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Senior Full Stack Engineer – EHR Integrations

TrulyRemote Verified

Hand-curated global remote job with direct application link

Technical Requirements

HL7 FHIRRESTful API DevelopmentHL7 v2.xSMART on FHIROAuth 2.0PostgreSQLMySQLMongoDB

What is PerfectServe?

PerfectServe offers Best in KLAS clinical communication and physician scheduling solutions and is a Leader in the Gartner Magic Quadrant for Clinical Communication and Collaboration. We have seen an 88% growth rate over the past three years and need strong team members to help us continue to grow!

PerfectServe’s mission is to accelerate speed to care by optimizing provider schedules and dynamically routing messages to the right person at the right time in any care setting; advancing patient care and clinical workflows.

By joining PerfectServe, you will have the unique opportunity to come alongside us as we further our vision of putting all of these solutions together to provide optimal patient outcomes and faster patient care interventions. By improving speed to care and cross-continuum communication, we save lives, reduce length of stay, minimize re-admissions, and bring joy back to caregivers.

We have an incredible portfolio of customers, with new ones recognizing the value of our solutions and joining the PerfectServe family every day.

We are looking for an experienced Full Stack Developer with a proven track record integrating with leading ambulatory Electronic Health Record (EHR) systems. You will design, build, and maintain the APIs, workflows, and user interfaces that connect our platform to clinical environments, helping healthcare providers deliver better patient care through seamless data exchange.

Key Responsibilities

  • Design and implement integrations with ambulatory EHR platforms including Epic (MyChart/Cosmos), Oracle Health (Cerner), athenahealth, eClinicalWorks, Modernizing Medicine, and Nexgen, among 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
  • Work within EHR vendor developer programs (Epic App Orchard, Cerner Code, athenahealth Marketplace) to certify and publish 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
  • Monitor integration pipelines, troubleshoot data mapping issues, and maintain uptime SLAs for production environments
  • Participate in code reviews, technical documentation, and sprint planning

Required Qualifications

  • 3+ years of hands-on experience integrating with one or more leading ambulatory EHR platforms (Epic, Cerner, athenahealth, eClinicalWorks, etc.), this is a hard requirement
  • 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

Compensation

We offer a salary range of $130,000-$160,000 per year, with compensation tailored to your background, strengths, and potential to grow within the team.

The salary range listed for this role reflects our commitment to pay transparency and is based on market data, internal equity, and the scope of responsibilities. compensation will be determined by a combination of factors, including the candidate’s experience, skills, and the specific team or product area they support.

We regularly review compensation across the company to ensure fairness and consistency. If you are a current employee and have questions about how your compensation aligns with our ranges, we encourage you to speak with your manager or People Operations.

Benefits:

  • Remote first work environment
  • Health, Dental, Vision, Life and Disability Insurance options available day one.
  • 401K - with match and immediately vested.
  • 17 company holidays, 2 floating holidays plus competitive paid time off policy
  • Internal Advancement Opportunities

PerfectServe offers unified healthcare communication solutions to help physicians, nurses, and care team members provide exceptional patient care. PerfectServe’s cloud-based solutions enhance patient safety and reduce provider burnout by automating workflows, speeding time to treatment, optimizing shift schedules, empowering nurse mobility, and engaging patients in their own care.

Senior Full Stack Engineer – EHR Integrations
PerfectServe
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