Mochi Health — Telemedicine Ecommerce Platform

John Pander

I spearheaded the build of a HIPAA-compliant ecommerce telemedicine platform at Mochi Health, delivering end-to-end GLP-1/HRT care—from patient intake and provider consults to e-prescribing, pharmacy fulfillment, and subscriptions. Using Next.js for the web experience and React Native for mobile, I created fast, intuitive portals for patients and providers that feel trustworthy and easy to use.
My focus was improving patient care and streamlining clinical operations. I translated complex requirements—dynamic medical questionnaires, async/sync consults, lab ordering/results, refills, and shipping updates—into clear user flows that reduced friction for both clinicians and patients.
I worked across a modern stack: TypeScript, React/React Native with Redux for state management; Node.js for services; PostgreSQL and Redis for persistence and caching; and GraphQL/REST APIs for efficient data access. I integrated a certified e-prescribing vendor (Surescripts/DoseSpot), pharmacy APIs for nationwide fulfillment and tracking, Stripe for one-time and recurring billing (with PHI segregation), and Twilio/Daily for secure video visits. Role-based access control, immutable audit logs, and FHIR-aligned data models ensured interoperability and compliance.
Key challenges included stitching together multiple third-party healthcare APIs (ID verification, eRx, pharmacy logistics) and safeguarding large PHI datasets while keeping performance high. I solved these with layered caching, Next.js SSR for first-paint speed, background jobs/queues for long-running tasks, idempotent webhooks, and back-pressure controls. Deployed on AWS with a BAA, I implemented encryption in transit/at rest, secrets management, network isolation, and automated backups for reliability and scale.
The result was a noticeably smoother clinical workflow—shorter intake-to-prescription times, fewer refill/support tickets, and clearer clinical decision support—while patients gained effortless access to records, secure messaging, appointment scheduling, and shipment tracking. p95 latencies dropped across consult and checkout, and subscription conversion improved with a more transparent, step-by-step purchase flow.
This project showcased my ability to lead full-stack healthcare builds, integrate stringent compliance into product design, and turn intricate requirements into a secure, scalable platform that makes a real impact for providers and patients.
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Posted Apr 7, 2025

Built a HIPAA-compliant platform with patient/provider portals, dynamic intake, video consults, e-prescribing, pharmacy fulfillment, and Stripe subscriptions.

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