Staff Data Engineer - US Remote

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.

PerfectServe is investing in a unified data platform spanning our product portfolio — the data store, the shared taxonomy, and the pipelines that will let the business answer questions across the whole platform. Our architecture team has mapped the high-level direction and target state. The detailed design is deliberately still open.

This is the senior engineering seat that takes it from direction to working platform. You will shape the detailed architecture alongside our architecture team, own the implementation and integration design, and set the engineering standards the team works to — building it with a dedicated team.

We have done real thinking here — the high-level direction and target state are mapped, and the business case is made and funded. What is deliberately not settled is almost everything below that line. We would rather hire someone with strong opinions about it than fill it in ourselves before you arrive.

That is where the consequential decisions live — how entities resolve consistently across a broad portfolio, how time is modeled so a question about last quarter resolves against last quarter's reality, how a metric gets defined once and trusted everywhere. Cheap to get right now, expensive to correct later.

So you get a direction to work from and an architecture team to partner with, plus genuine influence over both. If you would rather bring your experience to bear on a platform while it is being built than inherit one that is already set, this is that role.

Substantial experience building and operating cloud data platforms, ideally including one you designed from scratch

Comfort making decisions with incomplete information, and the judgement to know which ones are expensive to get wrong

Deep SQL, and strong command of a cloud data warehouse (Snowflake, BigQuery, Databricks or similar)

A transformation framework such as dbt, with clear opinions on how to structure a project

ELT and change-data-capture experience across relational sources

AWS — read replicas, object storage, and moving data between regions without surprises

Dimensional or medallion modeling, applied rather than theoretical

Workflow orchestration (Airflow, Dagster, Prefect or similar) and data quality testing as a habit

Healthcare data, and experience handling protected health information

Multi-tenant data isolation

Semantic layer or metrics layer design

Modern BI and self-serve reporting tooling

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 $170,000–$200,000 USD per year, with compensation tailored to your background, strengths, and growth potential. This range reflects our commitment to pay transparency and is based on market data, internal equity, and the scope of responsibilities. Compensation is determined by several factors, including experience, skills, and team impact. We regularly review compensation to ensure fairness and consistency. Current employees with questions are encouraged to connect with their manager or People Operations.