PerfectServeRemote
Senior Full Stack Engineer – EHR Integrations - US Remote
United States of America
Full Time
3 weeks 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. They are seeking a Senior Full Stack Engineer to design, build, and maintain integrations with ambulatory Electronic Health Record (EHR) systems to improve 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