PerfectServeRemote
Senior Full Stack Engineer – EHR Integrations - US Remote
United States of America
Full Time
1 month ago
$130,000 - $160,000 USD
H1B Sponsor Likely
Key skills
PythonJavaNoSQL.NETReactVueAngularNode.jsPostgreSQLMySQLMongoDBOracleOAuthRESTfulCommunication
About this role
PerfectServe is a leader in clinical communication and physician scheduling solutions, experiencing significant growth and seeking strong team members to continue this trend. The Senior Full Stack Engineer will design, build, and maintain integrations with ambulatory EHR systems to enhance patient care through seamless data exchange.
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
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