PerfectServe - Senior Full Stack Engineer – EHR Integrations
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Requirements
• 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
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
Benefits
• 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. • 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.
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