide the technical documentation your compliance officer needs. Compliance is an organizational posture, not just code — policies, training, and risk analysis stay with your organization; the engineering safeguards are what we build.

What does 'multi-tenant from day one' mean and why should I care?

It means the data architecture is designed so that other organizations could later use your platform in fully isolated environments — without a rewrite. The CCM/PCM platform in the case study started as an internal tool; because the foundations were right, it became a SaaS that partner organizations now run independently. If your product could ever serve more than one organization, this decision is far cheaper to make at the start.

Who actually does the work?

You work directly with the Opexia team, led by founder and lead engineer Sheharyar Amin, who architected and built both production systems described above. No account managers, no offshore handoff, no telephone game between you and the people writing the code.

What happens after launch?

Production software is never finished. Most engagements continue as a monthly retainer covering new features, fixes, and infrastructure — the CCM/PCM platform described above has been continuously improved for years, from a single-org tool through predictive scoring to full multi-tenancy. You can also take the codebase fully in-house at any time: you own all of it.

Can you work with our existing systems (EHR, billing, RPM)?

Yes — the platform is built around your existing core systems, not as a replacement for them. The CCM/PCM platform integrates with an external Remote Patient Monitoring system, and integration points (EHR data, claims, payment processors, messaging) are designed into the data model from the start.

Ready to Discuss Your Project?

Schedule a technical consultation to discuss your specific requirements, timeline, and budget. No sales pitch—just engineering.

Or explore the engineering glossary to learn more about healthcare software terminology.

Final Step

Outgrown Your
Spreadsheets?

If your care-management operation still runs on spreadsheets and manual monthly reporting, let's talk about what a custom platform would look like.

HIPAA

Built to its requirements

Custom

Built around your workflow

Direct

Access to the team building your system