Lead Technical Engineer – Backend

What Is Perfectserve?

PerfectServe offers best in KLAS assets in three categories: clinical communications, scheduling, and patient engagement solutions. PerfectServe is featured on this year’s Inc 5000 list, which profiles the fastest-growing private companies in America. We have seen an 88% growth rate over the past three years and need strong team members to help us continue to grow! 

PerfectServe’s mission is to accelerate speed to care by optimizing provider schedules and dynamically routing messages to the right person at the right time in any care setting; advancing patient care and clinical workflows. 

By joining PerfectServe, you will have the unique opportunity to come alongside us as we further our vision of putting all of these solutions together to provide optimal patient outcomes and faster patient care interventions. By improving speed to care and cross-continuum communication, we save lives, reduce length of stay, minimize re-admissions, and bring joy back to caregivers.

We have an incredible portfolio of customers, with new ones recognizing the value of our solutions and joining the PerfectServe family every day. 

Overview

We are seeking a highly skilled Lead Technical Engineer – Backend to guide our engineering team in designing, developing, and maintaining scalable backend services. The ideal candidate will have strong expertise in C#, Python, and AWS cloud solutions, with proven experience in leading backend development projects, mentoring developers, and implementing best practices for performance, security, and reliability.

Key Responsibilities

• Technical Leadership
• Lead the design, development, and deployment of backend systems and APIs.
• Drive architectural decisions to ensure scalable, secure, and maintainable solutions.
• Provide technical mentorship and code reviews to team members.
• Backend Development
• Develop backend services using C#/.NET(Framework & Core) and Python.
• Optimize application performance and troubleshoot complex issues.
• Implement automated testing, CI/CD pipelines, and monitoring solutions.
• Cloud & Infrastructure
• Design and deploy cloud-native applications using AWS services (Lambda, ECS/EKS, S3, DynamoDB, RDS, API Gateway, etc.).
• Ensure high availability, fault tolerance, and disaster recovery for backend systems.
• Collaborate with DevOps to improve infrastructure automation and observability.
• Collaboration
• Work closely with product managers, architects, and frontend engineers to deliver end-to-end solutions.
• Communicate complex technical concepts to both technical and non-technical stakeholders.
• Participate in Agile/Scrum ceremonies and contribute to backlog prioritization.

Required Skills & Qualifications

• 5+ years of professional backend development experience.
• Strong expertise in C#/.NET(Framework & Core) and Python.
• Hands-on experience with AWS cloud services and cloud-native application design.
• Proficiency in RESTful APIs, microservices, and event-driven architectures.
• Strong knowledge of SQL (e.g.,MSSql, PostgreSQL, SQL Server, DynamoDB, MongoDB).
• Experience with CI/CD pipelines, containerization (Docker, Kubernetes),  ArgoCD, and infrastructure as code (Terraform, CloudFormation). 
• Familiarity with security best practices (IAM, encryption, OWASP).
• Excellent problem-solving skills and ability to lead a development team.

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. 

**Please do not use AI tools to generate your application materials. We value authentic, personal communication and want to understand your unique voice and perspective.**

We offer a salary range of $145,000–$175,000 per year, with compensation tailored to your background, strengths, and potential to grow within the team.

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.