Senior Full Stack Engineer – EHR Integrations - US Remote

What is PerfectServe? PerfectServe is a leading provider of clinical communication and physician scheduling solutions in the health IT space. The company was founded in 1997 and has grown steadily since then, with a notable jump after several major acquisitions were announced in 2019. PerfectServe now has 400+ employees, 30,000+ customers — spanning medical practices, hospitals, and health systems — and $100 million+ in annual revenue. PerfectServe’s mission is to accelerate speed to care by optimizing provider schedules and routing communications — including messages, pages, calls, and alerts — to the right place at the right time in any care setting. By facilitating real-time information sharing, building better schedules, and automating important clinical workflows, we believe we can help our customers advance patient care and improve the well-being of their clinicians. Leading analyst firms like Gartner® and KLAS Research have consistently validated our approach: In 2026, PerfectServe was named highest in execution and furthest in vision in the Gartner Magic Quadrant™ for Clinical Communication and Collaboration — the clear segment leader. PerfectServe also received two Best in KLAS awards in 2026 — one for physician scheduling and another for ambulatory clinical communications. That makes for 11 Best in KLAS awards over the past 9 years. At PerfectServe, you'll have a unique opportunity to join a collaborative team with decades of experience that finds new ways to delight our customers every day. This involves consistent efforts to stay on the cutting edge of product development, which includes everything from implementing AI in new and existing solutions to brainstorming with customers about novel workflows. But you don't have to be in product to make in impact — everybody at PerfectServe contributes to important work that moves the business forward. If you're looking for a well-established, tech-forward company full of smart people doing meaningful work, you've found the right place! 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 athenahealth and eClinicalWorks required, and experience with Epic (MyChart/Cosmos), Oracle Health (Cerner), Modernizing Medicine, Nextech, and others considered a plus. 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, comfo