Why outstaff instead of hiring in-house?
• Slash recruiting cycles from months to days—our bench of JavaScript specialists is ready to start tomorrow.
• Pay only for the capacity you need; ramp teams up or down without severance, payroll tax, or benefit overhead.
• Gain instant access to HIPAA-trained, FDA-aware talent that has already delivered compliant medical device subscription billing engines.
• Keep IP ownership while we handle contracts, local regulations, and timezone coordination.
• Your CTO stays in control; we plug engineers directly into your sprint boards so velocity rises and managerial load drops.
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What Tech Leaders Say
We cut billing latency by 42 % after Smartbrain.io dropped a senior JavaScript/Node.js engineer into our team within 48 h. He refactored our device-as-a-service invoicing microservice and passed FDA audit first time, freeing my developers for core firmware work.
Elaine Carter
CTO
PulseWave Diagnostics
Smartbrain’s React specialist built a real-time dashboard that reconciles Stripe webhooks with our medical device subscription billing ledger. Productivity rose 35 % and our Ops team finally trusts the numbers.
Miguel Johnson
Head of Engineering
OptiSense Labs
The pre-vetted TypeScript developer integrated seamlessly, closed 28 Jira tickets in sprint one, and automated HIPAA logging. Time-to-release dropped 20 %—crucial for our connected insulin pump rollout.
Patricia Lee
VP Software
GlucoTrack Systems
Smartbrain’s Node.js architect rewrote our subscription proration logic with strict audit logs. The regulator had zero findings, and we saved $140k forecasted re-cert costs.
Steven Brooks
Director of Product
CardioFlow Tech
Moving from on-prem SQL to serverless JavaScript lambdas looked daunting. Smartbrain supplied two specialists who migrated data, wrote tests, and delivered 99.98 % uptime from day one.
Rachel Adams
Engineering Manager
NeuroPulse Analytics
When subscriptions spiked 5×, Smartbrain’s full-stack devs optimised our Vue.js front end and Node backend caching. Checkout speed improved by 63 % under load and we avoided downtime during launch.
Daniel Miller
Chief Digital Officer
MediLens Imaging
Industries We Power
Digital Health Platforms
Tele-medicine vendors rely on augmented JavaScript teams to build compliant subscription gateways, integrate EHRs, and provide dynamic pricing for remote diagnostics. Our developers bring deep knowledge of HIPAA encryption, Stripe API, and medical device subscription billing analytics, enabling faster feature rollouts and secure patient invoicing.
Hospital IT Systems
In complex hospital networks, JavaScript specialists modernise legacy billing modules, enabling device-as-a-service models for imaging hardware. Augmented engineers ensure HL7/FHIR interoperability and automate recurring charges, reducing manual reconciliation time by 70 %.
Remote Patient Monitoring
IoT-driven wearables stream data 24/7. Our outstaffed devs craft usage-based billing engines in Node.js that scale elastically, handle per-device entitlements, and provide patients transparent subscription management portals.
Surgical Robotics
Robotics vendors monetize through yearly maintenance subscriptions. JavaScript experts integrate secure payment flows, certificate renewals, and license checks directly into robot UIs while meeting strict FDA traceability.
Lab Equipment Leasing
Augmented developers implement SaaS dashboards and metered billing for centrifuges, PCR machines, and analyzers, transforming cap-ex sales into predictable revenue streams.
InsurTech Health
Insurance platforms partner with device providers. Our teams map subscription billing data to claims APIs, ensuring synchronized policy updates and premium adjustments in JavaScript micro-services.
Home-Care Devices
Connected infusion pumps and CPAP machines need simple subscription renewals. We build mobile-first React portals, SMS reminders, and auto-payment retries to cut churn.
Clinical Trials SaaS
Trial managers rent devices per study. Our devs create multi-tenant billing layers with granular role permissions, audit logs, and regulatory reporting exports.
Wearable MedTech IoT
High-volume data demands low-latency billing. JavaScript engineers from Smartbrain implement Kafka streams and serverless billing calculators maintaining millisecond throughput for smartwatch biosensors.
Medical Device Subscription Billing Case Studies
Rapid HIPAA-Compliant Billing Refactor
Client: Mid-size remote patient monitoring startup
Challenge: Legacy Ruby service could not handle new medical device subscription billing tiers.
Solution: Two Smartbrain-supplied JavaScript engineers rewrote the billing engine in Node.js, implemented Stripe Billing, and added automated audit trails.
Result: 37 % reduction in AWS costs, 0 downtime during migration, and FDA submission approved on first pass.
Device-as-a-Service Launch in 8 Weeks
Client: Surgical robotics manufacturer
Challenge: Needed end-to-end medical device subscription billing portal before product expo.
Solution: Four augmented React/Node experts built multi-tenant admin UI, proration logic, and SAP integration while collaborating with in-house firmware team.
Result: Went live in 56 days, securing $3.2 M in pre-orders and achieving 62 % faster checkout compared to beta.
Scalable Usage-Based Pricing Engine
Client: Enterprise lab equipment vendor
Challenge: Existing subscription logic crashed under peak loads; medical device subscription billing accuracy suffered.
Solution: Smartbrain delivered a senior architect who split monolith into serverless functions, added Kafka queuing and DynamoDB metering.
Result: 5× throughput with 99.99 % accuracy, enabling global rollout without hiring delays.
Book a 15-Minute Call
120+ JavaScript engineers placed, 4.9/5 avg rating. Book a quick call and get a shortlist of compliant-ready developers within 24 hours.
Our Core Services
Billing Module Build
We architect and code full-stack subscription modules in Node.js, React, and TypeScript, delivering usage-based invoices, taxation, and multi-currency support while ensuring FDA and HIPAA alignment.
Legacy Migration
Our JavaScript engineers migrate monolithic or on-prem billing systems to modern serverless or micro-service stacks, cutting hosting costs and unlocking CI/CD for medical device subscription billing workflows.
Compliance Audit & Refactor
Receive a detailed code audit focused on PHI handling, encryption, and audit logging. We then refactor weak spots so your subscription engine passes regulator scrutiny effortlessly.
Performance Optimisation
Outstaffed experts optimise SQL queries, implement caching layers, and introduce message queues, improving invoice generation speeds and eliminating revenue leakage.
Analytics Dashboards
We build React dashboards that visualise MRR, churn, and device uptime, empowering executives with real-time insights into subscription revenue streams.
24/7 Production Support
Round-the-clock JavaScript teams monitor logs, triage payment failures, and apply hot-fixes, ensuring patients and clinicians experience zero billing disruption.
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