Senior Full Stack Engineer – EHR Integrations - US Remote

PerfectServe is a leading provider of clinical communication and physician scheduling solutions in the health IT space. Founded in 1997, the company has grown significantly, particularly after several major acquisitions in 2019. With over 400 employees, 30,000+ customers, and $100 million in annual revenue, PerfectServe aims to accelerate speed to care by optimizing provider schedules and routing communications efficiently.

About the role

We are seeking an experienced Full Stack Developer to integrate with leading ambulatory Electronic Health Record (EHR) systems. Key responsibilities include designing, building, and maintaining APIs, workflows, and user interfaces that connect our platform to clinical environments, ensuring seamless data exchange and improved patient care.

Responsibilities

• Design and implement integrations with ambulatory EHR platforms such as athenahealth and eClinicalWorks, with experience in Epic (MyChart/Cosmos), Oracle Health (Cerner), Modernizing Medicine, Nextech, and others.
• Build and maintain HL7 FHIR R4/R5 and HL7 v2.x interfaces for clinical data exchange (ADT, CCD, CCDA, results, orders, scheduling).
• Develop full stack features across both front-end (React, Angular, or Vue) and back-end (Node.js, Python, Java, or .NET) layers.
• Implement OAuth 2.0 / SMART on FHIR authentication flows for EHR app launch and patient-facing integrations.
• Collaborate with clinical informatics, product, and QA teams to translate healthcare workflows into technical requirements.
• Ensure all integrations comply with HIPAA, HL7, and ONC interoperability regulations.
• Maintain uptime SLAs for production environments by monitoring integration pipelines, troubleshooting data mapping issues, and participating in code reviews.

Requirements

• 3+ years of hands-on experience integrating with one or more leading ambulatory EHR platforms (Epic, Cerner, athenahealth, eClinicalWorks, etc.).
• Strong proficiency with HL7 FHIR (R4 or R5) and RESTful API development.
• Familiarity with HL7 v2.x message formats (ADT, ORU, SIU, ORM).
• Experience with SMART on FHIR and OAuth 2.0 authorization flows.
• Solid full stack development skills, comfortable working across the entire application stack.
• Experience with relational and/or NoSQL databases (PostgreSQL, MySQL, MongoDB).
• Understanding of HIPAA privacy and security requirements in a development context.
• Strong debugging and integration troubleshooting skills.

Qualifications

• Salary range: $130,000 - $160,000 USD per year, with compensation tailored to individual background, strengths, and potential to grow within the team.
• Benefits: Remote first work environment, health, dental, vision, life, and disability insurance options available day one, 401K with match and immediate vesting, 17 company holidays, 2 floating holidays plus competitive paid time off policy, internal advancement opportunities.