Note: The job is a remote job and is open to candidates in USA. MD Integrations partners with digital health brands to power clinical care at scale, specializing in telehealth solutions. The Backend Engineer (PHP/Laravel) will design, develop, and maintain server-side applications, ensuring system performance and stability while collaborating with cross-functional teams.

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

Skills

• 5+ 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

Benefits

• 75% subsidized health insurance
• Dental insurance
• Vision insurance
• Paid time off
• 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

Company Overview