[Hiring] Senior Backend Engineer @MD Integrations

Role Description

The Backend Engineer (PHP / Laravel) designs, develops, and maintains scalable and reliable server-side applications to ensure the highest standard of system performance and stability. As a Backend Engineer, you will take ownership of features and services, troubleshoot complex issues, optimize existing code, and contribute to architectural decisions. You will work closely with cross-functional teams, including front-end dev, product, QA, and DevOps, collaborating both synchronously and asynchronously to deliver high-quality software, efficiently.

We are looking for a skilled, detail-oriented engineer who is comfortable with full-stack collaboration, enjoys solving challenging problems, and thrives in a remote-first, fast-paced environment.

Key Responsibilities

• Design, build, and optimize high-throughput RESTful APIs in PHP using the Laravel framework, writing efficient PostgreSQL queries and schema designs to support data-intensive clinical workflows.
• Contribute to new feature development and platform improvements within an Agile/Scrum process.
• Build and maintain integrations with third-party APIs and internal services, deploying and running services in Docker containers across AWS (or comparable cloud) environments to ensure secure, reliable data exchange.
• Write automated tests (unit, integration, and API-level) for PHP/Laravel back-end functionality and critical clinical workflows, and integrate them into CI/CD pipelines using Git/GitHub-based workflows and Docker to enable continuous testing and faster, more reliable releases.
• Write and maintain clear technical documentation for troubleshooting guides, fixes, API integrations, and support processes, version-controlled through Git/GitHub for easy team access and updates.
• Monitor application health, performance, and error logs using tools such as Rollbar and AWS CloudWatch to proactively identify and address potential issues before they affect patients or providers.
• Identify, document, and track software defects, analyzing logs and debugging to pinpoint root causes, and work with the development team within Agile/Scrum sprints to prioritize and ensure timely resolution.
• Actively participate in code reviews to uphold coding standards and engineering best practices.
• Continuously evaluate and improve our development processes, CI/CD pipelines, and tooling (Docker, monitoring/logging systems, cloud infrastructure) to enhance team efficiency, code quality, and release velocity.
• Identify opportunities to formalize and document internal processes, workflows, and troubleshooting playbooks, building a knowledge base that supports faster onboarding and more consistent support.

Qualifications

• 8-10+ years of professional experience with PHP and Laravel framework.
• Experience working with AWS services like Lambdas, SES, Workers, etc.
• Solid knowledge of RESTful APIs, with ability to write automated API tests.
• Degree in Computer Science, Engineering, or equivalent combination of education and experience.
• Deep experience with SQL databases (preferably PostgreSQL), including schema design, queries, and performance optimization.
• Ability to use AI tools to boost productivity but does not rely on it to be able to perform.
• Experience working with version control systems (Git) and collaborative workflows (GitHub), including CI/CD pipelines and ability to integrate automated tests into the deployment process.
• Experience with Docker.
• Knowledge of monitoring tools (e.g., Rollbar, CloudWatch, etc.).
• Located in the US and able to work full-time for a US employer without requiring visa sponsorship. E-Verify is used during new hire onboarding to confirm work authorization status.

Your Work DNA

• User-Centric: A genuine passion for helping customers succeed and a commitment to providing exceptional customer service.
• Proactive and Solution-Oriented: A proactive approach to identifying and resolving potential issues before they escalate.
• Team Player: Ability to work effectively as part of a team and collaborate with team members across different departments.
• Passion for Learning: A strong desire to learn and stay up-to-date on the latest trends and developments in telehealth and healthcare technology.

Benefits

• Competitive Salary: The targeted range for this role is $140,000 to $175,000 per year commensurate with qualifications and experience.
• Comprehensive Benefits Package: Our benefits package includes 75% subsidized health insurance, dental insurance, vision insurance, paid time off, and a 401(k) plan with company match.
• Professional Development Opportunities: We are committed to investing in our employees' professional development and offer a variety of on-the-job training and development opportunities.
• Flexible Work Arrangements: We are a fully remote team who collaborate both synchronously and asynchronously to achieve the best outcomes.
• Collaborative and Supportive Work Environment: We foster a collaborative and supportive work environment where employees are encouraged to share ideas and contribute to the company's success.