Software Engineer – Full Stack AI - US-Remote at PerfectServe (Healthcare Communications)

About the role

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!

PerfectServe is a leading healthcare communications platform that connects providers, patients, and care teams to improve clinical collaboration and patient outcomes. We are seeking a Full Stack AI Engineer to join our R&D organization and play a central role in bringing AI capabilities to production across the platform. This is a core, high-impact role responsible for defining AI architecture standards, shipping production AI features, establishing governance and evaluation frameworks, and partnering directly with R&D leadership to shape the AI roadmap.

Essential Functions

Design AI integration patterns and architecture standards across the SaaS platform
Integrate LLM APIs (OpenAI, Anthropic, AWS Bedrock) into production features
Build RAG systems, vector search, and embedding pipelines
Optimize latency, inference cost, and hallucination guardrails
Establish model evaluation, benchmarking, and observability processes
Define cost controls, usage monitoring, and security/PHI handling constraints
Evaluate use cases with Product for ROI and feasibility
Advise leadership on build vs. buy decisions for AI capabilities

Qualifications:

5+ years software engineering experience with strong Python backend skills
Production experience with LLM APIs, RAG systems, embeddings, and vector databases
Cloud-native architecture experience, preferably AWS
Experience in regulated or security-conscious environments
Product-minded systems thinker, comfortable with ambiguity and executive communication

This is not a research role. This is a builder role.

Why Join PerfectServe?

At PerfectServe, we are transforming healthcare communication and collaboration to help clinicians deliver better care. You’ll work with a dedicated and mission-driven team in an environment that values growth, transparency, and innovation.

We offer a salary range of $130,000-170,000 USD 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.

Benefits:

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.

Skills & Tags

python go aws ai backend data product design

Aplyr's read

PerfectServe enhances healthcare communication by enabling secure collaboration among providers, attracting tech-savvy professionals who value innovation in patient care.
Synthesized from recent postings & public sources

What's promising

•PerfectServe's platform directly improves patient care by streamlining communication.
•The company offers remote roles, appealing to those seeking flexible work arrangements.
•Recent hires in diverse roles indicate growth and expansion opportunities.

What to watch

•Healthcare communication is a competitive market with many established players.
•Remote work may pose challenges in team cohesion and communication.
•Limited public information about company culture and employee satisfaction.

Why PerfectServe (Healthcare Communications)

•PerfectServe focuses specifically on enhancing clinical workflows in healthcare.
•The platform supports secure messaging, crucial for healthcare data privacy.
•They integrate with Electronic Health Records, improving provider efficiency.

Aplyr’s read is generated by AI from public sources. Was it useful?

About PerfectServe (Healthcare Communications)

PerfectServe (Healthcare Communications)

perfectserve.com

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PerfectServe is a healthcare communication platform that streamlines clinical workflows and enhances patient care by facilitating secure messaging and collaboration among healthcare providers.