Senior Full Stack Engineer

Responsibilities

• Design and implement integrations with ambulatory EHR platforms like athenahealth and eClinicalWorks
• Build and maintain HL7 FHIR R4/R5 and HL7 v2.x interfaces for clinical data exchange
• Develop full stack features across front-end and back-end layers
• Implement OAuth 2.0 / SMART on FHIR authentication flows
• Work within EHR vendor developer programs to certify and publish integrations
• Collaborate with clinical informatics, product, and QA teams
• Ensure compliance with HIPAA, HL7, and ONC interoperability regulations
• Monitor integration pipelines and troubleshoot data mapping issues

Requirements

• 3+ years of experience integrating with ambulatory EHR platforms (Epic, Cerner, athenahealth, eClinicalWorks)
• Strong proficiency with HL7 FHIR (R4 or R5) and RESTful API development
• Familiarity with HL7 v2.x message formats
• Experience with SMART on FHIR and OAuth 2.0 authorization flows
• Solid full stack development skills
• Experience with relational or NoSQL databases (PostgreSQL, MySQL, MongoDB)
• Understanding of HIPAA privacy and security requirements
• Strong debugging and integration troubleshooting skills

Benefits

• Remote first work environment
• Health, Dental, Vision, Life and Disability Insurance available day one
• 401K with match and immediate vesting
• 17 company holidays, 2 floating holidays, and competitive PTO
• Internal advancement opportunities

About the Company

PerfectServe is a leading provider of clinical communication and physician scheduling solutions in the health IT space, helping healthcare providers optimize workflows and accelerate speed to care.