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Senior Go To Market Systems Engineer - US or Canada Remote

Remote; Victoria, British Columbia, Canada

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:
  1. 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.
  2. 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!

Senior Go To Market Systems Engineer 

Location: Remote (United States or Canada) Reports To: VP, Commercial Operations Executive Sponsorship: Chief Revenue Officer Type: Individual Contributor, full-time 

About PerfectServe and Why This Role Exists Now 

PerfectServe is a healthcare communication and clinical workflow company serving thousands of practices, hospitals, and health systems across the US. We help care teams communicate faster and route the right information to the right person at the right time. 

This role exists because our go-to-market motion has the same problem every fast-growing B2B team has: Business Development Leads spending hours on prospect research, New Logo Sales Leaders prepping for calls from scratch, pipeline patterns that take a quarter to surface in a dashboard. We want to fix that with AI. The Senior Go To Market (GTM) Systems Engineer will build the agents and automated workflows that compress that work so our sales and marketing teams can spend their time on judgment, not repetition. 

This is a hands-on engineering role embedded in Commercial Operations. You will report to the VP of Commercial Operations and have direct visibility with the CRO. Healthcare go to market is a regulated environment, and your work will need to respect HIPAA constraints when workflows touch customer or patient data. 

What You Will Build 

You will design and ship AI agents and automated workflows that move our revenue motion. Concretely: 

  • Lead enrichment agents built on Clay, Claygents, ZoomInfo, and Snowflake that turn raw inbound and outbound lists into ranked, contextual leads our new logo sales leaders want to call. 
  • Outbound personalization agents that write the first draft of cold outreach using the prospect’s role, recent context, and our positioning, so new logo sales leaders spend their time on judgment, not blank pages. 
  • AI-assisted New Logo Sales Leader research workflows that produce meeting prep, account briefs, and call summaries in minutes instead of hours. 
  • Pipeline pattern detection agents that read our deal data in Snowflake and surface stalled deals, churn risk, and acceleration opportunities to AEs and managers in real time. 
  • Agentic deal review and forecast support that helps managers spot what is real, what is slipping, and what to coach on before each forecast call. 
  • Salesforce and Pardot integrations that wire all of the above into the systems the team already lives in, with clean data flows back to Snowflake and BI. 

The point is not to add another tool. The point is to use AI agents to compress the work that today eats sales leaders and manager time, and to make the rest of the GTM motion faster, more consistent, and more measurable. 

What Success Looks Like 

We measure this role by what changes in the GTM motion, not by the number of workflows shipped. 

By month 3. You have shipped at least one agent in production, on a real workflow, with measurable adoption by new logo sales leads. You have a clear point of view on the highest-leverage next three workflows and a shipping plan for them. 

By month 6. Manual research and prep time across sales and marketing workflows is meaningfully reduced (target 40 to 60 percent). Outbound and inbound engagement quality is measurably higher. You own a roadmap of agentic workflows in production, and adoption is healthy. 

By month 12. AI agent adoption is part of how the team operates, not a side experiment. Pipeline velocity, lead quality, and conversion show measurable contribution from the workflows you have shipped. New sales leaders onboard onto an AI-assisted workflow stack from day one. 

What You Will Bring 

Required: 

  • 6 to 9 years of experience in GTM engineering, RevOps, growth, product, or a related B2B technical role. 
  • Hands-on experience building AI workflows or agents that solve real business problems. Comfortable working with Claude or comparable models, comfortable writing and tuning prompts, comfortable wiring agents to tools and data. 
  • SQL fluency. You can write your own queries against Snowflake or comparable data warehouses to measure the impact of what you ship. 
  • Experience integrating across CRM (Salesforce), marketing automation (Pardot or comparable), and a modern GTM stack. You should be able to read API docs, design integrations, and own them end to end. 
  • Strong analytical and systems-thinking ability. You can move from a vague business problem to a working solution and iterate from data. 
  • Effective written and verbal communication. You will be working with sales, marketing, and the CRO directly. 

Strong plus: 

  • Hands-on with one or more of: 6sense, Clay (including Claygents), ZoomInfo, Power BI, dbt. 
  • Python or comparable scripting. You do not need to be a software engineer, but you should be able to reach for code when the no-code path runs out. 
  • Prior experience in healthcare or another regulated industry where data governance shaped your work. 
  • Prior experience as the first or early AI engineer at a GTM org. 

Role Scope 

  • Individual contributor. No direct reports. 
  • Embedded within the Commercial Operations organization. Cross-functional collaboration with Marketing, Sales, SDR, and Operations. 
  • Direct interaction with executive leadership including the Chief Revenue Officer. 
  • Remote, US or Canada based. Some occasional travel for offsites and team meetings. 

What We Offer 

  • The chance to build something that changes how the team actually works, with a real mandate and executive visibility from day one. 
  • A real seat at the GTM table. The CRO is the executive sponsor of this role and the workflows you build will be visible at the leadership level. 
  • Modern tooling and a mandate to use it. We are not asking you to bolt AI onto a 2018 stack. We are asking you to design what comes next. 
  • Competitive compensation, full benefits, equity participation, and remote flexibility. 
 
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 $80,000-110,000 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.

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