Senior Backend Engineer

MD Integrations

1d•$140,000 - $175,000•Remote

About The Position

The Backend Engineer (PHP / Laravel) designs, develops, and maintains scalable and reliable server-side applications, with a focus on system performance and stability. The engineer takes ownership of features and services, troubleshoots complex issues, optimizes existing code, and contributes to architectural decisions. The role collaborates with front-end development, product, QA, and DevOps teams, both synchronously and asynchronously, to deliver high-quality software in a remote-first, fast-paced environment. The position focuses on building and maintaining high-throughput APIs and services for data-intensive clinical workflows, supporting reliable integrations, automated testing, monitoring, and continuous improvement of software development and support practices.

Requirements

8–10+ years of professional experience with PHP and the Laravel framework.
Experience working with AWS services such as Lambdas, SES, and Workers.
Solid knowledge of RESTful APIs and ability to write automated API tests.
Degree in Computer Science, Engineering, or an 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 without relying on them to perform the work.
Experience with Git and collaborative GitHub workflows, including CI/CD pipelines and integrating automated tests into the deployment process.
Experience with Docker.
Knowledge of monitoring tools such as Rollbar and CloudWatch.
Located in the US and able to work full-time for a US employer without requiring visa sponsorship.

Responsibilities

Design, build, and optimize high-throughput RESTful APIs in PHP using Laravel, including efficient PostgreSQL queries and schema designs for 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.
Write automated unit, integration, and API-level tests for backend functionality and critical clinical workflows, and integrate tests into CI/CD pipelines.
Write and maintain technical documentation for troubleshooting guides, fixes, API integrations, and support processes, using Git/GitHub for version control.
Monitor application health, performance, and error logs using tools such as Rollbar and AWS CloudWatch, and proactively address potential issues.
Identify, document, and track software defects; analyze logs and debug to determine root causes; and work with the development team in Agile/Scrum sprints to prioritize and resolve defects.
Participate in code reviews to uphold coding standards and engineering best practices.
Evaluate and improve development processes, CI/CD pipelines, tooling, monitoring and logging systems, and cloud infrastructure to improve 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 onboarding and consistent support.