1,485 karma · joined January 25, 2009
NYC
[1] https://news.ycombinator.com/item?id=25145119
[2] https://web.archive.org/web/20201117164532/https://support.a...
[3] https://support.apple.com/guide/mac-help/macos-recovery-a-ma...
There is a middle ground developing in the GRiSP[1] project as well. It uses the RTEMS RTOS to provide basic POSIX compatibility that allows the full BEAM VM to operate on lower powered hardware[2]. Work on GRiSP 2 seems to be progressing slowly, but it's a cool project and definitely worth a look if you find projects like AtomVM interesting.
Willing to relocate: Only for exceptional opportunities
Technologies: Elixir, Scala, Ruby, Rails, TypeScript, JavaScript, React, GraphQL, HL7, Mirth, FHIR, SMART, Google Cloud Platform, etc
Résumé/CV: https://www.linkedin.com/in/prestonmarshall/ (Full resume available upon request)
Email: hnjobs@bbhoss.io
I'm an experienced director looking for new opportunities. I've spent most of my career in health tech startups, so I have a lot of experience with healthcare integrations, but also domain knowledge like billing codes, HEDIS measures, HIPAA compliance, etc. I would love a position where I can utilize this experience, but am not locked in to health tech. I have a lot of tolerance for decrepit systems, and find the challenge of making their data available to those who need it an enjoyable experience. I'm a big proponent of async work culture, so I'm seeking remote leadership positions (management if you're fully distributed, or IC), for the right opportunity (> director level, top IC on a new and exciting project, great learning opportunity) I will commute to an office. Contract work considered on a case-by-case basis. If any of this sounds like you, please get in touch. You can book time with me directly at https://bbhoss.io/hireme
Remote: Preferred
Willing to relocate: Only for exceptional opportunities
Technologies: Elixir, Scala, Ruby, Rails, TypeScript, JavaScript, React, GraphQL, HL7, Mirth, FHIR, SMART, Google Cloud Platform, etc
Résumé/CV: https://www.linkedin.com/in/prestonmarshall/ (Full resume available upon request)
Email: hnjobs@bbhoss.io
I'm an experienced director looking for new opportunities. I've spent most of my career in health tech startups, so I have a lot of experience with healthcare integrations, but also domain knowledge like billing codes, HEDIS measures, HIPAA compliance, etc. I would love a position where I can utilize this experience, but am not locked in to health tech. I have a lot of tolerance for decrepit systems, and find the challenge of making their data available to those who need it an enjoyable experience. I'm a big proponent of async work culture, so I'm seeking remote leadership positions (management if you're fully distributed, or IC), for the right opportunity (> director level, top IC on a new and exciting project, great learning opportunity) I will commute to an office. Contract work considered on a case-by-case basis. If any of this sounds like you, please get in touch. You can book time with me directly at https://bbhoss.io/hireme
Unfortunately, it seems like it's been removed since Ruby 2.1: https://bugs.ruby-lang.org/issues/8468
In the US healthcare system, clinicians and the business often have opposing objectives and values. This is starting to change with value based care becoming more popular, but it's still all about providing what the business wants, it just happens to align with the clinicians more these days. You'll still need to support IE9 due to that botched Vista upgrade, build out a custom EMR integration, and deliver whatever random feature the sales folks promised (can you automatically fax things?) before you can move on to the features that the clinicians actually want.
The system itself is how we ended up with billing-driven documentation EHRs like Epic. Paradoxically, due to massive adoption, I think Epic and Cerner are some of the only places where real innovation could happen. I think even huge companies like Apple, Amazon, and Google will have a hard time breaking into the space, no matter how much cash they throw at it. For them, the only answer is to go fully vertical like Kaiser-Permanente, but I doubt they have the stomach for this.
Current Tech: TypeScript, React, Node, Postgres, Scala, Scio/Apache Beam, GCP
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