Senior ERP development talent and rates in Healthcare
Senior ERP development engineers serving healthcare run roughly $140–$210/hr. Stack realities for this combination: Epic / Cerner FHIR R4 + SMART-on-FHIR; HIPAA-eligible AWS/Azure/GCP; Twilio HIPAA-eligible comms; Datadog HIPAA-mode — common integrations: Epic (MyChart / FHIR R4 / App Orchard), Cerner / Oracle Health, Allscripts. Multi-tenant clinic data; segregation by NPI; full subprocessor BAA chain audit
What ERP development actually requires in 2026
2026 ERP customization: SAP ABAP/Fiori, NetSuite SuiteScript 2.1, Microsoft Dynamics F&O extensions, Oracle Cloud ERP Configuration. Greenfield: Postgres + Node/.NET, OpenAPI, integrations to Stripe + Avalara + warehouse tools (3PL Central, ShipBob APIs). ERP consultants specialize narrowly — a NetSuite expert cannot ship SAP work. The market for senior ERP architects is small and consulting-firm-dominated (Deloitte, Accenture, EY); independent senior ERP work commands premium rates.